Abstract
The purposes of this review article were to determine situation changes affecting performance of
village health volunteers. The data were collected by reviewing documents and related research and then
synthesized data in accordance with the objectives. The results showed that from the past to the present,
there are many changes, from policy, finance, social and information technology. These changes affected
the performance of village health volunteers and community health. Managing community health problem,
governments could not manage alone. They needed participation of public sector, especially village
health volunteers who were the mainspring of the public sector because they have lived in the community
and known the background of their area, therefore, they have received the trust of the community. The
recommendations concerning increasing operational effectiveness of the village health volunteers included
the following: promoting income generation, strengthening information technology skills, and building
up the coordinator or community mentoring role.
