Effectiveness of presence of physician and midwife in quantity and quality of family planning services in health care centers
| Autor: | Ahdieh Maleki, Atefeh Velayati, Hossein Jabbari, Esmat Mehrabi, Mohammad Naghavi-Behzad, Hossein Alikhah, Maryam Ghorbaniyan, Hamid-Reza Ahadi, Shirin Allahverdizadeh, Fariba Bakhshian |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: |
Program evaluation
medicine.medical_specialty Cross-sectional study media_common.quotation_subject reproductive ages Developing country women of reproductive age Nursing Health care medicine Quality (business) Family planning health services media_common Service (business) fertility business.industry lcsh:Public aspects of medicine Public Health Environmental and Occupational Health healthcare services lcsh:RA1-1270 Checklist Family medicine Original Article Family Practice business |
| Zdroj: | Journal of Family and Community Medicine, Vol 21, Iss 1, Pp 1-5 (2014) Journal of Family & Community Medicine |
| ISSN: | 2230-8229 |
| Popis: | Background and Aim: Iran's health sector has been engaging the services of physicians and midwives in healthcare centers since 2005, with the hope of improving the quantity and quality of family planning services. The aim of this study was to assess the effect of serving physicians and midwives on the quantity and quality of family planning services in the healthcare centers of Iran. Materials and Methods: The present cross-sectional study (Jan 2010 until Sep 2011) was carried out on 600 eligible families who were clients of healthcare centers of Tabriz, Azarshahr and Osku, cities of Northwest Iran from 2006 until 2011, in two groups (before and after). Some of the characteristics of the participants and the data on the quality and quantity of family planning services provided were grouped in a checklist of 16 variables by comparing the patients’ past medical histories. Results: In comparison with 3 years prior to engaging physician and midwife services in health care centers, the Couple Year Protection (CYP) and the quantity of family planning service indexes significantly increased among eligible families. The family size of participants declined significantly after family physicians and midwives became available in the healthcare centers (P < 0.005). Conclusion: Our findings showed some improvement in the quantity of services without any noticeable changes in the quality of services provided as a consequence of this huge intervention. Therefore, it is suggested that there should be proper oversight of the duties of the health team in order to keep a close watch on primary healthcare, design of proper mechanisms for collecting and maintaining performance reports and statistics, and continuously monitor and control the quality of services. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|