en Health System Health System Debate Article Debate Article The Iran health system has implemented various reforms to provide equitable access to health care for citizens. In addition to its achievements in improving health outcomes, it faced problems, particularly following sanctions and the outbreak of COVID-19. These challenges must be addressed as the high-priority agenda by the new administration in Iran. In this commentary, we introduce the most critical challenges faced by the country. We then describe the main strategies that should be considered to address these challenges. Health System, Governance, Planning, Iran 1159 1160 http://mjiri.iums.ac.ir/browse.php?a_code=A-10-2445-5&slc_lang=en&sid=1 Haniye Sadat Sajadi hsajjadi@tums.ac.ir 200319475328460090581 200319475328460090581 No Knowledge Utilization Research Center, & Center for Academic and Health Policy, Tehran University of Medical Sciences, Tehran, Iran Reza Majdzadeh rezamajd@tums.ac.ir 200319475328460090582 200319475328460090582 Yes Community Based Participatory Research Center, & Knowledge Utilization Research Center, & School of Public Health, Tehran University of Medical Sciences, Tehran, Iran