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From: Physfitfreak <physfitfreak@gmail.com>
Newsgroups: sci.physics
Subject: Re: What Made My Day Today? :-)
Date: Mon, 8 Jul 2024 20:38:12 -0500
Organization: Modern Human
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Ok, ... :)

After days of looking into this "Pezeshkian" guy, I have a slightly 
better idea about the answer to the question of who he is and especially 
why Iranians trusted him over Jalili.

It is a long story, but in one sentence, the answer is being practical. 
Pezeshkian has a ton of action experience, because he's been in the 
field of public health, getting him very close to people and their 
medical needs and everything about their lives that affect that; while 
Jalili has stayed theoretical. This is what determined the outcome of 
the elections.

Pezeshkian mentioned it only once in his debates, but he and his friends 
and relatives together built tens of "Khaneye Behdasht" (KB), literally 
meaning "house of health" units in rural areas of Iran, without getting 
paid for the work. They did that voluntarily, using the support of 
Health Ministry.

If you were familiar with life in rural Iran, you'd know what these 
little nano-hospitals mean.

I spent two months, one summer in mid 1960s, in a rural village to the 
west of Tehran in a house belonging to distant relatives of a distant 
relative :) And I remember those days perfectly well, and I've often 
thought about what I saw and pondered on, so I can now say that I am 
familiar with life in those conditions.

The life there is wonderful by the way and nobody should get the idea 
that life is bad in there.

But matter of health, and a thousand related matters, asks for more 
work. Even I, in 5th grade, understood that very well in those two months.

These little KBs are the smallest things in the world that you can call 
"hospital" :-) KB only has one bed and a curtain separating it from the 
rest of the area, which is that same office in which the bed is placed. 
There are a few medical equipment there, usually out of the way, and 
there is a desk, and there are about 4 seats in case a whole family 
bring their kid or parents there.

There are no "doctors" there. The actual medical doctors are stationed 
at a larger facility a distance away and in charge of several of these 
KBs. The one to three or so medical staff that work inside these KBs are 
called "BehVarz" (BV), literally meaning "health practitioner". The 
number of staff depends on the village's population, and most KBs are 
staffed with two BVs, one male, one female to check both genders 
accordingly. But very small villages have just one BV, usually a female.

This is a picture of a KB freshly built:

https://i.postimg.cc/59P4BWfb/Khaneye-Behdasht.jpg

It is not 100% ready yet, and is missing its sign and a few 
infrastructure outside of it.

And this a shot of inside of them:

https://i.postimg.cc/G2WZQKgP/inside-KB.jpg

That's it. What you see is what you get.

And this is one with the BV inside doing her work:

https://i.postimg.cc/Vkz5gB3c/BehVarz.jpg

A BV with her nomad patient:

https://i.postimg.cc/6q0Tx8vP/Beh-Vars-and-patient.jpg

Now, the interesting thing is what these BVs do. You might think with so 
little equipment and space, and such a small number of people in those 
villages, there is not much for them to do... Nothing is farther than 
this image from the truth.

BVs have a myriad of work, every minute of their working time. In fact, 
they are mainly creating and maintaining careful records. Records of 
everything. Because the subject of health in a rural area under KB 
coverage is tied to everything you can imagine in that area!

Let me go through a few of those tasks here so you could get an idea 
what magnitude of work BVs are involved in. The information is from a 
paper. Other than treating patients, BV is constantly performing these 
tasks:

- finding out and recording of census information in the area. What 
languages they speak, how many men, women, children, what age groups, 
how many pregnant, their names, who supports the families, how much 
education they have, their jobs, those with handicaps, those with 
chronic illnesses, genetic illnesses, marriage status, who moved in or 
moved out of the area, who died, what are their traditions, beliefs, 
etiquette, religion, etc

- using the census material to modify and correct the choices of BVs 
working in that KB, in a way to get the most out of their efforts.

- numbering of the houses in the entire area in a certain way.

- in each living unit, what is the situation with:
   * water
   * electricity
   * telephone
   * drinking water
   * bathing
   * sewage
   * material used in housing
   * manner of accessing sewage
   * roads inside the village
   * access to roads outside village
   * access to public houses
   * distance to food sources
   * distance to schools
   * distance to mosques
   * quality of nutrition
   * etc

- organizing the entire people into groups with specific medical needs

- assessing the extent of medical services, volume of work, and types of 
work needed

- determining the extent of quality health education needed in the area, 
and carrying out that education.

- teaching the rural school teachers, as well as everyone who has access 
to groups of people in an every day manner, the fundamentals of healthy 
living, and having them teach such practices and knowledge to their kids 
and/or audiences.

- using kids who are thus educated with fundamental health practices to 
take the knowledge and measures to their families and showing them how 
healthy living is.

- creating good health habits in the area

- creating trust in people for the KB goals and its BVs.

- creating both self-care and self-reliance in the people of the area

- creating volunteer groups from people in the area to help BVs carry 
out the educational tasks.

- choosing BVs with family in the area, so in cases needed they could 
ask their family members to help them do a certain types of chores like 
finding and encouraging people who are scheduled to show up to KB for 
further treatment but don't show up, or show up outside of schedules 
previously made, etc.

- teaching volunteer groups some basic chores of conducting and 
acquiring health information like weighing patients and newborns, 
getting their temperature, height, making electrolyte drinks, etc.

- carrying out vaccinations both for people as well as their livestock

- sharing all recorded information to the local health office in charge 
of many KBs

- creating and maintaining medical files for each patient or pregnant 
woman, including the information about their previous deliveries before 
KB was built in the area, and determining their genetic illnesses or 
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