Performance evaluation of health houses in Iraq 2021-2022: A descriptive study.

IF 1.9 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Journal of Family and Community Medicine Pub Date : 2023-04-01 Epub Date: 2023-04-12 DOI:10.4103/jfcm.jfcm_362_22
Mariam A Al-Ashbal, Faris H Lami
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Abstract

Background: A health house (HH) is a basic health facility in rural Iraq. The function of a HH is to provide simple health services and treatments such as giving injections, dressing simple wounds, and monitoring mother and child health. The duties also include dispensing medications, measuring blood pressure, and the daily monitoring of chlorine levels in water. These HHs also provide awareness on different subjects. The main objectives of this study are to assess the availability of the basic features of the HHs and core components of the framework of the World Health Organization (WHO) building blocks.

Materials and methods: A multistage sampling technique was used to select 50 HHs out of 497 in Iraq. A questionnaire comprising closed-ended questions was developed to be completed using the researcher's observations and interviews with the healthcare workers in the HHs. The questionnaire covered the basic features of HHs as recommended by the Iraq Ministry of Health (MOH) and the six WHO health system building blocks.

Results: Fifty HHs were enrolled in the study. The availability score of basic features was 43.6% and the general service score was 55.1%. The service-specific score was 23.3%, the health workforce score was 29.6%, and the health information system score was 79.5%. The availability of essential medicines score was 21.2%, the health financing system score was 0.0%, and the leadership and governance score was 66.7%.

Conclusion: The HHs need to follow the standard criteria determined by the Iraq MOH to ensure the proper functioning of the health outlets.

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2021-2022年伊拉克疗养院绩效评估:一项描述性研究。
背景:卫生院是伊拉克农村的一个基本卫生设施。HH的职能是提供简单的健康服务和治疗,如注射、包扎简单伤口以及监测母亲和儿童的健康。这些职责还包括配药、测量血压和每天监测水中的氯含量。这些HH还提供了对不同主题的认识。本研究的主要目的是评估HH的基本特征和世界卫生组织(世界卫生组织)构建块框架的核心组成部分的可用性。材料和方法:采用多级抽样技术从伊拉克497名HH中选出50名。通过研究人员的观察和对卫生和公众服务部医护人员的采访,编制了一份包含封闭式问题的问卷。调查问卷涵盖了伊拉克卫生部(卫生部)和六个世界卫生组织卫生系统组成部分建议的卫生和公众服务部门的基本特征。结果:50名HH被纳入研究。基本特征的可用性得分为43.6%,一般服务得分为55.1%。特定服务得分为23.3%,卫生工作者得分为29.6%,卫生信息系统得分为79.5%。基本药物的可用性评分为21.2%,卫生融资系统得分为0.0%,领导和治理得分为66.7%。结论:卫生和公众服务部门需要遵循伊拉克卫生部确定的标准,以确保卫生服务机构的正常运作。
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来源期刊
Journal of Family and Community Medicine
Journal of Family and Community Medicine PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
4.00
自引率
3.70%
发文量
20
审稿时长
37 weeks
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