Al-Saigul Abdullah M, Al-Alfi Mohammed A
Department of Primary Health Care, Qassim Region, Medhnab 51931, Qassim, Kingdom of Saudi Arabia.
Saudi Med J. 2009 Jul;30(7):956-60.
To evaluate the quality of utilization and documentation of the required process of well-baby care (WBC) visits and immunizations in primary health care centers (PHCCs).
Ten PHCCs were randomly selected. Of the average annual 7000 registered births, 350 children who had completed their fifth birthday were selected. All registered children who were born during 2 randomly selected months were included. Data were collected in Buraidah city, Kingdom of Saudi Arabia's PHCCs by the investigators from March to December 2005. Data were extracted from children's files, and well-baby and annual vaccination registers using a pre-designed form based on the Quality Assurance and Maternal and Child Health Care Manual of the Saudi Ministry of Health.
Half of children were males, and most were Saudis. Pregnancy and delivery history were available in >90%, while that of neonatal history was available in 74.3%. Nutritional status was available in 96.3% of the files, but only 37.8% of them had the duration of breast feeding recorded. Number of children's visit to WBC clinics lessens as they grow older, >90% for infants, and less than one third for toddlers. Growth charts were completed in more than 90% of the files. All children completed the first year Expanded Program on Immunization schedule (up to date), and more than 75% of them were age-appropriately-immunized.
The utilization level of WBC visits is lower than recommended. Careful well organized continuous field training of staff and parents' education programs are needed.
评估初级卫生保健中心（PHCCs）中婴儿健康护理（WBC）访视及免疫接种所需流程的利用及记录质量。
随机选取10家初级卫生保健中心。在平均每年7000例登记出生的婴儿中，选取350名满五岁的儿童。纳入在随机选取的两个月内出生的所有登记儿童。2005年3月至12月，研究人员在沙特阿拉伯王国布赖代市的初级卫生保健中心收集数据。数据从儿童档案、婴儿健康及年度疫苗接种登记册中提取，使用基于沙特卫生部质量保证及母婴保健手册预先设计的表格。
一半儿童为男性，大多数是沙特人。超过90%的档案中有妊娠及分娩史记录，而新生儿病史记录的比例为74.3%。96.3%的档案中有营养状况记录，但其中只有37.8%记录了母乳喂养时长。随着年龄增长，儿童到婴儿健康护理诊所就诊的次数减少，婴儿就诊率超过90%，幼儿就诊率不到三分之一。超过90%的档案完成了生长图表记录。所有儿童均完成了第一年的扩大免疫规划（及时接种），超过75%的儿童接种年龄适宜。
婴儿健康护理访视的利用水平低于推荐值。需要对工作人员进行精心组织的持续现场培训以及开展家长教育项目。
