ABSTRACT
Background: genuine injuries have been reported at schools. Given that schools might not have any trained healthcare providers; teachers will provide first aid to students
Objective[s]: to assess knowledge and skills regarding first aid and disaster management among primary school teachers, and evaluate the effectiveness of first aid and disaster management training program on knowledge and skills of those teachers
Methods: intervention study, in the form of a training program on 43 teachers from two primary schools in Zagazig district, was performed. Evaluation was done through comparing school teachers' first aid and disaster management knowledge and skills before and after intervention by the use of a questionnaire and an observational checklist
Results: the percent of teachers with satisfactory first aid knowledge increased from 7.0% to 46.5% while for satisfactory practice, the percent increased from 4.7% to 51.2% after intervention. For satisfactory disaster management knowledge, the percent increased from 9.3% to 58.1% while for satisfactory disaster management practice, the percent increased from 2.3% to 23.6% after intervention with a statistically significant difference
Conclusions: first-aid and disaster management training program is an effective tool for improving teachers' knowledge and practice
Recommendation: First aid and disaster management training program should be one of the preplacement and in service training programs for primary school teachers to protect the life of children
ABSTRACT
Patient satisfaction is an important tool that measure performance of health care providers. To assess patient satisfaction towards Primary Care in Sharkia Governorate in 2009, and to detect causes of patient dissatisfaction. This study was carried out on 893 patients from 18 Primary Health Care Facilities in Sharkia. Data were collected through interview sheet including seven domains of patient satisfaction: reception service, doctors' and nurses' performance, accessibility in time and place, health environment and patients' rights. Responses were put in Likert Scale from excellent to poor, then satisfaction level was classified into: unsatisfied, partially satisfied and strongly satisfied. Pareto analysis for causes of dissatisfaction was done. The majority of patients were satisfied with accessibility of facilities in time 96.98% and place [98.54%], short waiting time [97.98%]. 73.46% of patients were satisfied with doctors' performance and 60.36% with nurses' performance. 33.26% of patients reported drugs unavailability, 25.87% were dissatisfied with the inadequacy of laboratory capabilities. Pareto analysis revealed that causes of dissatisfaction were deficiency in: information given to patients, bio-psychosocial approach, co-ordination between drugs, shared management, examination, follow-up, health education, referral, drugs, cleanliness, nurses' skills, and investigations. Most of patients were satisfied with accessibility of PHC facilities in time and place, short waiting time, cost of tickets, preventive services and staff performance. Most of patient dissatisfaction [80%] resulted from only 8 of studied causes regarding doctors' performance and only 7 of studied causes of nurses' performance, and health care environment