Abstract

In the context of health services, the main philosophy of health cares is proper distribution of health resources. According to definition, this purpose is attainable when the necessary facilities have been provided to respond the most preliminary and necessary health needs of society in home and work place and access to them must be easy and sustainable. This research has performed with a cross-sectional method in Ilam city in order to improve the present facilities in parallel with development of health indices. Materials and methods: In this research, it was investigated 17 rural and urban health centers, 3 health bases and 29 health houses. Necessary data and Figures in various contexts have been collected through prepared and pre-planned questionnaire. In the next step, the ideas of both observer and observed group were described based on respective questions and variables. With regard to this fact that in this study the purpose was to answer various questions from the perspective of both mentioned groups, then a special statistical test has not been performed. Findings: The findings of this research show that 34/2 of observed subjects mentioned that the supervision programs are varied and interesting,45/8 said they were repetitive. On the contrary 81/3 observers had the same idea. This investigation showed that 90/8 milieu forces (observed) and 62/5 observers were interested to their works. In this research 93/8 observers and 75/5 observed subjects have believed to effective role of education in improving health services. Results: Results obtained from this research showed that observed and observer groups were interested in their work and continued their activity seriously. The research results also showed that the main cause of the loss of health indices is (support) financial facilities and services which are not available to milieu and operational departments on time. As such in this research 77/5 observed subjects and 100 observed believed to this issue. © 2010, INSInet Publication.