scholarly journals The Correlation between Service Quality of Maternal and Child Healthcare/Family Planning Clinic and Degree of Maternal and Child Health at Two Primary Health Care Centers in Jember

2016 ◽  
Vol 2 (1) ◽  
pp. 7
Author(s):  
Kunthi Kencana Makayasa Putri ◽  
Ida Srisurani Wiji Astuti ◽  
Sugiyanta Sugiyanta

The high Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) is still a major health problem in Indonesia. As an one of indicator to assess the quality of maternal and child healthcare is MMR and IMR. Service quality consists of five dimensions i.e., tangible, responsiveness, reliability, assurance, and empathy. The aim of this research was to determine the correlation between service quality of maternal and child healthcare/family planning polyclinic and degree of maternal and child health at Two Primary Health Care Centers in Jember. This research used cross-sectional design with 144 respondents. Service quality was measured using ServQual questionnaire and degree of maternal and children health were measured using MMR and IMR. The results of statistical test with Spearman correlation test showed that the significance (p) = 0.000 and correlation coefficients (r) = 0.690. Thus, it can be concluded that there were a strong correlation between service quality of maternal and child healthcare/family planning clinic and degree of maternal and child health at Two Primary Health Care Centers in Jember. Keywords: Maternal Mortality Rate, Infant Mortality Rate, ServQual.

2011 ◽  
Vol 3 (1) ◽  
pp. 42-50 ◽  
Author(s):  
Abdulbari Bener ◽  
Mariam Abdulmalik ◽  
Mohammed Al-Kazaz ◽  
Abdul-Ghani Mohammed ◽  
Rahima Sanya ◽  
...  

Objective: To assess the quality of diabetes care provided to patients attending primary care settings and hospitals in the State of Qatar. Design: Observational cohort study. Setting: The survey was carried out in primary health care centers and hospitals. Subjects and Methods: The study was conducted from January 2010 to August 2010 among diabetic patients attending primary health care centers and hospitals. Among the patients participating, 575 were from hospitals and 1103 from primary health care centers. Face-to-face interviews were conducted using a structured questionnaire including sociodemographic, clinical, and satisfaction score of the patients. Results: The mean age of the primary care diabetic patients was 46.1 ± 15.1 years and 44.5 ± 14.8 years for hospital patients ( P = .03). There was a significant difference observed in terms of age group, gender, marital status, occupation, and consanguinity of the diabetic patients in both medical settings ( P < .001). Overweight was less prevalent in primary care patients than in hospital diabetes mellitus patients (40.4% vs 46.4%). A significant variation was observed in the mean values of blood glucose (−0.76), HbA1C (−0.78), LDL (−0.01), albumin (−0.37), bilirubin (−0.76), and triglyceride (−0.01) in primary care patients compared to the mean values of the preceding year. Overall, complications were lower in primary care diabetic patients, and patients attending primary care were more satisfied with the diabetes care. Conclusion: The present study revealed that in general, primary health care provided a better quality of care to diabetic patients compared to that of hospitals. Also, primary care patients had a better satisfaction score towards diabetes care.


2020 ◽  
Vol 3 (2) ◽  
pp. 91-99
Author(s):  
Srwa Mustafa ◽  
◽  
Hamdia Mirkhan ◽  

Background and objectives: The World Health Organization defines adolescent pregnancy as pregnancy in which the mother is under the age of 20 at the time the pregnancy ends. About 16 million girls aging between 15 and 19 years give birth every year. The study aimed to assess the level of knowledge and attitude among nurses and physicians in Erbil Primary Health Care Centers regarding adolescent pregnancy care and comparing them. Methods: A quantitative; descriptive cross-sectional study was conducted in maternal and child health care units at twenty three Primary Health Care Centers in Erbil city, between November 15th , 2018 and November 15th , 2019. Non-probability, Convenience sam-pling technique was used for selecting sample which includes 95 from the total of 100 health professionals. Data was collected through interview (face to face) by using ques-tionnaire form which was designed by the investigator. Data were analyzed using the Chi square test, Fisher’s exact test. Results: Health professionals mean age + SD was 41.95 + 8.40 years, ranging from 27 to 62 years. The median was 42 years. Less than half (42.1%) of the sample were nurses, and the rest were physicians of different specialties. The highest percentage of the nurse’s knowledge and attitude were in medium level (42.5% and 47.5%, respectively). The high-est percentage of physician’s knowledge and attitude were in high level (58.3% and 65.5% respectively). There were significant difference between them regarding their knowledge (p = 0.32) and attitude (p = 0.006). Conclusions: Health professionals working in maternal and child health care units need improving their knowledge and attitude regarding adolescent pregnancy care. Nurses need more information and training sessions regarding that.


2019 ◽  
Vol 9 (10) ◽  
pp. 79
Author(s):  
Fatma Rushdy Mohamed ◽  
Safaa Rashad Mahmoud ◽  
Karima Hosny Abdel Hafez ◽  
Thorea Mohamed Mahmoud

Background and objective: Nurses in primary health care are a considerable group of professionals working in the health sector and an adequate quality of working life will empower them to provide favorable quality care to their clients. Further, a better quality of working life can keep the employees focused and support them to strive effectively towards the organization’s vision. The aim of the study was to explore the relationship between nurses' empowerment and quality of work life at primary health care centers in Assiut City.Methods: This study was conducted in a descriptive correlated manner; the population consisted of the Assiut city primary health care centers nursing staff (n = 85). Self-administered questionnaire consisted of three parts: 1st part-Personal characteristics data questionnaire, 2nd part-Work Empowerment Promoting Factors Scale, and 3rd part: Quality of Nurses' Work Life questionnaire.Results: There were significant negative correlations between quality of work life and empowerment factors among studied nurses.Conclusions and recommendations: Workshops on the quality of work life skills for nurses and nurse managers should be done periodically, nurse managers in MCH centers should provide nurses by sufficient information, guide and resources, Nurses in primary health centers have to remain allowed to participate in decision making process to empower them, as like properly as growing theirs effect on autonomy, and First line nurse managers should periodically have nursing group meeting to verbalized, vitalize and support peer and social interaction.


2020 ◽  
Vol 18 (1) ◽  
Author(s):  
Saeed Mohammadpour ◽  
Javad Javan-Noughabi ◽  
Ali Vafaee Najar ◽  
Moharram Zangeneh ◽  
Shaghayegh Yousefi ◽  
...  

Abstract Background Studying and monitoring the efficiency of primary health care centers has a special place in the health system. Although studies have been conducted in the field of efficiency in Iran, few have focused on rural primary health care centers. In addition, previous studies have not used the child mortality rate and Behvarzes as input and output. Objective The present study was conducted aimed to estimate the technical efficiency of rural primary health care centers and determinant factors in Hamadan using data envelopment analysis and Tobit regression. Methods This is a Longitudinal study of rural primary health care centers in Hamadan province (2002–2016). Data Envelopment Analysis was employed to estimate technical efficiency of sampled health facilities while Panel Tobit Analysis was applied to predict factors associated with efficiency levels. The outputs were child mortality rate under 1 year of age and child mortality rate 1 year to 5 years of age. The input was Behvarzes (rural health workers). Results The results of efficiency analysis showed that the average efficiency scores of the centers had a fluctuating trend during the period of the study, but the average performance scores generally decreased in 2016, as compared with 2002. The highest and lowest average performance scores were observed in 2003 (0.78) and 2013 (0.56), respectively. Number of physicians and rural primary healthcare centers per population had a positive statistically significant and the number of midwives and the total fertility per population had a negative statistically significant effect on efficiency. Conclusions The findings suggest some level of wastage of health resources in primary health centers. Findings indicate a level of waste of health resources in primary health centers. Behvarz functions in providing primary care services can be considered in the reallocation and optimal use of available resources at the level of rural health centers.


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