Applying a basic development needs approach for sustainable and integrated community development in less-developed areas: report of ongoing Iranian experience.
BACKGROUND
Despite considerable achievements in the provision of basic developmental facilities in terms of drinking water, access to primary healthcare services, high-quality and nutritious food, social services, and proper housing facilities, there are many rural and slum communities in Iran where these essential needs remain unfulfilled. Lack of equity is prominent, as large differences exist in underprivileged provinces. New policies developed in the past two decades have resulted in substantial achievements in meeting population needs and reducing the socio-economic gap; nevertheless, poverty levels, unemployment due to a large increase in the birth rate in the early 1980s, and lack of community participation are matters yet to be addressed. To overcome these deficiencies, a basic development needs approach was adopted to promote the concept of community self-help and self-reliance through intersectoral collaboration, creating an environment where people could take an active part in the development process, with the Iranian government providing the necessary support to achieve the desired level of development.


METHODS
Following firm commitment from the Iranian government and technical support from the World Health Organization Regional Office, basic development needs was assigned a high priority in health and health-related sectors, reflected in the third National Masterplan (2001-2005). A comprehensive intersectoral plan was designed, and pilot projects were commenced in three villages. Each village elected a representative, and committee clusters were formed to run and monitor projects identified by a process of local needs assessment and priority assignment. In each region, a variety of needs were elicited from these assessments, which were actively supported by local authorities.


CONCLUSIONS
A basic development needs approach was found to be a reliable discipline to improve community participation, needs-led resource allocation and intersectoral co-operation in community development, particularly in underprivileged areas. Iran's initial experience of basic development needs has gained widespread public support but will require periodical evaluation as it is introduced into other rural and urban regions across the country.
Asadi-Lari
M
M
Division of Cardiovascular Medicine, Queens Medical Centre, University of Nottingham, Nottingham NG7 2UH, UK. msxma@nottingham.ac.uk
Farshad
A A
AA
Assaei
S E
SE
Vaez Mahdavi
M R
MR
Akbari
M E
ME
Ameri
A
A
Salimi
Z
Z
Gray
D
D
D003256:Community Participation; D006301:Health Services Needs and Demand; D006801:Humans; D007492:Iran; D020380:Needs Assessment; D011203:Poverty; D015980:Public Health Practice; D012939:Social Planning