Patient Satisfaction with Quality of Primary Health Care in Benghazi; Libya

Introduction: The Libyan National Health System (LNHS) is debated for the paradox of its performance versus impact. It has poor performance; but the national health statistics are good and competitive. There are concerted efforts to manage health care services and to regain the lost trust. A primary health care (PHC) system that focuses on preventive and promotive care is the core focus of LNHS efforts. Objectives: To assess patient satisfaction with quality of PHC assessed in terms of (a) customer profile; (b) patient satisfaction; and (c) health care-seeking behavior. Methodology: A sample of nine health centers and seven polyclinics from various locations in Benghazi; Libya were selected for gathering information by structured face-to-face interviews. A total of 310 beneficiaries were interviewed by using an Arabic translation of the Charleston Psychiatric Outpatient Satisfaction Scale. Results: The beneficiaries appear to be quite satisfied with the quality of services. Geographical zone; marital status of beneficiary; and type of facility are satisfaction-related factors. There are preferences for facilities located within the City Centre over those located elsewhere. There is also an interaction effect of the geographical zone and the type of facility in creating differences in satisfaction. Conclusions: A customer-friendly facility concept that emphasizes reception; physician interaction; and cordiality shall add value. Polyclinics require more attention as does the Al Slawy area. A few utility services might also be considered

Patient satisfaction with quality of primary health care in Benghazi, Libya

The Libyan National Health System [LNHS] is debated for the paradox of its performance versus impact. It has poor performance, but the national health statistics are good and competitive. There are concerted efforts to manage health care services and to regain the lost trust. A primary health care [PHC] system that focuses on preventive and promotive care is the core focus of LNHS efforts. To assess patient satisfaction with quality of PHC assessed in terms of [a] customer profile, [b] patient satisfaction, and [c] health care-seeking behavior. A sample of nine health centers and seven polyclinics from various locations in Benghazi, Libya were selected for gathering information by structured face-to-face interviews. A total of 310 beneficiaries were interviewed by using an Arabic translation of the Charleston Psychiatric Outpatient Satisfaction Scale. The beneficiaries appear to be quite satisfied with the quality of services. Geographical zone, marital status of beneficiary, and type of facility are satisfaction-related factors. There are preferences for facilities located within the City Centre over those located elsewhere. There is also an interaction effect of the geographical zone and the type of facility in creating differences in satisfaction. A customer-friendly facility concept that emphasizes reception, physician interaction, and cordiality shall add value. Polyclinics require more attention as does the Al Slawy area. A few utility services might also be considered

Risk factors for tubal ectopic pregnancy

To determine the risk factors for tubal ectopicpregnancy. A case control study. This study was conducted at the Gynaecology and Obstetrics Unit III. Civil Hospital Karachi from it January. 2003 to 31[st] May. 2005. All the patients diagnosed as a case of ectopic pregnancy during the twenty nine months period were included in our study. While the control group constituted pregnant women selected at random from the antenatal clinics and through person to person communication. All the relevant data was recordedon a questionnaire and the final results were analyzed. The incidence of ectopicpregnancy was found to be 1:90, when compared with normal deliveries. Age group of 25-