Assessing Villagers' Satisfaction with the Performance of Health Centers Case study: Zanjan Township

Introduction & objectives: Improving the health status of citizens is one of the signs of human development. Having a healthy, productive and high-quality life with an acceptable life expectancy and free from diseases and disabilities is a universal right and a precondition for sustainable development. In order to achieve this, it is necessary to provide appropriate facilities, including the provision of medical and health services and easy access to these services, to ensure the physical, mental, social and spiritual health of human beings in all stages of life. The purpose of this study is to analyze the satisfaction of villagers with the performance of health centers in Zanjan. Methods: The present study was applied in terms of type and descriptive-analytical in nature. The statistical population of the study was rural households in Zanjan city, among them 380 household heads were selected as a sample using Cochran's formula. The data collection was performed using library and field (questionnaire) methods and for data analysis, exploratory and confirmatory factor analysis was used in SPSS and AMOS software. Results: The results show that the most positive effects were related to the file formation factor with a specific value of 545.7 and the percent variance of 20.393 and the lowest positive effects were related to the medical equipment factor with a specific value of 1.262 and a percent variance of 3.414. At the following, the identified factors in exploratory factor analysis were examined using AMOS software. Accordingly, the effects of the factors were classified into three dimensions including education, environmental health and health care dimensions. The most positive effects were related to the factors of filling and monitoring and the least positive effects were related to the factors of training, the importance of physical mobility of medical equipment. Conclusion: Health houses in rural areas are not in a good condition in terms of education and medical infrastructure and in order to improve the satisfaction of villagers, solving problems in these two dimensions is emphasized.