Evaluation of Family Physician Program Based on Family Health Indices
DOI:
https://doi.org/10.22100/jkh.v7i3.141Keywords:
Family physician program, Family health, Contraceptive, FertilityAbstract
Introduction: Family physician team is responsible for all of primary health care services including family planning. This study was evaluated the impact of Family physician program (FPP) on family health indices in cities of East- Azerbaijan.
Methods: In this study the whole population of 3 small cities (n=36000) were selected and the six -year (2000 to 2006) coverage of family planning of the couples were investigated based on available statistics. On the qualitative side, the files of 600 couples were selected through stratified and cluster sampling procedures and their documents were investigated.
Results: After FPP, the number of physicians and midwives were doubled in urban health centers. Coverage of family planning services increased from 39.7% to 66.2%, use of condom method increased by 10% and OCP, IUD decreed by 6%. However the number of births was nearly unchanged in 7 years. The periodic examination of women and Pap smear increased significantly (P<0.05).
Conclusion: FPP has achieved partial success in providing family healthcare services including periodic examination of women and Pap smear sampling. Therefore, revision of the Job description and performance assessment of family physician teams is recommended.
References
Asadi-Lari M, Sayyari AA, Akbari ME, Gray D. Public health improvement in Iran-lessons from the last 20 years. Public Health 2004;118(6):395-402.
Rifkin SB. Community participation in Iran. A report of a consultancy undertaken on behalf of the World Health Organization (EMRO).2005;November 5-18.
World Health Organization (WHO). Management Effectiveness Program: Mep Guide;Geneva:The Institue;2001.
Boelen C, Haq C. Improving health systems: the contribution of family medicine, A guidebook. World Organization of Family Doctors (WONCA). Singapore: Best print Printing company;2002.
Alipour A, Habibian N, Tabatabaee S.H.R. Evaluation the impact of family physician care program on family planning in Sari from 2003 to 2007. Iranian Journal of Epidemiology 2009;5(1):47-55.[Persian].
Jabbari H. Effectiveness of mother and child health care in Iran health system-east Azarbayjan and Zanjan proviance. Research project in National Public Health management Center (NPMC) 2004.[Persian].
Abbasi-Shavazi MJ, Morgan SP, Hosseini-Chavoshi M, McDonald P. Family change and continuity in Iran: birth control use before first pregnancy. J Marriage Fam 2009;71(5):1309-1324.
The World Bank Group. Islamic Republic of Iran Health Sector Review: The Institute;June 2007.
Simbar M, Ahmady G, Alavimajd H. Quality of family planning services in health centers of Shahid beheshty medical university. Payesh Journal 2006;6(2):145-155.[Persian].
Shahidzadeh A, Mirmoeeni ES, Azimian MH, Mani-Kashani Kh. A qualitative assessment of urban family planning facilities Hamedan, may- september 2003. Journal of School of Public Health and Institute of Public Health Research 2004;2(1):1-1.[Persian].
Jahanfar S, Ramazani- Tehrani F, Sadat- Hashemi M. The prevalence of unwanted pregnancy and it’s effective factors in10 cities Iran (Year 2000). Tehran University Medical Journal (TUMJ) 2002;60(4):334-340.[Persian].
Abbasi-Shavazi M.J, Hosseini-Chavoshi M, Delavar B. Unwanted pregnancy and its determinants in Iran. Medical Journal of Reproduction and Infertility 2004;5(1):62-76.[Persian].
Ministry of Health and Medical Education (Iran). Integrative Monitoring and Evaluation System (IMES) National Report.Tehran: Health Minestry; 2006, Available from: http://www.fbh.hbi.ir
Jahanfar SH, Jahanfar M, Sadat-Hashemi M, Ramazani-Tehrani F. Unwanted pregnancy and abortion. EIMJM 2002;2(12):2-11.[Persian].
Simbar M. Achievements of the family planning program in Iran. Journal of School of Public Health and Institute of Public Health Research 2010;8(1):81-92.[Persian].
Rahnama P, Hidarnia A, Shokravi FA, Kazemnejad A, Oakley D, Montazeri A. Why Iranian married women use withdrawal instead of oral contraceptives? A qualitative study from Iran. BMC Public Health 2010;10:289.
Talbot Y, Takeda S, Riutort M, Onil KB. Capacity-building in family health. Canadian Family Physician 2009;55(6):613.e-6.
Rowan MS, Hogg W, Martin C, Vilis E. Family physicians' reactions to performance assessment feedback. Can Fam Physician 2006;52(12):1570-1.
Saltman RB, Rico A, Boerma WGW. Primary care in the driver’s seat?. Open University Press. World Health Organization 2006 on behalf of the European Observatory on Health Systems and Policies. Available from: www.euro.who.int/__data/assets/pdf_file /0006/98421/E87932.pdf.
Nikniaz AR. Trends of demographic and family planning indexes in health houses of east Azarbayjan province in 1990-1997. Medical Journal of Tabriz University of Medical Sciences and Health Services 2000;35(51);83-92.[Persian].
Bakhshian F, Jabbari H. Effectiveness of health services for mothers in Iran health system. Nursing Journal of IUMS 2009;22(58):43-54.[Persian].
Jabbari H. Comparing effectiveness of child health care before and after family physician programs in Iran heath system. Final report of research project. National Public Health management Center (NPMC);2009.
Hong R, Montana L, Mishra V. Family planning services quality as a determinant of use of IUD in egypt. BMC Health Serv Res 2006;6:79.
Barber SL, Gertler PJ. Health workers, quality of care, and child health: simulating the relationships between increases in health staffing and child length. Health Policy 2009;91(2):148-55.
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