TY - JOUR
T1 - Community Health Workers' Perspectives on Their Contribution to Rural Health and Well-Being in Iran
AU - Javanparast, Sara
AU - Baum, Frances
AU - Labonte, Ronald
AU - Sanders, David
PY - 2011/12/1
Y1 - 2011/12/1
N2 - Objectives: The activities of community health workers (CHWs) have been identified as key to improvements in the health of Iran's rural population. We explored the perceptions of CHWs regarding their contribution to rural health in Iran. Methods: Three research assistants familiar with the Iranian primary health care network conducted face-to-face interviews with CHWs in 18 provinces in Iran. Results: Findings showed that Iranian CHWs have an in-depth understanding of health, including its social determinants, and are responsible for a wide range of activities. Respondents reported that trust-based relationships with rural communities, an altruistic motivation to serve rural people, and sound health knowledge and skills are the most important factors facilitating successful implementation of the CHW program in Iran. By contrast, high workload and the lack of a support system were mentioned as barriers to effective performance. Conclusions: The CHW program in Iran is a compelling example of comprehensive primary health care, in that CHWs provide basic health care but also work with community members and other sectors to address the social determinants of health.
AB - Objectives: The activities of community health workers (CHWs) have been identified as key to improvements in the health of Iran's rural population. We explored the perceptions of CHWs regarding their contribution to rural health in Iran. Methods: Three research assistants familiar with the Iranian primary health care network conducted face-to-face interviews with CHWs in 18 provinces in Iran. Results: Findings showed that Iranian CHWs have an in-depth understanding of health, including its social determinants, and are responsible for a wide range of activities. Respondents reported that trust-based relationships with rural communities, an altruistic motivation to serve rural people, and sound health knowledge and skills are the most important factors facilitating successful implementation of the CHW program in Iran. By contrast, high workload and the lack of a support system were mentioned as barriers to effective performance. Conclusions: The CHW program in Iran is a compelling example of comprehensive primary health care, in that CHWs provide basic health care but also work with community members and other sectors to address the social determinants of health.
UR - http://www.scopus.com/inward/record.url?scp=81555226637&partnerID=8YFLogxK
U2 - 10.2105/AJPH.2011.300355
DO - 10.2105/AJPH.2011.300355
M3 - Article
VL - 101
SP - 2287
EP - 2292
JO - American Journal of Public Health
JF - American Journal of Public Health
SN - 0090-0036
IS - 12
ER -