A Shahidzadeh , E.s Mir Moeeni , M.h Azimian , Kh Mani-Kashani ,
Volume 2, Issue 1 (2 2004)
Abstract
This cross-sectional study was conducted from May to September 2003, with the aim
of determining quality of service in 25 State-run family planning clinics in Hamadan
city. A total of 400 consultations were observed and assessed using UNICEF quality
checklists.
Results showed that less than 50% of the clients are receiving service of a satisfactory
quality areas of care where quality was worst included history taking, physical
examination and counseling.
It became apparent that care providers with higher education had lower performance
levels compared to their less educated colleagues. Service for new clients was of
poorer quality than for those who had requested a change of contraceptive method.
Furthermore, earlier hours of a work shift (before 10 o’clock) were associated with
better service quality than later hours.
Altogether, the study reveals serious flaws in areas such as training of family health
workers and human resource management within the current system. To address these
shortcomings, we recommend a more client-oriented approach in health care, use of
supplementary material to promote client knowledge, and training of health workers
with due emphasis on effective communication and performance.
