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The front line health worker. Selection, training, and performance

Author

Listed:
  • Ronaghy, H.A.
  • Najarzadeh, E.
  • Schwartz, T.A.
  • Russel, S.S.
  • Solter, S.
  • Zeighami, B.

Abstract

Iranian villagers with basic literacy were recruited, selected, trained, and deployed as Village Health Workers (VHWs) to rural areas of Iran. VHW clinical visit records and activities logs were analyzed to determine levels and nature of effort achieved in the field. Within 6 months of deployment, the number of patient visits to VWH treatment services constituted 53% of the target population. Within 10 months of deployment, the number of family planning acceptors rose from 8% to 21% of the population at risk. Improvements to water supplies have been effected in 50% of target villages. Sanitary improvements have been made to 35% of the houses and 88% of toilets in those villages. Demographic characteristics, class rank, and place of residence of VHWs appear unassociated with village differences in levels of achievement. However, availability of material resources and actual time spent by VHWs on the job may be factors influencing the differences in outcome between villages.

Suggested Citation

  • Ronaghy, H.A. & Najarzadeh, E. & Schwartz, T.A. & Russel, S.S. & Solter, S. & Zeighami, B., 1976. "The front line health worker. Selection, training, and performance," American Journal of Public Health, American Public Health Association, vol. 66(3), pages 273-277.
  • Handle: RePEc:aph:ajpbhl:1976:66:3:273-277_2
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    Cited by:

    1. Nia, Ahmad Besarati & Bansal, Raj Kumar, 1997. "Evaluation of provision and availability of health care services in Iran: a human rights approach," Health Policy, Elsevier, vol. 40(1), pages 29-41, April.

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