Keywords : Primary health care

Knowledge and practice of adults attending primary health care centers regarding major coronary heart disease risk factors in Basrah city

Jhood Abdul Samad Molan; Narjis Ajeel

The Medical Journal of Basrah University, 2020, Volume 38, Issue 1, Pages 89-99
DOI: 10.33762/mjbu.2020.165441

Introduction: Cardiovascular diseases (CVDs) are common in the general population, affecting the majority of adults past the age of 60 years. The prevalence of coronary heart disease (CHD) is approximately one-third to one-half that of total CVD. Knowledge of CHD risk factors has been identified as a prerequisite for changes in behavior and is often targeted by prevention programs.
Objective: The study aimed to study the knowledge of risk factors and the practice of CHD related behaviors among individuals > 18 years of age attending PHC centers in Basrah city center and to find out the sociodemographic factors that affect such knowledge and practice.
Methods: The study involved 423 male and female aged 18 years and above, attending 6 primary health care centers in Basrah city. Data were collected through direct interview of the participants by the investigators, using a special questionnaire form prepared for the purpose of the study.
Results: The results of the study showed that 77.3% of the participants had good level of knowledge (know at least 7 risk factors).  The most common knowledgeable risk factors by the participants were stress, smoking, fatty diet and obesity in descending order. Older age groups, high educated persons, governmental employees and participants with history of coronary heart disease related illness were more likely to have higher knowledge score. Practicing diet modification and regular exercise were prevalent in 23.5% and 12.8% of the participants respectively.
Conclusions: The knowledge level of risk factors for CHD in selected PHC centers in Basrah seems to be good, however, the practice of CHD preventive behaviors was quite poor, this necessitates the need for public health education programs.

Measuring the level of patient's satisfaction for those attending primary health centers versus family medicine centers in Basrah governorate

Riyadh Al Hilfi; Rajaa A Mahmoud; Nihad Q Al Hamadi

The Medical Journal of Basrah University, 2019, Volume 37, Issue 2, Pages 74-80
DOI: 10.33762/mjbu.2019.163357

Background: Patient satisfaction is defined as the total judgments made by the recipient of a healthcare as to whether -or not- their expectations have been met. It is an important measure of healthcare quality as it offers information on the provider’s success to meet the clients’ expectations.The Study Objectives: The study aimed at measuring patient's satisfaction in primary health centers of Basrah governorate with a comparison between primary health centers that follow family medicine strategy versus general primary health centers.Methodology: It's a cross sectional study involved patients attended primary health care centers in Basrah governorate during June 2016.Standard check lists and questionnaires from Iraqi Ministry of Health were used to measure five main indicators of patient satisfaction including: appearance, credibility, responsiveness, security and empathy with a four likert scale to measure the satisfaction of patient. A total sample included 456 patients. Results: The lowest Cronbach's coefficient alpha value was found by the study to be in the "general appearance" dimension which included the general infrastructural appearance of the health facility with appropriate waiting areas for the attendees, cleanliness and lighting of the facility in addition to the general look and appearance of the health workers and service providers. While “assurance” dimensions shows the highest percentage of satisfaction. In addition, no significant difference was revealed for the chosen satisfactory dimensions between the health care centers providing family-medicine services compared to those with no family-medicine ones.Conclusions: The study remarks important weaknesses in some of the patient satisfactory dimensions including general appearance, responsiveness, apathy and assurance. However, it provides an evidence of having no significant difference for the chosen satisfactory dimensions between the health care centers providing family-medicine services compared to those with no family-medicine ones.