<strong>Introduction:</strong> Healthcare industries have seen recent movements towards continuous quality improvement. The healthcare regulators shifted towards a market-driven approach of turning patient...<strong>Introduction:</strong> Healthcare industries have seen recent movements towards continuous quality improvement. The healthcare regulators shifted towards a market-driven approach of turning patient satisfaction surveys into a quality improvement tool for overall organizational performance. Data concerning this has remained limited in private sector in Zimbabwe. Thus, this study aims to determine patients and health workers perception about health services offered at Galen house in order to enable the institution to come up with evidence-based interventions to improve the quality of healthcare services. <strong>Methods:</strong> This was a descriptive cross sectional study. It was a mixed qualitative and quantitative study involving data collected from patients/ guardians and health workers at Galen House from January 2019 to March of the same year. Data was analysed using Microsoft Excel version 2013. <strong>Results:</strong> There were a total of 270 patients involved into the study. 173 (64%) perceived the waiting before services as good. 213 (79%) perceived the total waiting time as not long. Privacy 215 (80%) and confidentiality 223 (83%) perceived as good by patients. More than 50% of health workers perceived health services offered at Galen House as good. Staff attitude was perceived as good 191 (71%) by patients in contrary to some instance by health workers. Affordability of services was perceived as manageable. <strong>Conclusion:</strong> The total waiting time was perceived as not long at Galen House. Staff attitude was perceived differently by patients and health workers. Improving those two will contribute to more utilization of services by the community.展开更多
<strong>Background:</strong> In Zimbabwe, the perinatal mortality surveillance system is based on passive reporting of perinatal deaths using the perinatal death notification forms. Mpilo hospital recorded...<strong>Background:</strong> In Zimbabwe, the perinatal mortality surveillance system is based on passive reporting of perinatal deaths using the perinatal death notification forms. Mpilo hospital recorded 74 perinatal deaths from January to September. No death was reported to the city and no perinatal mortality forms were found at the health information section. We aimed to assess the performance of perinatal mortality surveillance system in Bulawayo city. <strong>Methods:</strong> We conducted a descriptive cross-sectional study in all the maternity centres in Bulawayo City in 2011 using Centers for Disease Control and Prevention guidelines for evaluating public health surveillance systems. We used interviewer-administrated questionnaires to collect data. We used a checklist to assess availability of resources. Perinatal death notification forms were reviewed. <strong>Results:</strong> We interviewed 67 workers. Knowledge on the system was poor. Eight (12%) were trained in IDSR (Integrated Disease Surveillance Response) and three (4.5%) were inducted on the perinatal mortality surveillance system. Sixty-one (91%) regarded the system as useful. City and private maternity centres were not notifying perinatal deaths due to lack of forms. In central hospitals, delay in notification was due to workload and shortage of trained staff. <strong>Conclusion:</strong> Poor knowledge on the system, lack of induction and trained staff could have contributed to the non-performance of the system in the City of Bulawayo. Most participants reported the system as useful. Lack of documentation made it difficult to follow up on actions plans.展开更多
文摘<strong>Introduction:</strong> Healthcare industries have seen recent movements towards continuous quality improvement. The healthcare regulators shifted towards a market-driven approach of turning patient satisfaction surveys into a quality improvement tool for overall organizational performance. Data concerning this has remained limited in private sector in Zimbabwe. Thus, this study aims to determine patients and health workers perception about health services offered at Galen house in order to enable the institution to come up with evidence-based interventions to improve the quality of healthcare services. <strong>Methods:</strong> This was a descriptive cross sectional study. It was a mixed qualitative and quantitative study involving data collected from patients/ guardians and health workers at Galen House from January 2019 to March of the same year. Data was analysed using Microsoft Excel version 2013. <strong>Results:</strong> There were a total of 270 patients involved into the study. 173 (64%) perceived the waiting before services as good. 213 (79%) perceived the total waiting time as not long. Privacy 215 (80%) and confidentiality 223 (83%) perceived as good by patients. More than 50% of health workers perceived health services offered at Galen House as good. Staff attitude was perceived as good 191 (71%) by patients in contrary to some instance by health workers. Affordability of services was perceived as manageable. <strong>Conclusion:</strong> The total waiting time was perceived as not long at Galen House. Staff attitude was perceived differently by patients and health workers. Improving those two will contribute to more utilization of services by the community.
文摘<strong>Background:</strong> In Zimbabwe, the perinatal mortality surveillance system is based on passive reporting of perinatal deaths using the perinatal death notification forms. Mpilo hospital recorded 74 perinatal deaths from January to September. No death was reported to the city and no perinatal mortality forms were found at the health information section. We aimed to assess the performance of perinatal mortality surveillance system in Bulawayo city. <strong>Methods:</strong> We conducted a descriptive cross-sectional study in all the maternity centres in Bulawayo City in 2011 using Centers for Disease Control and Prevention guidelines for evaluating public health surveillance systems. We used interviewer-administrated questionnaires to collect data. We used a checklist to assess availability of resources. Perinatal death notification forms were reviewed. <strong>Results:</strong> We interviewed 67 workers. Knowledge on the system was poor. Eight (12%) were trained in IDSR (Integrated Disease Surveillance Response) and three (4.5%) were inducted on the perinatal mortality surveillance system. Sixty-one (91%) regarded the system as useful. City and private maternity centres were not notifying perinatal deaths due to lack of forms. In central hospitals, delay in notification was due to workload and shortage of trained staff. <strong>Conclusion:</strong> Poor knowledge on the system, lack of induction and trained staff could have contributed to the non-performance of the system in the City of Bulawayo. Most participants reported the system as useful. Lack of documentation made it difficult to follow up on actions plans.
