title: Experience of Behvarzes (Iranian primary healthcare providers) from giving primary health services in health houses.
abstract: BACKGROUND
  Primary healthcare (PHC) providers play a major role in provision of public health in rural areas in Iran. They are considered as the key elements of health development in rural population. There is limited research on clarification of their experiences from provision of health services in their working conditions. This study aimed to clarify the experience of PHC providers from working conditions in giving primary health services in health houses (district branches of rural health care centers).
  
  
  METHODS
  This is a content analysis qualitative study, conducted through personal and group interviews with 12 health workers working in health care centers in rural areas in Isfahan province, 2010. Sampling continued until data saturation. Data were analyzed through conventional content analysis and constant comparative method.
  
  
  RESULTS
  Data analysis led to extraction of 11 categories, and finally, four themes of "ignoring the rights," "causing tension in working climate," "pressure or overload of expectations beyond the power," and "occupational worn out" were yielded from the categories. These themes reveal the concepts and nature of PHC providers' experiences from giving health care at health houses as the first level of PHC centers.
  
  
  CONCLUSIONS
  The results of the present study showed that the PHC providers work in a tense condition in health houses. Although they devote themselves to the health of society members, their own health is neglected. Policy makers and authorities should amend working conditions of PHC providers through modification of resources and making supportive and collaborative strategies to improve the quality of services and promote the health level of the service receivers.
authors: Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
authors: Mahrokh
authors: M
authors: Keshvari
authors: Department of Nursing, School of Medical Sciences, Tarbiat Modares University, Tehran, Iran.
authors: Eesa
authors: E
authors: Mohammadi
authors: Child Health Promotion Research Center, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
authors: Ziba
authors: Z
authors: Farajzadegan
authors: Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
authors: Ali
authors: A
authors: Zargham-Boroujeni
keywords: Health services; Iran; primary health care; qualitative research; rural health care providers