Iran's Behvarz primary health network
Iran's rural primary health network made locally recruited, salaried Behvarz the first point of contact in village health houses, then connected them through supervision and referral to rural centers, district networks, universities, and hospitals. The system narrowed rural health gaps by combining local familiarity with public employment and standard training, while accumulating workload, gendered roles, and new demands it was not originally designed to carry.
How can a public health system make local knowledge its first clinical interface without isolating village workers from professional support, referral, and state resources?