Role of prescribers in the level of patient satisfaction: A study in public health care settings.

Aims: To assess the level of patient satisfaction with the various aspects of interaction of the health provider with the patient such as communication, examination and information regarding prescription in the allopathic public health facilities of Lucknow district. Settings and Design: Public health facilities of Lucknow district, India. Introduction: Satisfaction in service provision is increasingly being used as a measure of health system performance. The satisfaction with the service provider i.e., the prescriber is a vital component of the whole process of consultation and largely determines the compliance of the patient to the treatment prescribed. Apart from this, satisfaction also varies according to the sociodemographic characteristics of the beneficiaries. We have therefore tried to study these factors in the present study. Materials and Methods: Multistage stratified random sampling was used to select the health facilities while the patients were selected by systematic random sampling for the interview. Statistical Analysis: Number and percentages, mean and c2 test. Results: The overall satisfaction regarding the doctor patient communication and certain aspects of examination was highest for the residents (75.4%) followed by the super specialists (71.5%) and specialists (69.1%). Conclusions: The findings of the study will help us educate the prescribers about the various neglected areas of the consultation which will go a long way to develop a consistent relationship between the providers and the beneficiaries for the attainment of the "Health for All".

Client satisfaction with immunization services in urban slums of Lucknow District.

Objective. To assess the satisfaction of parents with the immunization services and its association with their sociodemographic characteristics. Methods. The study was a part of the coverage evaluation survey conducted using the WHO 30 cluster sampling methodology in the Urban slums of Lucknow district, north India. Analysis for a total of 388 respondents of completely or partially immunized children, was done to assess the level of satisfaction and its determinants. Results.The overall satisfaction was more than 90% in the respondents of both the categories of the children, however the difference between the satisfaction rates was found to be significant. Also the satisfaction with accessibility (p<0.04) and information given by the health worker (p<0.00) differed significantly between completely and partially immunized. Most of the sociodemographic factors were not found to have a significant association with the satisfaction related to different parameters of the immunization services. Conclusion. The dissatisfaction regarding the various aspects of immunization services emphasizes the imperative need to intervene, for the achieving the goal of universal immunization.

A study on determinants of immunization coverage among 12-23 months old children in urban slums of Lucknow district, India.

CONTEXT: To find out the suitable factors for raising the coverage of immunization. AIMS: To determine the coverage and to identify the various factors of primary immunization. SETTINGS AND DESIGN: Urban slums of Lucknow district. METHODS AND MATERIAL: WHO 30-cluster sampling technique was used for the selection of the subjects. Mother, father or relative of a total of 510 children with 17 children per cluster were interviewed in the study. Statistical Analysis: Chi-square test, binary logistic regression and multinomial logistic regression analysis were done to test the statistical significance of the association. RESULTS: About 44% of the children studied were fully immunized. Multinomial logistic regression analysis revealed that an illiterate mother (OR=4.0), Muslim religion (OR=2.5), scheduled caste or tribes (OR=2.3) and higher birth order (OR approximately 2) were significant independent predictors of the partial immunized status of the child; while those associated with the unimmunized status of the child were low socioeconomic status (OR=10.8), Muslim religion (OR=4.3), higher birth order (OR=4.3), home delivery (OR=3.6) and belonging to a joint family (OR=2.1). Conclusions: The status of complete immunization is about half of what was proposed to be achieved under the Universal Immunization Program. This emphasizes the imperative need for urgent intervention to address the issues of both dropout and lack of access, which are mainly responsible for partial immunization and nonimmunization respectively.