scholarly journals Evaluation of Application of Nutritional Status Assessment for Children Under 5 years by Using IMCI Program in a Sample of Primary Health Care Centers in Baghdad City

2019 ◽  
Vol 14 (2) ◽  
pp. 75-78
Author(s):  
Samir M. Raoof ◽  
Rana D. Raoof ◽  
Mohammed A. Ibraheem
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Nutritional Status ◽  
World Health ◽  
Cross Sectional ◽  
Primary Health ◽  
Status Assessment ◽  
Primary Health Care Centers ◽  
Health Care Centers

Background: World Health Organization (WHO) and United Nation International Children Fund (UNICEF) developed a strategy known as Integrated Management of Childhood Illness (IMCI); which aims to reduce less than five years children morbidity and mortality in developing countries. Objective: To assess the completion of the IMCI format status in primary health care centers, Baghdad. Methods:  A cross sectional study with analytic element was conducted during the period from 15th  of January till 15th  May 2016 in selected Primary health centers in Baghdad, Iraq. The sample consists of form of child files less than 2 months and form from 2 month up to 5 years children. Classified correctively, determined follow up visits, Comparison classified of nutritional status assessment between health center and IMCI guideline. Result: 1400 child files were collected, 1295 from child files (2months-5year), and 105 forms from child less than 2 month. In form less than 2 months (correct classified 54.29%, incorrect 45.71%), (Determined date of follow up 13.33%, not determined 86.67%).Form from (2month-5years) (57.07% correct classified, 43.93% incorrect classified), (Determined date Follow up visit 38.38%, Not determined visit 61.62%). Conclusion: Impaired classification of nutritional status assessment

scholarly journals Barriers Facing Primary Health Care Physicians When Dealing with Emergency Cases in Jeddah, Saudi Arabia

2015 ◽  
Vol 8 (8) ◽  
pp. 192 ◽  
Author(s):  
Majed A. Aloufi ◽  
Marwan A. Bakarman
Keyword(s):  
Health Care ◽  
Saudi Arabia ◽  
Primary Health Care ◽  
Emergency Services ◽  
Fine Tuning ◽  
Cross Sectional ◽  
Primary Health ◽  
Primary Health Care Centers ◽  
Primary Health Care Physicians ◽  
Health Care Centers

<p><strong>OBJECTIVES:</strong> To estimate the prevalence of emergency cases reporting to Primary Health Care centers (PHC), Jeddah, Saudi Arabia and to explore the barriers facing PHC physicians when dealing with such emergency cases.<strong></strong></p><p><strong>METHODS:</strong> A cross-sectional analytic study, where all physicians working in the PHC of the Ministry of Health (MOH) in Jeddah; were invited to participate (n=247). The study period was from July 2013 till December 2013. Data were collected through two sources. 1- A self-administered questionnaire used to determine the physicians’ perceived competence when dealing with emergency cases. 2- A structured observation sheet used to evaluate availability of equipment, drugs, ambulances and other supporting facilities required to deal with emergency cases.</p><p><strong>RESULTS:</strong> The response rate was 83.4%. The physicians’ age ranged between 25 and 60 years with a mean ±SD of 34.4±7.5 years. Majority of them (83.5%) did not attend ATLS courses at all whereas 60.7% never attended ACLS courses. The majority (97.1%) had however attended BLS courses. Physicians in the age group 36-45 years, non-Saudi, those who had SBFM, those who reported experience in working in emergency departments and physicians who reported more working years in PHCCs (&gt;5 years) had a significant higher score of perceived level of competence in performing emergency skill scale than others (P&lt;0.05). The prevalence of emergency cases attending PHC in Jeddah (2013) was 5.2%.</p><p><strong>CONCLUSION:</strong> Emergency services at PHC in Jeddah are functioning reasonably well, but require fine tuning of services and an upgrade in their quality.</p>

INDIVIDUALS’ BEHAVIOR TOWARDS INTERNET AND SOCIAL MEDIA MEDICAL INFORMATION IN DAMMAM AND KHOBAR PRIMARY HEALTH CARE CENTERS

2021 ◽  
pp. 12-16
Author(s):  
Dania Alshiha ◽  
Mashael Alghamdi ◽  
Abeer Aldakhil
Keyword(s):  
Health Care ◽  
Social Media ◽  
Primary Health Care ◽  
Medical Information ◽  
Treatment Plan ◽  
Cross Sectional ◽  
Primary Health ◽  
Primary Health Care Centers ◽  
Health Care Centers ◽  
Internet And Social Media

Nowadays, internet and social media are being used widely. They affect individuals who seek medical information, as a result, inaccurate information lead individuals to misdiagnose themselves and change their treatment plan. The purpose of this study is to determine the behavior of individuals regarding using internet and social media to obtain medical information, sociodemographic factors and reasons for seeking medical information. This study employed a cross-sectional analytical design in primary health care centers in Dammam and Khobar cities. A total of 439 participants were invited to complete a structured, self-administered questionnaire. The results of the study revealed that 87.7% used internet and social media to obtain medical information. The most common reason for searching was symptoms participants had 42.9%. Eighty ve percent were inuenced and 15% were rarely inuenced by the information obtained. More than half of individuals had a positive behavioral change. Majority of individuals had veried the information they obtained, mostly with a physician 83.6%.

scholarly journals Barriers of Exclusive Breastfeeding Among Mothers Attending Primary Health Care Centers in Jazan, Saudi Arabia. Descriptive Cross-sectional Study

2021 ◽  
Author(s):  
Gassem Gohal ◽  
Mai Mohamed Elhassan Mustafa ◽  
Ali Ali Ahmed Al-makramani ◽  
Amani Ahmed ◽  
Mohamed Elsharief ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Exclusive Breastfeeding ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Breastfeeding Knowledge ◽  
Primary Health ◽  
Primary Health Care Centers ◽  
Health Care Centers

Abstract Background: Breastfeeding is considered the optimal infant feeding method with numerous benefits for both mother and infant. This study aims to assess breastfeeding Knowledge and determine barriers to exclusive breastfeeding among mothers attending the Primary Health Care Centers in Jazan City. The scope of this research is to suggest a strategy for encouraging mothers in Jazan for the crucial needs for exclusive breastfeeding and overcoming the barriers of breastfeeding.Methods: This is a descriptive cross-sectional study that included all mothers attending the PHC center. Data was collected through a self-administered questionnaire. SPSS was used for data analysis using the student T-test and ANOVA Test.Results: Most study participants understand breastfeeding's health benefits for babies and mothers, but most believe that synthetic milk is the best alternative for working mothers' to feed their babies. 66.7% of mothers practiced exclusive breastfeeding during the first six months of the child's life, and only 28.9% continued exclusive breastfeeding for six months. During the first six months of the child's life, exclusive breastfeeding shows a significant relationship with breastfeeding knowledge and barriers. Sixty percent of mothers have ever had any information about breastfeeding; those who knew the primary source were from their mothers and only 31.4% from hospital staff. Most of the respondents did not agree with the statements given to them as exclusive breastfeeding barriers, which grabs attention to an unexpected response.Conclusions: Most participants have good knowledge concerning breastfeeding benefits for both the mother and infants and disagreed on the mentioned barriers for exclusive breastfeeding that include lack of breastmilk, feel of Fatigue and tiredness, High household burdens, Father does not encourage breastfeeding, use of birth contraception, embarrassment of breastfeeding in public and in front of family members, lack of information and sufficient support and guidance on the importance of B.F., working conditions, bad smell of the nursing mother, transmission of diseases from mother to the child. Health care professionals should actively work hard to encourage mothers, raise their awareness and find the root cause for low exclusive breastfeeding practice rates.

scholarly journals The Burden of Disease and Risk Factors of Iron Deficiency Anemia in Preschool Children Attending the Well-Baby Clinic in the National Guard Primary Health Care Centers in the Western Region of Saudi Arabia

2021 ◽  
pp. 940-947
Author(s):  
Razaz Mohammed Wali ◽  
Abdulaziz Saeed Baghlaf ◽  
Abdulaziz Abdullah Almehmadi ◽  
Mohanad Gharmallah Alzahrani ◽  
Obada Tarik Fathi ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Preschool Children ◽  
National Guard ◽  
Cross Sectional Study ◽  
Deficiency Anemia ◽  
Cross Sectional ◽  
Primary Health ◽  
Primary Health Care Centers ◽  
Health Care Centers

Aims: To estimate the burden and risk factor of Iron Deficiency Anemia (IDA) in preschool children attending well-baby clinics in primary health care centers of the National Guard in Jeddah. Study Design: Cross Sectional study design Place and Duration of Study: This study was carried out in the primary health care centers of the National Guard Hospital in Jeddah, Saudi Arabia, which are the specialized polyclinic namely Iskan clinic district and Bahra Clinic. The study was started on 26 September, 2018 to January 2020. Methodology: A cross-sectional study included all preschool children aged 2-5 years attending well-baby clinics. Data were collected by distributing a self-developed and validated questionnaire to parents or guardians in waiting areas outside the well-baby clinics. Results: A total of 286 participants met the inclusion criteria. Anemia was found in 9.8% children. The prevalence of IDA among the participants was only 6.3%, but it was the most common compared to other types of anemia. The only findings that were found statistically significant with anemia were family history (P = 0.001) and use of supplement (P = 0.000). Conclusion: IDA is still the most prevalent type of anemia; however, it was found in only 6.3% participants. The only statistically significant factors associated with anemia were positive family history and supplement intake.

scholarly journals Impact of Training of Primary Health Care Centers’ Vaccinators on Immunization Session Practices in Wasit Governorate, Iraq: Interventional Study

10.2196/14451 ◽  
2019 ◽  
Vol 5 (4) ◽  
pp. e14451
Author(s):  
Ali Sadiq Amily ◽  
Faris Lami ◽  
Yousef Khader
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Cold Chain ◽  
World Health ◽  
Interventional Study ◽  
Chain Management ◽  
Vaccine Preparation ◽  
Primary Health ◽  
Primary Health Care Centers ◽  
Health Care Centers

Background Immunization averts more than 2.5 million deaths of children annually. The World Health Organization (WHO) and the United Nations Children’s Fund estimates of immunization coverage in Iraq in 2015 revealed a 58% coverage for the third dose of the diphtheria-tetanus-pertussis vaccine and a 57% coverage for the measles vaccine. High-quality immunization session practices (ISPs) can ensure safer, more effective vaccination and higher coverage rates. Objective The goal of this study was to assess the impact of training of primary health care centers’ (PHCs) vaccinators on the quality of ISPs. Methods This was an interventional study conducted on 10 (18%) PHCs in Wasit Governorate. Two PHCs were randomly selected from each health district. ISPs were assessed by direct on-job observation, using modified WHO immunization session checklists. Findings were grouped into seven domains: vaccine and diluent management, cold chain management, session equipment, registration, communication, vaccine preparation and administration, and waste management. The vaccinators were enrolled in a one-day training session using the WHO module, “Managing an Immunization Session”, and one month later a second assessment was conducted using the same tools and techniques. We then calculated the median differences of the domains' scores. Results A total of 42 vaccinators were trained, with 25 (60%) of them having graduated from technical health institutes, but only 15 (36%) having had previous training on standard ISPs. Following training, a significant improvement was noticed in three domains: vaccines and diluents management (P=.01), cold chain management (P=.01) and vaccine preparation and administration (P=.02). Conclusions The training of the PHCs' vaccinators for a single day was effective in improving some ISPs. We would recommend using this training module, or a more in-depth one, for other PHCs to improve utilization of immunization services.

scholarly journals Workload Assessment of Medical Doctors at Primary Health Care Centers in the Duhok Governorate

2021 ◽  
Author(s):  
Samim Ahmed Al-Dabbagh ◽  
Hushyar Musa Sulaiman ◽  
Nazik Abdulrahman Abdulkarim
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Sector ◽  
Health Care Facilities ◽  
Medical Doctors ◽  
Cross Sectional ◽  
Primary Health ◽  
Physician Shortages ◽  
Primary Health Care Centers ◽  
Health Care Centers

Abstract Background: A shortage in human resources, particularly physicians, has become a challenge confronting health authorities in the Duhok governorate, as these resources are the key input for delivering health care. It has become necessary to identify the most appropriate scientifically sound method for having adequate staffing levels. This study aimed to forecast the required number of physicians to cope with the current workload at the main primary health care centers in the Duhok governorate.Methods: A cross-sectional study was adopted to collect data for one full year. Data collection included both primary and secondary data sources. A semi-structured questionnaire was developed to obtain information every month from health centers on activities related to training and leaves. Data analysis was performed using Workload Indicators of Staffing Need software.Results: Sixty-one primary health care centers met the final criteria for analysis. The study revealed physician shortages and inequity in the distribution of staffing. In these centers, 145 physicians lacked an adequate delivery of health services based on the workload imposed on them. The 'workload indicators of staffing need' ratio was 0.33, indicating high work pressure on medical doctors. Some centers offered more health care than others but had fewer doctors based on the current staffing practices. Conclusions: This study pointed out the importance for the public health sector and academic medical institutions to use Workload Indicators of Staffing Needs software in health policy administration to restructure their efforts to address the physician shortages and distribution imbalances at primary health care facilities.

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