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Journal of Intensive and Critical Care Nursing | Volume 2
October 24-25, 2019 | Zurich, Switzerland
2nd European
Nursing Congress
International Conference on
Clinical Nursing & Practice
Joint Event
&
J Intensive Crit Care Nurs, Volume 2
Consumer's Satisfaction with Integrated Management of Neonatal and Child Health
(IMNCH) Services in Model Primary Health Care Centers in Najaf District, Iraq
Abdulkareem Abdullah Al Radhi, Najah R Hadi, Ahmed S Noory, Ali k Hoesh, Sara H Naeem, Qamar T Hamed,
Aseel SAbbas
and
Eman R Mahdi
University of Kufa, Iraq
Introduction:
The integrate program of maternal and
child health is promoting, preventing, therapeutic and
rehabilitation facility or care for mother and child. In most
countries, the maternal and child health program provided
as integrated primary health care. Some primary health care
centres were developed by ministry of health to be ideal and
considered model centres to provide standard health care
services which prepared to be family health adopted centres.
Objectives:
To evaluate the IMNCH services in model primary
health care centres in comparison with traditional non-model
centres through consumers' satisfaction in the provided
health services.
Methods:
A cross sectional survey of consumers to measure
their satisfaction through March to September 2018. The
study conducted in six PHC centres, three model and three
non-model primary health care centre fromdistricts of North
and south Najaf city. The centres served a large population
were selected to determine the quality of provided services.
Three sections of a well prepared questionnaire had been
applied (the first about demographical characteristics of
mother and child, the second about Implementation of
IMNCH(integrated management of maternal, neonatal and
child health services) standards by districts, and the third
about Overall satisfaction with the IMNCH services provided
by selected PHC centre). A convenient sample of 240
consumers was selected and directly interviewed for data
collection using Likert scale approach.
Result:
The implementation of standard PHC services showed
no significant difference (P˃0.05) in principle structures of
the selected model and non-model primary health care
centres in Najaf district. All mothers were satisfied (100%) in
growth monitoring and vaccination services provided to their
children.
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 in antenatal
services. weight, height measurement, and blood pressure
measurement, while only 49.6% of clients were satisfied in
breast examination services. Only 46 clients (19.2%) reported
satisfaction with treatment of mild pre-eclampsia /eclampsia
and early referral by the selected PHC centres. 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 PHC centres
Conclusion:
The services of immunization and growth
monitoring of children found more satisfied to consumers
in addition to basic antenatal services and assisting normal
deliveries, while other services need more improvement and
reviewing principally, premarital services, basic emergency
obstetric care if referral is not possible, management of post-
partum psychosis and diagnosis and treatment of sexually
transmitted illness.
Speaker Biography
AbdulkareemAbdullah Al Radhi is an assistant dean of College of Medicine,
University of Kufa. He is also working as a Consultant and professor of
Community Medicine department in University of Kufa, Iraq. He has
completed his PhD in Community Medicine. He has more than 20 years of
experience in General Medicine.
e:
abdulkareem.mahmood@uokufa.edu.iq