Three Lessons We Can Learn from 40+ Years of Community Health Worker Programs (4)

6 July, 2018

Dear Neil and HIFA Colleagues,

I have enjoyed and learned from Laura and Sian Post in connection with the subjected topic.

To me the comprehensiveness of the Alma Ata definition of Primary Health Care i.e.. Promotive, Preventive, Curative and Rehabilitative at Primary level while will be attained that the health services system of the country be based on a well connected Network of the following elements of: Community, CHWs, Nurse aid, Nurses especially Public Health Nurse and other axelliary health workers headed by Family Physician. In other word without Family physician the primary level of health services network is a body without Head. Needless to say that this Primary Health Care Network must be strongly connected and supported by the Secondary level of health care system in terms of referral and para- clinical support. Finally the Secondary level be well connected to the Tertiary level of health delivery system. Needless to say that the flu [flow] of referral system should be from periphery level to the higher level, and support in terms of feed- back, training, retraining, supervision, evaluation, and logistic, should be from higher level to the periphery level of health care delivery system. The above mentioned Infrastructure means a health services system Based on Primary Health Care (PHC), in which unfortunately few countries have developed it.

Respectfully and with many thanks to Laura and Sian for bringing in such a powerful discussion in HIFA.

Dr. M.A. Barzegar.

HIFA profile: Mohammad Ali Barzegar is an initiator of Primary Health Care in Iran since 1971, and Representative of People's Health Movement (PHM) Iran. His interest include 45 years of national & international experiences on PHC, Sustainable Development and Public Health. barzgar89 AT yahoo.com