Assessment of primary health care services from attendant's point of view in Tikrit city.

Abstract

Primary health care focused on health care services including health promotion .illness and injury prevention .diagnosis and treatment of these illness and injury. To Assess the accessibility of primary health care services in Tikrit city, estimate the attendants satisfaction toward health services delivered by PHHC and To identify the gaps that affected the fluency of services. Descriptive study was carried from 1st March to 30th May 2010.three primary health care centers in Tikrit city were included in the study , enrolled 283 attendants of these centers were interviewed by researchers ,data were collected through special design questionnaire form. Most of attendants were children which account about 37% and less likely women were account 35% while 82% from urban. The causes for seeking medical care  from  primary  health  care centers  were  32%  for vaccination   ,25%  for antenatal   care  and 35%  ,8%  for  medical  care  and  investigation   respectively,    86%  of attendants   were  visit  the centers  previously  and but  66% faced   difficulties   to reach the centers  and only 33% founded the centers  accessible   farther  more  85% they  needed  vehicles  to reach  the centers.  Regarding the average time consumed by attendants as followings 3 + 1.2 min for waiting to tackle the ticket and 10 + 1.5min average time waiting on doctor room .89% of attendants said that the physicians  listening to them while  18% said that  physicians did  not examine them. The attendants were summarized their opinion as followings 12%  very good services while   1% were   said  the   services   very  poor   quality  that  was    because   of  shortage   in  the  staff  ,and crowding  of attendants   at beginning  of working   hours.  The  present  study  conclude  that  most of attendants  were  facing  difficulties   in reaching  the PHCCs  and the services  delivered  by PH Cs were  subjected  to some  obstacles like  accessibility  of these centers  and crowding at beginning of working  day.