comparison of maternal and child health indicators before and after the family physician program in Shiraz, from 2001 to 2012

Background: One of the aims of the family physician program [FPP] is to improve the maternal and child health indicators. This study aimed to comparison maternal and child health indicators in Shiraz rural areas before and after implementation of FPP during 2001 to 2012

Methods: This applicable study was conducted in Shiraz in the south west of Iran in 2014. The child and maternal health indicators before [2001 to 2005] and after FPP [from 2006 to 2012] were gathered from the Health Center [Enghelab and Shohadaye Valfajr]. The instrument for data collection was a questionnaire consisted of 20 maternal and child health indicators. Descriptive statistics was used and for analyzing the data, Excel and Stata software and comparisons of rates and joint point regression tests were employed

Results: the results showed that The FPP lead to decrease in stillbirth, infant mortality and child under one-year mortality in the rural area. Also all the vital horoscope indicator [mortality under one month, mortality under one year, the frequency of the infants under one year, the percentage of stillbirths, crude death percentage, crude birth percentage, general fertility percentage, total fertility percentage] have improved after FPP in Health Center rather than Enghelab Health Center

Conclusion: the maternal and child health indicators had improvement after FPP implementation. Therefore, it is recommended to continue the program

sources of work stress among nurses in private hospitals in shiraz, 2016 sources of work stress among nurses in private hospitals in Shiraz, 2016

Introduction: Since there are few studies on stress experienced by nursing staff in private hospitals, this study aimed to determine the sources of job stress among nurses in private hospitals in southwest of Iran

Method: In a cross-sectional design, nurses in private hospitals in Shiraz were investigated; about 160 nurses were selected by single-stage cluster sampling as the study samples in three selected hospitals. A standard questionnaire on the sources of job stress was used for data collection. The data were analyzed through SPSS, version 21, using Mann-Whitney and Kruskal-Wallis tests. The level of significance was considered as 0.05

Results: Five important causes of stress among nurses were low income, lack of job security, work-home interface, lack of enough time for work, and exposure with unsuitable physical situation. There were significant associations between the source of stress and having persons with chronic disease in family and concurrent education and work [P = 0.021, X2= 426.5 and P = 0.022, X2 = 717.5, respectively]

Conclusion: The sources of job stress should be considered for effective working of the hospital. Attention to nurses' salary and job security reduces job stress

Relationship between partnership working and employees' productivity in a University of Medical Sciences in the South of Iran

Introduction: Partnership working plays an important role in the health system, results in delivery of coordinated packages of services to patients, and reduces the impact of organizational fragmentation

Method: The study aimed to determine the relationship between partnership working and productivity in the employees of a university of medical sciences in the south of Iran

Results: According to the result, partnership and productivity scores were 51.1 + 6.7 and 51.9 + 13.4, respectively. Partnership working had a positive relationship with productivity [r = 0.333, P = 0.001] and age of the employees [r = 0.142, P = 0.007]. There was a negative relationship between the employees' productivity with age and job position in ZAUMS [P= 0.009 and P= 0.001, respectively]. The nurses had the highest score of productivity [mean=60.7 +/- 13.3]. Moreover, employees with an Ph.D. degree [9 persons] had the highest scores of partnership and productivity in ZAUMS [53.6 +/- 3.1 and 56.8 +/- 6.3, respectively]

Conclusion: Enhancement of partnership working could increase the employees' productivity in the health system. It is recommended that younger persons should be used in universities of medical science. Moreover, supportive staff should increase their partnership working to enhance the individual and organizational productivity

Iron supplementation consumption in high school students: a cross- sectional study

Background: Girls are one of the high risk groups for iron deficiency anemia. Iron supplementation program is a preventive strategy for female students in high schools in Iran. This study aimed to estimate the prevalence of iron supplements consumption among high school students in the southeast of Iran

Methods: A quantitative study was conducted in Zahedan [the capital of Sistan and Balochestan province] in the southeast of Iran in 2015. The sample size was 400 high school students from different areas of Zahedan who were randomly selected. A standard questionnaire was used for data collection. The data were analyzed using SPSS statistical software through descriptive statistics, one way ANOVA and Chi-square

Results: In total, 68.2% of the students did not administer any tablets whether regularly or irregularly during the past 16 weeks. About 41 third grade students did not take any tablets in 16 weeks. There were a statistically significant correlation between lack of taking tablet and their grade point average of the last year [P=0.003, F=1.078]; also, it had a significant association with school grade of students [P=0.009]

Conclusion: Most of the students did not use iron supplementation in Zahedan high schools. Measures should be taken to increase the culture of consuming iron tablets by providing appropriate environmental conditions; it seems that iron supplementation programs will have positive impacts on the students

A Survey of iron Supplementation Consumption and its Related Factors in High School Students in Southeast Iran, 2015

Background: This study aimed to estimate the prevalence of iron supplement consumption and its associated factors among high school students in Iran. Methods: A mixed-methods (quantitative-qualitative) study was conducted in Zahedan, southeast Iran, in 2015. The sample comprised 400 high school students from different areas of Zahedan who were randomly selected. A standard questionnaire and semi-structured interview were used to collect data in the quantitative and qualitative phases, respectively. The data were analysed using SPSS software with one-way ANOVA and Pearson’s chi square. Additionally, content analysis was used for the qualitative analysis. Results: In total, 38.2% of the students had not consumed iron supplements in the past 16 weeks, and students in third grade had the highest non-consumption rate (P=0.006). There was a significant positive relationship between iron tablet consumption and grade point average in the last year (P = 0.003). Digestive problems, influence of family and friends, students’ reluctance, and poor environmental situations were the most important factors related to students’ refusal to take tablets. Conclusions: Most students did not take or irregularly consumed iron supplements. Based on the digestive problems of the students, improving the taste and quality of iron tablets is recommended

comparison of mothers' quality of life after normal vaginal, cesarean, and water birth deliveries

Assessment of quality of life [QOL] is of paramount importance for improving postpartum QOL which will in turn enhance QOL of mothers, children, individuals, and the community. The present study aimed to evaluate and compare postpartum QOL after Cesarean Section [CS], Normal Vaginal Delivery [NVD], and water birth delivery. This descriptive analytical, cross-sectional study was conducted on postpartum women referred to urban health centers and two public hospitals in 2012-13 in Shiraz, Iran. Overall, 59 women with NVD, 39 with CS, and 39 with water birth, all at 2 months postpartum, were recruited into the study through multi-stage sampling. Postpartum QOL was measured using Short Form Health Survey [SF-36] which hadbeen adapted previously in Iran. Then, the data were analyzed using descriptive statistics and one-way analysis of variance [ANOVA] in SPSS, version 18. The results showed that the NVD group had the highest mean score in physical health domains; the women with water birth had the highest mean score in mental health domains and total QOL. Regarding postpartum QOL the results of one-way ANOVA showed no statistically significant differences between the three modes of delivery. Women with water birth and NVD had the highest and second highest total QOL mean scores, respectively; women with NVD and water birth experienced better physical health. Thus, providing more information to pregnant women to encourage them to use NVD and water birth is suggested

Medical Errors and Barriers to Reporting in Ten Hospitals in Southern Iran

Background: International research shows that medical errors (MEs) are a major threat to patient safety. The present study aimed to describe MEs and barriers to reporting them in Shiraz public hospitals, Iran. Methods: A cross-sectional, retrospective study was conducted in 10 Shiraz public hospitals in the south of Iran, 2013. Using the standardised checklist of Shiraz University of Medical Sciences (referred to the Clinical Governance Department and recorded documentations) and Uribe questionnaire, we gathered the data in the hospitals. Results: A total of 4379 MEs were recorded in 10 hospitals. The highest frequency (27.1%) was related to systematic errors. Besides, most of the errors had occurred in the largest hospital (54.9%), internal wards (36.3%), and morning shifts (55.0%). The results revealed a significant association between the MEs and wards and hospitals (p < 0.001). Moreover, individual and organisational factors were the barriers to reporting ME in the studied hospitals. Also, a significant correlation was observed between the ME reporting barriers and the participants’ job experiences (p < 0.001). Conclusion: The medical errors were highly frequent in the studied hospitals especially in the larger hospitals, morning shift and in the nursing practice. Moreover, individual and organisational factors were considered as the barriers to reporting MEs.