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10.30491/JCM.2023.190365 Journal of Combat Medicine
Original Article 2023 | 6 (1) | 48-53

Public Participation and Promotion of Community Health

Ali Ramezankhani 1*

1- School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Received: 1 February 2023 Accepted: 24 March 2023

Abstract

Background and Aim: Freedom, justice, security, and health are fundamental principles and pillars of achieving
ideal goals in societies. In the Islamic ideology and value system, each of these principles holds a special and
significant position. They interact and have a noticeable impact on each other, ultimately forming the core of human
excellence. Over the past four decades, despite notable successes and continuous development, the healthcare
system of the country has faced various challenges. These challenges include insufficient access of the community
to healthcare services, high healthcare costs, lack of coordination among different levels of services, neglect of
preventive care, lack of community-level interventions, imbalance between resources and societal needs, and
limited social responsiveness. According to most development and health experts, the development and expansion
of healthcare networks, the family physician strategy, service categorization, referral system, proper resource
allocation, payment methods, and public engagement in healthcare provision are the main solutions to overcome
the challenges of the healthcare delivery system. Therefore, this article aims to explain the role of voluntary
participation and their contributions to healthcare programs.
Methods: This article employed a qualitative approach, conducting comprehensive interviews with 11 experts,
along with a descriptive review of relevant studies and programs.
Results: The implementation of participatory programs has shown significant effects in reducing health inequalities,
increasing appropriate coverage in urban areas, decreasing hospital-centered care, and emphasizing the influence
of social factors on health.
Conclusion: In addition to the findings of the study, which collectively play a crucial role in advancing community
health, the presence of health volunteers as assisting allies alongside technical and support personnel in urban
areas is recommended. To promote public participation, involving the public in planning and decision-making
processes, and utilizing their involvement in providing comprehensive primary healthcare services to urban
communities, especially among marginalized and disadvantaged populations at the national and regional levels,
holds a significant position that needs to be precisely redefined and expanded in a transparent and inclusive manner.

Keywords: Community Participation, Health Volunteers, Health Promotion.

* Corresponding Author: Ali Ramezankhani
Address: School of Public Health and Safety, Shahid Beheshti
University of Medical Sciences, Tehran, Iran.
E-mail: [email protected]

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