the process of communication cut of health communicators from health communication head quarters

the process of communication cut of health communicators from health communication head quarters     bayati a [1] *, ghanbari f [2] , rahzani k [3]     received: 20 apr, 2012 accepted: 19 jun , 2012     abstract   background & aims : h ealth communicators are in fact the link between people and health workers. they are volunteers to participate in social health programs. by given the importance of their presence and increase process of communication cut of health communicators, this research was done to explore health coaches and communicators' point of view regarding the process of communication cut of health communicators.   materials & methods : this is a qualitative study of content analysis type. focus group discussions and depth individual interviews (semi- structural interview) were the used tools to data collection. three groups took parts in this study, including: 1 working health communicators 2 cut health communicators 3 health coaches, discussion saturation was the final point of sessions. in general, 14 fgd sessions and 5 iid sessions took place to accumulate participants' point of view. content analysis method was used to records analysis.   result : in conclusion 328 primary codes were obtained, considering overlap and combination of codes, 81 codes came out, as a result 3 concepts (theme) were confronted. the measurement of position was the one, which was put in consideration in this study. the concept consisted of three main categories: reactions, personal beliefs, and familial-personal position. the main category of reactions was divided into two sub-groups, medical-health team and family-community with two sub classes for each of them, the holder and the supportive. the main category of personal beliefs included two sub-groups, psychiatry and religious beliefs with one supportive sub class for each of them. finally the main category of familial –personal position divided into two sub-groups, familial factors and personal factors with holder and supportive sub classes.   conclusion: the main reasons for communication cut were summarized as, migration, marriage, childbirth, employment, education, disease, distant from health centers, inappropriate behavior of employees and public, and the lack of official attention to their problems. it can be concluded that, the expectations of communicators should be stated as they are selected, in order to their stability at work. there is a need for meetings, hold between officials and communicators to present their problems and uncover their solution, holding ceremonies and providing appropriate programs to absorb financial resources, acknowledgment is the most efficient way in maintaining presence and maximizing health communicator program efficacy.   key words: coaches, health communicators, communication cut, centers responsible for communicators program     address : arak, sardasht, paramedical faculty, po box: 6914-384817   tel: (+98)9183675574   email : [email protected]   [1] msc in nursing, instructor, faculty of nursing and midwifery, arak university of medical sciences, arak,(corresponding author)   [2] msc in midwifery, faculty of nursing and midwifery, arak university of medical sciences, arak, iran,arak   [3] assistant professor, phd in nursing, arak university of medical sciences, arak, iran,arak