en Health Management and Economics Health Management and Economics Original Research Original Research <strong>Background: </strong>Sustainable health financing is one of the main challenges of policymakers in the health system. Thus, this study aimed to investigate the sustainable financing of health promotion services in 7 selected countries and to analyze the related documents in Iran in 2018.<br> &nbsp;&nbsp; <strong>Methods: T</strong>his was a comparative and qualitative study (document analysis). In the comparative phase, the studies related to the selected countries- Australia, England, Germany, Japan, Turkey, Sweden, and Denmark- were investigated. In the second phase of the study, through a qualitative method of content analysis, 60 related documents were examined from 2005 to 2018. The initial evaluation of the documents was done using the Scott method and data were analyzed using Nvivo 8 software.<br> &nbsp;&nbsp; <strong>Results: </strong>Based on the main findings of the study, there were a variety of approaches to the sustainable financing of health promotion services: excise taxes on goods; health-related behaviors regarding tobacco and alcohol consumption and gambling; using the capacities of social insurance funds in Germany and Turkey; and relying on the government budget in all the studied countries. According to the results of documents analysis related to the sustainable financing of health promotion in Iran, 3 main issues and 11 sub issues were identified.<br> &nbsp;&nbsp; <strong>Conclusion:</strong> Using any of these methods or a combination of them depends on the political, social, and cultural structure of each country. The provisions of the law seem to be almost comprehensive; however, implementation, operationalization and monitoring of these elements are of significant importance.<br> &nbsp; Health promotion, Iran, Excise tax, Sustainable financing, Sin tax 317 323 http://mjiri.iums.ac.ir/browse.php?a_code=A-10-4347-1&slc_lang=en&sid=1 Hamideh Javadinasab hajavadi43@gmail.com 200319475328460062650 200319475328460062650 No Department of Health Services Management, Science and Research Branch, Islamic Azad University, Tehran, Iran Iravan Masoudi Asl masoudi_1352@yahoo.com 200319475328460062651 200319475328460062651 Yes Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran Abbas Vosoohgmoghaddam a_vosoogh@gmail.com 200319475328460062652 200319475328460062652 No Faculty member of secretariate for supreme council of health and food security, Ministry of Health and Medical Education, & NCD Research Center, Endocrine and Metabolism Research Institute, Tehran University of Medical Sciences and Health Services, Tehran, Iran Behzad Najafi bnadjafi59@gmail.com 200319475328460062653 200319475328460062653 No Iranian Center of Excellence in Health Management, Department of Health Services Management, School of Management and Medical Informatics, & Department of health economics, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran