مستوى رضا النساء المتزوجات من خدمات الصحه الانجابيه والمقدمة في منطقة رام الله. فلسطين
“Married Female Satisfaction with Reproductive Health Services in Ramallah District at the West Bank of Palestine”
أيمن حسن عبد ابومحسن
Ayman Hasan Abed Abu Muhsen
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Reproductive health (RH) in a community compromise the main aspect of overall community health where patient satisfaction with this aspect contributes to increase the quality of the service provided and patient participation at his/her treatment. The main aim of this study was to assess married female level of satisfaction with reproductive health care services provided at Ramallah district- Palestine. The population of the study consists of all married females who seek reproductive health service from a reproductive health centers in Ramallah district. A total of 300 married females were targeted for the study and interviewed while existing from the centers, 30 of them were piloted and excluded from the study, a total of 248 female were responded from the rest 270 yielding to respond rate of 91.8%. A pre tested Likert five scale questionnaire were used, six domains of satisfaction were studied for satisfaction (quality of service, informativeness, accessibility to the centers, waiting time, gender sensitivity and privacy). The results revealed a relatively high satisfaction (64.2% satisfied and 29% were strongly satisfied) with reproductive health service provided at Ramallah from different providers; Governmental, United Nations Relief and Work Agency, and Non Governmental Organizations. Despite this evidence of satisfaction, the study results show that there are some leading factors of dissatisfaction attributed to a range of factors as; long waiting time to enter the examination room, gender of the service provider and privacy tools as; shutters, and screens, some of them are harder to control thanother. In relation to the type of provider, it was found that governmental organizations had the highest level of participant’s satisfaction, followed by the NGOs which was ranked secondly, while the UNRWA had the lowest level of satisfaction. In addition, results revealed that centers located in villages and nearby the participants resident area had higher level of participant’s satisfaction from the centers located in cities. This relatively high satisfaction finding could be justified to the enhancements done on reproductive health services by different providers in the past few years while taking into consideration the sensitive needs of this type of services, and due to the competition andgeneral development all aspects especially in terms of coverage, fund raising, well trained human resources and quality dimensions. From the results of this research, it is highly recommend to raise the community awareness regarding the importance of their reproductive health and to incease the number of resources and logestics to ease the access to reproductive health centers,. In addition, other recommendation should take place onsite as: reducing the waiting time before interring the exam room; the heath practitioner to be from the same gender while delivering a reproductive health service, it was emphasized that all health staff have to introduce themselves before starting the reproductive health examination. Staff caring and cooperation, the availability of privacy in addition to the service quality and specialized female staff are all considered to be very important factors in directing participants to the type of provider of a reproductive health service point to get the service from..