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Background & Objectives: Maintaining and improving health and elimination of harmful effects of social determinants of health, especially social conditions in which people live and work, are personal, societal, and international responsibilities that require attempts of individuals and organizations. This study aimed to identify social determinants of health and organizations influencing these determinants. Methods: This original study used qualitative methods to collect data. SID database for Persian papers and Pub Med database and WHO website for English written papers were searched for the term "Social Determinants of Health". Identification of related organizations was achieved through consultation with health specialists and managers of social organization in two stages using Delphi technique. Results: 25 Social Determinants of Health were recognized which include: education, work and work environment, food and agriculture, income and poverty, housing, providing health care services, demographic status, safe water and wastewater, environment, culture and life style, social supporting network, transportation, social exclusion, economy and business, health behaviors, government and urbanization, social services, social gradient, equity, technology and communication, marginalization and condition of indigenous residents, violence, victims and crime, physical infrastructures and industries. Furthermore, state government, medical sciences university, broadcasting organization, education, social security, Environmental Protection Agency, trading, agricultural organization, water and sanitation, sport, Imam Khomeini Relief committee, industries and mines, transportation, housing, welfare organization, police, and Medical Council were the organizations affecting health status. Conclusion: Any action taken on SDH should engage governmental body, civil society and local societies, business agencies, and international organizations. Health system has an important role on SDH changes and can support the SDH approach at all levels of society and coordinate other organizations to improve health equity.

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Background & objectives: Job stress in organizations is a situation in which requirements of the job do not match the capabilities of employee and can harm person physically and emotionally. However, stress is a psychological status that can cause symptoms such as increased heart rate, blood pressure and dizziness. The aim of this study was to assess work related stressors and demographic factors related to depression, stress, and anxiety in Islamabad Gharb health centers’ employees
Methods: In this cross-sectional study, all employees of hospital and healthcare centers in Islamabad Gharb were recruited. According to inclusion criteria, 158 employees participated in the study. Data collecting tools were Demographics, HSE Job stress and Depression, Anxiety and Stress (DASS21) questionnaires. Data was analyzed using descriptive statistics, Spearman correlation coefficient, and Mann Whitney and Kruskal-Wallis tests.
Results: There was a significant relationship between depression, anxiety,  stress and the dimensions of role, demand, communication, support by  colleagues and supervisors, control, and changes (p<0.05). The depression rate was higher in single employees than married ones (p=0.026). Employees who had a patient with sever condition at home had a higher stress and anxiety (p=0.045) 
Conclusion: The results show that work related stressors are related to depression, stress and anxiety in employees. Therefore, it is necessary to use proper solutions such as participating them in decision-makings and providing them enough time to do their task to eliminate job stress resources as possible

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Background & objectives: Primary health services are inseparable part of health care system in each country and the assessment of quality of life is fundamental in the evaluation of healthcare system’s quality. The aim of this study was to assess the quality of primary healthcare services and its effect on quality of life in the recipients of these services in a health center and its subsection offices.
Methods: This cross-sectional descriptive and analytical study was conducted on 219 recipients of health services in a health center and its six subsection offices in 2016.  Data collection tools were SF-36 questionnaire of life quality and a researcher-made questionnaire based on principles and components of primary healthcare. Data were analyzed using Spearman correlation coefficient, Krus-Kal Wallis and Mann Whitney tests in SPSS-20 software.
Results: The mean and standard deviation of the primary healthcare service was 42.66±16.25. 58% of participants reported the good quality of primary healthcare services, 32% reported it as medium, and 10% as low. There were significant relationships between the quality of primary healthcare services with some subcomponents of SF-36 questionnaire including Pain (r= -0.208, p=0.002), global health (r= 0.423, p<0.001), and physical health (r= -0.301, p<0.001).
Conclusion: The quality of primary healthcare services was higher than average and correlated with the quality of life in the recipients. With the correct assessment of the quality of life, it is possible to assess the quality of primary health services, however using objective methods alongside the questionnaires is necessary to have a more precious study.