The issue is, if you control the Network DMZ, it's extremely difficult to bypass. In Xinjiang and Tibet (which has a similar setup) they used to use smuggled Kazakh, Nepali, and Indian SIM cards but that was cracked down.
A lot of the info from inside Iran that is not regime connected is coming from areas in Iranian Kurdistan where an Iraqi SIM could be smuggled or accessed somewhat easier than other areas.
Mind you that organization has been severely degraded, but that only scares civilians even more as functionaries are much more trigger happy (rape [0], summary execution [1], torture [2] are already the norm).
That makes covert P2P much harder.
[0] - https://www.amnesty.org/en/latest/news/2023/12/iran-security...
[1] - https://www.amnesty.org/en/latest/news/2026/01/iran-authorit...
[2] - https://www.amnesty.org/en/documents/mde13/0673/2026/en/