Undoubtedly, timely, continuous and reliable information on levels and
trends in mortality and causes of death in populations is essential for
priority setting for health programs.This research represents the first
documented comprehensive attempt to estimate the leading causes of death
and YLLs for Iran. While the completeness of the death registration
system operated by the Iranian MOH&ME appears to be acceptable in the
majority of provinces, further efforts are needed to improve the quality
of data on mortality in Iran. A significant proportion of deaths in the
Iranian MOH&ME's Death Registration System are being classified to cause
groups that are of little relevance to either epidemiological research
or health policy. Substantial changes to procedures for diagnosing
causes of death are urgently required if the data are to effectively
guide health policies and programs in Iran. This suggests that policies
to reduce road traffic accidents, perinatal conditions (such as birth
trauma and birth asphyxia) and major vascular diseases are urgently
required in Iran.