Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 47 11 2018 11 01 1709 1716 Marita MOHAMMADSHAHI Dept. of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran Hasan HEMATYAR Dept. of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran Masoumeh NAJAFI Dept. of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran Minoo ALIPOURI SAKHA Dept. of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran Abolghasem POURREZA Dept. of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran 2018 10 29 Background: The rate of caesarean section (C-section) in Iran is too high, so having a plan to control it is crucial. Since one of the most important reasons for inclination of providers to do C-section is financial issues, the purpose of this study was offering financial solutions for increasing normal vaginal delivery (NVD) and decreasing non-indicated C-section. Methods: This analytical-descriptive research, used game theory for offering financial mechanisms. The game was a dynamic one in which the backward induction was used to obtain a Nash equilibrium. Financial structure and the mean number of NVD and C-section in a certain period of time in comparison with standards were as the main influential factors on financial dimensions and were included in the model. Results: The effect of financial structure was shown through a specified insurance for childbirth, existence of a monitoring department and tariffs. Conclusion: The main solution for controlling C-section in designed game was taxes and fines for physician or hospital in non- indicated cases and giving reward otherwise.   https://ijph.tums.ac.ir/index.php/ijph/article/view/15160 https://ijph.tums.ac.ir/index.php/ijph/article/download/15160/6200