Abstrakt

Consumer's satisfaction with integrated maternal, neonatal and child health (IMNCH) services in model primary health care centers in Najaf District, Iraq.

Abdulkareem A Mahmood*, Mohammed Zaidan, Ahmed S Noory, Ali k Hoesh, Sara H Naeem, Qamar T Hamed, Aseel S. Abbas, Eman R Mahdi

Introduction: The integrated program of maternal and child health is promoting, preventing, therapeutic and rehabilitation facility or care for mother and child. Some primary health care centers were developed by Ministry of Health to be ideal and considered model centers to provide standard health care services which prepared to be family health adopted centers. Objectives: To evaluate the integrated maternal ,neonatal and child health (IMNCH) services in model primary health care centers in comparison with traditional non-model centers through consumers' satisfaction . Methods: A cross sectional survey of consumers to measure their satisfaction through December 1st 2017 to February 25th 2018 .The study conducted in six PHC centers ,three model and three non-model primary health care center from districts of North and south Najaf city . Three sections of a well prepared questionnaire had been applied including interviewing overall satisfaction with the IMNCH services provided by selected centers. A convenient sample of 240 consumers was selected and directly interviewed for data collection. Result: About 97% of attendants were unsure of their satisfaction with premarital examination and 65.4% found satisfied with diagnosis of pregnancy. High rate of satisfaction (82.5%) was reported in tetanus immunization provided to pregnant women. About 89 % of consumers were satisfied with antenatal services; weight, height measurement, and blood pressure measurement. Nearly half of clients (49.6%) were satisfied with breast examination services. Only 46 clients (19.2%) reported satisfaction with treatment of mild pre-eclampsia /eclampsia and early referral by the selected PHC centers. Twenty-six clients (10.8%) were satisfied with management of post-partum psychosis. Very low rate of satisfaction (2.1%) was verified in screening and treatment of sexually transmitted illnesses provided in all the selected centers. Conclusion: The services of immunization and growth monitoring of children found more satisfied to consumers in addition to the basic antenatal services and assisting normal deliveries. Though other services need more improvement and reviewing principally premarital services, basic emergency obstetric care if referral is not possible, management of post-partum psychosis in addition to diagnosis and treatment of sexually transmitted illness.