The Contribution of Community Health Workers to the Implementation of Comprehensive Primary Health Care in Rural Settings, Iran

Sara Javanparast, Frances Baum, Gholamreza Heidari

    Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review

    Abstract

    Iran is a country of mountains, plateaus, and deserts that borders on Iraq,
    Turkey, Pakistan, Afghanistan, Armenia, Azerbaijan, and Turkmenistan.
    In 2011, the Iranian population was 74,961,720, with 29% of the population
    living in rural areas (Statistical Center of Iran, 2012).
    The Declaration of Alma-Ata adopted at the International Conference
    on Primary Health Care (World Health Organization [WHO], 1978)
    coincided with the Iranian revolution, which spawned enormous political
    and social changes within the country and became the basis for
    a major health-system reform. The primary aim of this reform was to
    improve access to health care for disadvantaged groups and to reduce
    urban-rural disparities in health outcomes. A new health system was
    developed for a more equitable allocation of health resources based on
    the principles of PHC, although Iran's experience with PHC pre-dated
    the Declaration of Alma-Ata. In 1972, the Iranian Ministry of Health, in
    collaboration with the WHO, undertook a project in Iran's province of
    Azerbaijan on health-service expansion that was principally based on
    a PHC approach.
    Original languageEnglish
    Title of host publicationRevitalizing Health for All
    Subtitle of host publicationCase Studies of the Struggle for Comprehensive Primary Health Care
    EditorsRonald Labonte, David Sanders, Corinne Packer, Nikki Schaay
    Place of PublicationToronto
    PublisherUniversity of Toronto Press
    Chapter9
    Pages185-201
    Number of pages17
    ISBN (Electronic)9781552505922
    ISBN (Print)9781487501754, 9781487521622
    Publication statusPublished - 2017

    Keywords

    • comprehensive primary healthcare
    • health care
    • rural areas
    • Iran

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