Iran's nationwide nurses' strike which began last month shows no signs of abating as the government continues to ignore the demands for fair pay and better working conditions.
The strike, now in its second month, has spread to more than 50 cities, marking the largest professional protest by nurses in a century. Nurses and emergency medical technicians are protesting against long working shifts, low wages, and mandatory overtime.
Fereydoun Moradi, a member of the Supreme Council of the Nursing System, recently highlighted the issue of unpaid nursing service fees which have not been deposited into nurses' accounts for over a year.
Meanwhile, Health Minister Mohammad Reza Zafarghandi admitted that the government owes nurses more than 70 trillion rials (over $116 billion). Although he said that these dues would be paid promptly, no action has been taken, leaving nurses determined to continue their industrial action.
The situation is further exacerbated by the Iranian government's mismanagement of the National Development Fund (NDF) which was intended for long-term national investments. In a Saturday interview on state TV, President Masoud Pezeshkian announced that, with the approval of Supreme Leader Ali Khamenei, funds from the National Development Fund will be allocated to pay nurses, farmers, teachers, and for essential medicines.
The crisis has also led to a increase in the migration of nurses. Ahmad Nejatian, head of the Nursing Organization, reported that the average annual migration of nurses has doubled between 2021 and 2023. With approximately 20% of nursing students now seeking to leave the country, the trend is expected to worsen, particularly as countries like Germany and Denmark have made it easier for Iranian nurses to migrate.
The exodus, combined with low wages and harsh working conditions, has weakened Iran's healthcare system. The country currently has only 1.5 nurses per 1,000 people, compared to the global average of three. Many nurses report burnout and an inability to provide adequate care to patients, further straining an already fragile system.
Samira Rahi, a journalist based in Turkey who specialises in Iranian social issues, criticized the Iranian government's lack of resolve.
"When nurses demonstrated their dedication during the pandemic, the system took advantage of them. The Islamic Republic relies on temporary fixes to address the issue superficially, but as long as the underlying structural problems remain unresolved, all these measures will be ineffective," she told Iran International.
As the government continues to neglect the demands of its healthcare workers, the future of Iran's nursing profession—and the quality of care available to its citizens—remains uncertain.