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Affecting Factors on the Performance of Community Health Workers in Iran’S Rural Areas: A Review Article



Salehi Zalani G1 ; Bayat M2 ; Shokri A3 ; Mirbahaeddin SE4 ; Rasi V5 ; Alirezaei S5 ; Manafi F6
Authors
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Authors Affiliations
  1. 1. Center for Health Human Resources Research & Studies, Ministry of Health and Medical Education, Tehran, Iran
  2. 2. Dept. of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, International Campus, Tehran, Iran
  3. 3. Health Services Management of Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
  4. 4. Center for Human Resources Research & Studies, Ministry of Health and Medical Education, Tehran, Iran
  5. 5. Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran
  6. 6. Dept. of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran

Source: Iranian Journal of Public Health Published:2016

Abstract

Background: This study aimed to use a mixed-method approach to investigate affecting factors on the performance of Community Health Workers (CHW) in Iran’s villages. Methods: This study was conducted during 2014-2015 with a mixed method in three phases of literature review, Delphi technique and developing a rich picture. Overall, in order to finalize the affecting factors and their relationships between qualitative content analysis, Delphi technique, AHP technique and Focus Group Discussion were used, respectively. Results: Affecting factors on CHW performance were divided into four main categories, 10 sub-themes and 35 contents. Increase in the level of people’s awareness, disease patterns, demographic structure and lifestyle were placed in four priorities respectively on the basis of importance. Conclusion: To the most extent CHW cannot face current needs of rural communities. It challenges equitable access to healthcare services and also conflicts with the primary philosophy of CHW presence in rural areas. CHW can be used in two forms; either as an assistant to rural family physicians or with the same previous functions. © 2016 Iranian Journal of Public Health. All rights reserved.
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