Hepatitis C and hepatitis B seroprevalence among mobile sessions' blood donors versus usual donors in Sharkia governorate, Egypt

Egyptian blood donation system usc 2 main approaches for getting blood from donors; usual donation inside blood banks and mobile sessions. As Egypt has the highest world prevalence of hepatitis C and a middle prevalence of hepatitis B and both are transmitted by blood, it was important to study if blood donors in mobile sessions have different seroprevalence of hepatitis C and hepatitis B infection than donors in side the blood bank. Record study for data of 1946 blood donors; half of them were the donors in the mobile sessions at the study site in Sharkia during the year 2007 and the other half were randomly selected from usual donors. Third generation ELISA test results for anti-HCV antibodies and HBsAg for donors' blood were got besides data about their gender and blood group. The overall seroprevalence of HCV and HBV infection was found to be 6.4% and 1.4% re spectively. Hepatitis B was significantly lower in mobile sessions versus usual. group [0.8% versus 2%] while Lower hepatitis C wasn't significant [5.8% versus 7%]. Female donors were significantly more in mobile sessions than usual donation [32 .8% versus 3.4%].No significant difference in HCV and HBV infection between both sexes while HBV infection significantly differed with blood group. More mobile sessions for blood donation with stronger invitation will increase Egyptian females participation and increase availability of needed blood. With significantly less hepatitis B but insignificantly less hepatitis C which is still a problem in Sharkia governorate

Improving patients' satisfaction and adherence to health insurance clinics of Sharkia Branch, Egypt

Improving utilization, satisfaction and adherence to a good quality health insurance services is a main target of the recent health policy in Egypt. 1- To explore patients' satisfaction, adherence and suggestions. 2- To design and implement a suitable improving intervention not based on increasing drugs or investigations. 3- To evaluate the effect of this intervention. - Interventional study comparing the post- interventional satisfaction and adherence rates with pre-interventional levels on two multistage random samples of patients utilizing Sharkia main branch outpatient clinics of health insurance, Egypt. The pre-intervention sample was 186 and post-intervention was 194 patients. Initial situation analysis and development of a customer-based evaluation questionnaire were followed by a pre-intervention survey. Based on the results of pre-intervention survey, intervention was designed and implemented. The intervention was training of physicians and nurses on communication skills and ethical consideration, improving waiting environment and making administrative requirements easier. Effect of intervention was evaluated one year later by the same questionnaire. Significant improvement of satisfaction with diagnosis explanation, treatment explanation, keeping privacy, stress on follow up and doctor-patient relationship. Satisfaction with the cleanness and width of waiting area, availability of more seats, suitable drinking water and water closets, waiting period, working hours, administrative steps and clerks communication improved significantly. The overall satisfaction with medical session increased from 57.3% to 73.4% and with environmental and administrative aspects from 43% to 63% and the adherence improved significantly from 87.1% to 95.9%. Simple multi-faceted interventions based on communication, environment and administration can improve patients' satisfaction and adherence to the health insurance services and is recommended to be considered first in improving strategies