The main purpose of this study was to investigate effect of access to health facilities on the health status of rural households at Kermanshah Province. Statistical pupation of this study consisted of all heads of rural households at Bisotoun district in Harsin Township, Kermanshah Province, Iran (N=1020), that 278 of them were selected by the cluster random sampling method. The main instrument of this study was a questionnaire which its validity confirmed by a panel of experts and its reliability was calculated by Cronbach's alpha coefficient. The results showed that the health status of rural households was medium at the given district. The results of multiple regression analysis showed that 36% of the dependent variable (health status) is explained by five following variables: level of water availability, level of sewer system availability, and level of access to health services (e.g. toilet, bath, health home, etc.), access to resources and communication and information channels and the level of waste disposal system availability. The results of this study can be considered by authorities and politicians so that they can pay more attention to the rural health issues.


  1. Alcock, P. G. (1999). A water resources and sanitation systems source book with special reference to KwaZulu Natal: Parts 1-6 (Doctoral dissertation).
  2. Bazrafshan, E., Unegh, K., Biglari, H., Suri, M.M., & Motedayen, A. (2009). Study of water resource management in rural city of Zahedan in the years 1388-1378(Case study: evaluation of fluorine changes). Proceedings of the 4th  International Congress of the Islamic World Geographers, Iran–Zahedan, 25-27 April.
  3. Fadaei, A., & Zahedi, M.R. (2005). Comparison of health indicators in a pilot village development basic needs scheme in Charmahale Bakhtiari Province. Journal of Shahrekord University of Medical Sciences, 8(1), 19-13.
  4. Fahiminia, M., Naseri, S., Azimi, A.A., Mesdaghinia, A., & Mahvi, A.H. (2000). Rural prioritize needs of the sewage facilities with regard to sewage disposal. Journal of Water and Wastewater, 40, 75.
  5. Fahiminia, M., Memari, Gh., & akbari, gh. (2006). Identify existing conditions, limitations, and rural waste management solutions over 200 rural household’s village’s case study 10th  National Conference on Environmental Health.
  6. Krejcie, R.V., & Morgan, D.W. (1970). Determining sample size for research activities. Educational and Psychological Measurement, 30.
  7. Motlagh, M.E., Oliaee Manesh, AR., & Beheshtian, M. (2007). Social determinants of health (The main strategy for health justice and fair opportunity for all),(2th ed) Movafagh Press, Tehran, Iran.
  8. Motii-Langroodi, S.H. (2002). Rural planning with emphasis on Iran. Jahad-E-Daneshgahi press, Tehran, Iran.
  9. Phaswana-Mafuya, N., & Shukla, N. (2005). Factor that could motivate people to adapt safe hygienic practices in the Eastern Cape South Africa. African Health Ssience, 5(1), 21-28.
  10. Phaswana-Mafuya, N. (2006a). Hygiene status of rural communities in the Eastern cape of South Africa.  International Journal of Environmental Health Research, 16(4), 289-303. Phaswana-Mafuya,
  11. Phaswana-Mafuya, N. (2006b). An investigation into the perceived sanitation challenges in the Eastern Cape rural communities. Health Care Industry.
  12. Ricketts, T.C. (1999). Rural health in the United. New York: Oxford University Press.
  13. Solo, T.V., Perez, E., & Joyce, S. (1993). Constraints in providing water and sanitation services to the urban poor. WASH Technical Report No.85. Office of the Health, Bureau for Research and Development, US Agency for International Development under WASH Task No.338. New York: Sage.
  14. Tladi, B.,Baloyi, T., Screiber-Kaya, A., Mathekgana, M., Mangold, S., De Klerk, T., & Winde, F. (2002).  State of the Environment Report. North West Province٫ South Africa.
  15. Tumwine, J.K., Tamson, J., Katui-Katua, M., Mujwahizi, M., Johnstone, N., & Porras٫ I. (2003). Sanitation and hygiene in urban and rural households in East Africa.  Environ Health Research, (13), 107-115.
  16. WHO & UNICEF. (2000). Global water Supply and Sanitation Assessment 2000 Report. The WHO and UNICEF Joint Monitoring Programmer for Water and Sanitation (JMP). WHO, Geneva, Switzerland.