Simbar Masoumeh, Ahmadi Mahboobeh, Ahmadi Golnoosh, Majd Hamid Reza Alavi
Shaheed Beheshti Medical Science University, Tehran, Iran.
Int J Health Care Qual Assur Inc Leadersh Health Serv. 2006;19(4-5):430-42. doi: 10.1108/09526860610680076.
Quality of family planning services is now considered as a global concern and importance. The purpose of the present study is to assess quality of family planning services in the urbanhealth centers of Shahid Beheshti Medical Science University.
DESIGN/METHODOLOGY/APPROACH: This was a descriptive study to assess structure, process and outcome of the family planning care services. A total of 15 health centers of Shahid Beheshti Medical Science University were randomized and the quality of provided care by 65 family planning care providers of these health centers were observed and assessed using checklists. A total of 75 family planning clients were interviewed to assess their knowledge about their selected family planning method all of whom completed the related forms of satisfaction with the services. The tools for data collection were two observational checklists, and two questionnaires with subsequent data analyzed using SPSS 11.5. In total 75 clients with an average age 24 (7 +/- 4) (mean +/- SD) participated in the study. The provision of family planning services by 65 providers was assessed by observation at three intervals. Of the providers, 60 (92.3 per cent) were midwives.
Mean satisfaction score of clients was 83.3 +/- 9.05 percent meaning clients were highly satisfied with the services. Mean knowledge score of clients about their family planning method of use was 59.1 +/- 18 percent, which shows their moderate knowledge about their method of use.
ORIGINALITY/VALUE: A more advanced tool to assess quality of care of family planning services with more focus on special care for the contraceptives was developed. Quality of care in family planning services of Shahid Beheshti Medical Science University health centers showed adequate facilities and equipment and to have trained personnel however their client's knowledge about the selected method was moderate. Therefore, interventional programs are needed to improve counseling and the educational process of clients, which should be considered in future research and planning of the programs.
计划生育服务质量如今被视为一个全球关注且重要的问题。本研究的目的是评估沙希德·贝赫什提医科大学城市健康中心的计划生育服务质量。
设计/方法/途径：这是一项描述性研究，旨在评估计划生育护理服务的结构、过程和结果。沙希德·贝赫什提医科大学的15个健康中心被随机选取，使用检查表对这些健康中心的65名计划生育护理提供者所提供护理的质量进行观察和评估。共采访了75名计划生育服务对象，以评估他们对所选计划生育方法的了解情况，他们均填写了对服务的相关满意度表格。数据收集工具为两份观察检查表和两份问卷，随后使用SPSS 11.5对数据进行分析。共有75名平均年龄为24岁（7±4）（均值±标准差）的服务对象参与了该研究。通过三个时间段的观察对65名提供者提供计划生育服务的情况进行评估。其中60名（92.3%）提供者为助产士。
服务对象的平均满意度得分为83.3±9.05%，这意味着服务对象对服务高度满意。服务对象对其使用的计划生育方法的平均知识得分为59.1±18%，这表明他们对所用方法的了解程度一般。
原创性/价值：开发了一种更先进的工具来评估计划生育服务的护理质量，且更侧重于对避孕药具的特殊护理。沙希德·贝赫什提医科大学健康中心的计划生育服务护理质量显示有足够的设施和设备，且有经过培训的人员，然而其服务对象对所选方法的了解程度一般。因此，需要开展干预项目来改善对服务对象的咨询和教育过程，这在未来的研究和项目规划中应予以考虑。
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