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From: Physfitfreak <physfitfreak@gmail.com>
Newsgroups: sci.physics
Subject: Re: What Made My Day Today? :-)
Date: Tue, 9 Jul 2024 00:08:12 -0500
Organization: Modern Human
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On 7/8/24 20:38, Physfitfreak wrote:
> 
> 
> 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 
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