Document Type : Original Article

Authors

1 1 Department of Public Health, School of Health, Birjand University of Medical Sciences, Birjand

2 Department of Epidemiology and Biostatistic, Zabol University of Medical Sciences, Zabol

3 Department of Public Health, School of Health, Birjand University of Medical Sciences, Birjand,Department of Health Education and Health Promotion, Health School, Isfahan University of Medical Sciences, Isfahan

4 Department of Health Education and Health Promotion, Golestan University of Medical Sciences, Gorgan, Iran

Abstract

Background: To achieve stable social development, the cooperation of all members of a
community is basically required. Providing and improving the health standard is one of
the most fundamental dimensions of human social evolution. This is more essential than
the other aspects of development (public cooperation demands) and health volunteers
are the forerunners of this cooperation, who have voluntarily set about having the public
participate in providing and elevating the level of community health. The present study
aimed to determine the effect of implementing “the health communication plan” by health
volunteers in suburban villages regarding the health knowledge and attitude of rural
women. Materials and Methods: In this quasi‑experimental study, knowledge and attitude
of 121 females (age 15–49 years), who were under the supervision of health centers in
four suburban villages (the case group), before and after performing the health volunteer
plan, were compared to those of 94 females (age 15–49 years) in another group of four
suburban villages (the control group) lacking health volunteers under the care service of
two rural health centers. Data gathering instrument was questionnaires and interviews. The
obtained data were analyzed by SPSS (ver. 11.5) using statistical paired t‑test and Sign
test. P≤0.05 was considered to be statistically significant. Results: The study showed that
the mean of rural women’s health knowledge and attitude had increased and there was a
significant difference between before intervention and after intervention values in the two
groups (P<0.001). Comparing the averages of the two groups also revealed a significant
difference (P<0.001). Conclusions: According to the findings and the positive effects of
performing suburban health volunteer plan on the health knowledge and attitude of rural
women, it would therefore be important to suggest that suburban health volunteers are
very helpful and effective in improving the knowledge and attitude level of rural women.
In brief; as a direct result of their health performance, performing the plan all over rural
health centers is recommended.

Keywords

1. Sein UT. Health Volunteers: Third Workforce for Health‑for‑All
Movement. Reg Health Forum 2006;10:38‑48.
2. Wibulpolprasert S. Community Health Workers, Oxford Textbook of
Public Health. The Practice of Public Health, Chapter 12.11, 4th ed.
Vol. 3. Oxford: Oxford University Press; 2002.
3. Zakus JD. Resource dependency and community participation in
primary health care. Soc Sci Med 1998;46:475‑94.
4. Murthy RS, Wig NN. The WHO collaborative study on strategies for
extending mental health care, IV: A training approach to enhancing
the availability of mental health manpower in a developing country.
Am J Psychiatry 1983;140:1486‑90.
5. Ignacio LL, De Arango MV, Baltazar J, D’Arrigo Busnello E,
Climent CE, Elhakim A, et al. Knowledge and attitudes of primary
health care personnel concerning mental health problems
in developing countries: A follow‑up study. Int J Epidemiol
1989;18:669‑73.
6. Ministry of Health, Treatment and Medical Education. Health
volunteers in Iran, Tehran: UNICEF Publication Co; 1998.
7. Expansion Headquarter of Health Care Network of the Country; the
executive plan for public participation as female health volunteers,
Pakdasht‑e‑Varamin and Shiraz, 1995.
8. Fatehi M. Health Volunteers’ Educational Corpus. Tehran: UNISEF
Publication Co; First Publication, Spring 1996.
9. Soori H, Naghavi M. The role of health volunteer communicators
on knowledge and performance of their clients before and after a
health education program in 18 provinces of Iran. Scientific Medical
Journal of Ahwaz University of Medical Sciences 1999;26:27-33.
10. Mohammadzadeh Z, Jahandideh F. Assessment of health
volunteers’ measures through determining knowledge and
performance of their service community in Lanjan township 1996.
Res Med Sci J 1998;3:153‑15.
11. Almasi A, Hashemian H, Shekar Nejad M. Impacts of health‑workers
on mother’s health wareness in Kermanshah community‑oriented
medical education center (1999). Behbood Sci Q 2001;5:30‑5.
12. Ramazani AA, Miri MR. Evaluation of Health workers Volunteers’
Performance and investigating the causes of interruption of this
connection with health centers of Birjand University of Medical
Sciences. J Birjand Univ Med Sci 2003;10:34‑9.
13. Salehi M, Kelishadi M, Zandye M, Keshavarz J, Bagheriyazdi A.
The effect of female health volunteers education on knowledge
and attitude of urban population about mental health in Isfahan
province. Iran J Med Educ 2005;5:119‑27.
14. Phomborphub B, Pungrassami P, Boonkitjaroen T. Village health
volunteer participation in tuberculosis control in southern Thailand.
Southeast Asian J Trop Med Public Health 2008;39:542‑8.
15. MacIntyre I, Corradetti P, Roberts J, Browne G, Watt S, Lane A.Pilot study of a visitor volunteer programme for community elderly
people receiving home health care. Health Soc Care Community
1999;7:225‑32.
16. Mansourian M, Behnampour N, Kargar M. The Effects of Education
on Liason Health‑Worker’s Knowledge about Menopause, in 2006.
J Gorgan Bouyeh Fac Nurs Midwifery 2007;11:27‑30.
17. Moosavi AM, Ostavar R. A study on activities of female health
communicators on improvement of health services in population
served by health clinics in Yasuj City. Armaghane‑danesh, J Yasuj
Univ Medi Sci 2003;8:51‑8.
18. Johnson Z, Molloy B, Scallan E, Fitzpatrick P, Rooney B, Keegan T,
et al. Community Mothers Programme‑seven year follow‑up of
a randomized controlled trial of non‑professional intervention in
parenting. J Public Health Med 2000;22:337‑42.
19. Bhandari N, Bahl R, Mazumdar S, Martines J, Black RE, Bhan MK.
Infant Feeding Study Group. Effect of community‑based promotion
of exclusive breastfeeding on diarrhoeal illness and growth:
A cluster randomised controlled trial. Lancet 2003;361:1418‑23