Journal of School of Public Health and

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Background and Aim: Public-private partnership is a type of privatization in which the public sector continues to participate in the provision of services. Based on an agreement between the Ministry of Health and the Ministry of Cooperatives, Tabriz University of Medical Sciences started the process of creating health cooperatives in the Eastern Azerbaijan Province. In this study we compare the function of various health service processes between public health centers and health cooperatives.

Material and Methods: This study looks at coverage, quality and continuity of primary health care in 9 health centers handed over to cooperatives as compared to 18 current public health centers. Data were collected over a period of three months and analyzed by the SPSS-10 statistical package. Chi-Square and t tests were used for data analysis.

Results: Family planning coverage rates, infant health care, 1- to 6-year-old health care, prenatal care and the number of households covered by volunteers were all higher in cooperatives compared to public health centers. The mean care delivery volume was smaller in health cooperatives. The mean numbers of screening visits, outpatient visits, control visits, consultations, injections and dressings as well as follow-ups were higher in health cooperatives. Despite the greater numbers of family planning visits, vaccinations, health certificates issued and water chlorimetry tests in the public sector, the differences were not statistically significant. Concordance of data between forms and registers was higher in health cooperatives in the case of child health care, periodic visits and vaccination forms.

Conclusion: Compared to the public sector, health service delivery through cooperatives not only functions well but also yields better indices in many health domains. This is an example that a private institutions functioning under the supervision of the public sector can implement nationwide health care programs better than the public sector itself.

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Background and Aim: The district health information system (DHIS) converts raw data into useful manegerial information. The main purpose of DHIS is to improve quality of health services in service delivery points. This study was conducted to investigate the DHIS performance.

Materials and Methods: A total of 200 health service-delivery units were selected by systematic random sampling, and the calculation of 47 primary health care indicators was assessed by the provincial health center statistics supervisor.

Results: On the average, 41.9% of the indicators had been calculated in each unit. In the district health center, the proportions of outcome measures and process performance indicators calculated were 50% and 5.6%, respectively. On the basis of the indicators obtainable from the vital horoscope, 79% of the indicators in the district health center and 66% of those in the health service-delivery units had been calculated. Finally, there were 97 disease-surveillance forms, 35 environment-health forms, 21 family-health forms, and 23 other forms at the district level.

Conclusion: Re-designing the structure of the health information management process and determining indicator packages at the district and service-delivery level are vital steps for improving the health information system at the district level.

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Background and Aim: Today in many work environments, such as nuclear, military and chemical industries, human errors may result in disasters. Accidents in different parts of the world bear evidence to this examples are the Chernobyl disaster (1986), the Three Mile Island accident (1974), and the Flixborough explosion (1974). Thus, identification of human error, especially in complex and intricate systems, and devising control measures are essential.

Materials and Methods: This project was a case study conducted in Zagross Methanol Company in Asalouye (South Pars), Iran. The walking-talking-through method was used to collect the required data and complete the Systematic Human Error Reductive and Predictive Approach (SHERPA) worksheets. The process experts and control room operators were interviewed and technical documents of the Company examined.

Results: Analysis of the SHERPA worksheets indicated that the majority (48.62%) of the 222 errors identified were action errors, followed by checking errors (31.97%), retrieval errors (6.75%), selection errors (0.9%), and communication errors (11.7%).

Conclusion: The results of this study show that the method can be used effectively in different industries, especially chemical industries, to identify human errors that may potentially lead to dangerous situations and accidents.

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  Background and Aim : Diagnostic tools for chronic fatigue syndrome, chronic fatigue syndrome questionnaire, created for research and clinical investigations in order to use it as a management tool for monitoring patients with this syndrome. The questionnaire is very comprehensive using a self-reporting system and all internal and external definitions according to the America's Center for Disease Control has been covered. It also assesses current and past activity levels and symptoms of fatigue and malaise after routine daily activities to ensure that these items are evaluated as well. The purpose of this study is to evaluate the reliability and validity of diagnostic questionnaire for Chronic Fatigue Syndrome (CFS).

  Materials and Methods : In the discussion of content validity and reliability of survey studies, chronic fatigue syndrome questionnaire, prepared by the Department of Psychology, DePaul University, and was elected a full copy of the correspondence received from the questionnaire ratings. The questionnaire that was translated content validity was assessed by the 20 members of the faculty. However, re-translated from Persian into English for reference, was prepared with modifications, the validity of its validity was confirmed by the authors. Then, 30 nurses were selected to determine the reliability of the questionnaire chronic fatigue syndrome who was working in a Hospital. Inventory management under center and full justification of the researcher and the participants in the study by researchers at the distribution has been completed. The survey was carried out again after 15 days.

  Results: The instrument showed good reliability and validity. In discussing the content validity of the Persian translation tool by 20 people associated professor of internal review, and its content validity was determined with respect to two of CVI and the results of CVR , and (CVR=0.7 and CVI=0.85) represents CREDIT the content is good . According to the results, the reliability of the questionnaire CFS, Cronbach's alpha to assess the results of the questionnaire showed very good reliability. Two step test reliability coefficients (ICC = Mixed & and Confidence Interval = 95%) also showed a significant relationship among questions as well. However, the internal correlation coefficient obtained for the 8 criteria CFS, showed high internal cohesion.

  Conclusion: This study suggests the CFS questionnaire as a reliable instrument for all levels in research and clinical applications. Using this tool can help with background checks and even in advanced levels to be effective, it has enough power and accuracy in the diagnosis of CFS sufferers.

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Background and Aim: Ergonomics climate indicates employee perceptions of the extent to which the organization emphasizes and supports the design and modification of work, so that both performance and well-being of the personnel are improved. The purpose of this study was to determine the validity and reliability of the Persian version of the ergonomics climate assessment questionnaire in order to create a suitable tool for determining the overall values of an organization in connection with ergonomics and climate assessment.
Materials and Methods: First, the ergonomics climate assessment questionnaire was obtained from the Colorado State University of America, where it had been developed. The back-translation method was used to confirm its language suitability and precision. The content validity of the questionnaire was assessed by 10 relevant experts, followed by a cross-sectional study using a sample of 50 employees of a power generation plant using Cronbach's alpha to determine its reliability.
Results: The content validity ratio (CVR), content validity index (CVI) and reliability of thequestionnaire were found to be 0.90, 0.94 and 0.96 (a for the 59 items), respectively. These resultsindicating that the questionnaire is a valid and reliable tool.
Conclusion: Considering the acceptable validity and reliability of the ergonomic climate assessment questionnaire, it can be used as a valid and reliable tool to assess and analyze the status of ergonomic climate in different industries and organizations in Iran.