Assessing Responsiveness of Primary Healthcare Facilities in Rawalpindi: A Cross-Sectional Study

Syed Imran Bukhari; Humaira Mahmood; Nimbal Imtiaz; Muhammad Salman Shahid; Alamgir Jogezai; Amber Rehman

doi:10.51253/pafmj.v76iSUPPL-5.12477

Authors

Syed Imran Bukhari Department of Public Health, Armed Forces Post Graduate Medical Institute, Rawalpindi/National University of Medical Sciences (NUMS) Pakistan
Humaira Mahmood Department of Public Health, Armed Forces Post Graduate Medical Institute, Rawalpindi/National University of Medical Sciences (NUMS) Pakistan
Nimbal Imtiaz Department of Public Health, Armed Forces Post Graduate Medical Institute, Rawalpindi/National University of Medical Sciences (NUMS) Pakistan
Muhammad Salman Shahid Department of Public Health, Armed Forces Post Graduate Medical Institute, Rawalpindi/National University of Medical Sciences (NUMS) Pakistan
Alamgir Jogezai Department of Public Health, Armed Forces Post Graduate Medical Institute, Rawalpindi/National University of Medical Sciences (NUMS) Pakistan
Amber Rehman Department of Public Health, Armed Forces Post Graduate Medical Institute, Rawalpindi/National University of Medical Sciences (NUMS) Pakistan

DOI:

https://doi.org/10.51253/pafmj.v76iSUPPL-5.12477

Keywords:

Domains of responsiveness, First Level Care Facilities, Primary Healthcare (PHC), Responsiveness

Abstract

Objective: To assess responsiveness at First Level Healthcare Facilities at Rawalpindi by using an adapted WHO World Health Survey tool.

Study Design: Cross-sectional study.

Place and Duration of Study: Three first level care facilities of Nationally Administered Healthcare Organization at Rawalpindi, Pakistan from Jan 2024 to 2024.

Methodology: Four Hundred participants were included in the study through nonprobability consecutive sampling following the inclusion criteria after informed consent. The data was collected by one to one interviews held on with outdoor patients presenting in these facilities using WHO World Health Survey tool. Data analysis was done using Statistical Package of Social Sciences (SPSS) software version 21.

Results: Out of 400 participants, 104(26%) perceived that responsiveness was poor in the First Level Care Facilities at Rawalpindi whereas majority 278(69.5%) of the patients found the responsiveness as satisfactory. A mere 18(4.5%) considered responsiveness as good. Out of the essential elements of the responsiveness, Prompt attention was considered the most important by 123(30.8%) participant and 74(18.5%) respondents rated communication as an equally important part of the responsiveness in health care system. The least important domain as considered by the respondents were the choice of provider and social support by 10(2.5%) and 4(1%) respondents respectively.

Conclusion: Following the results of the study conducted, the domains of responsiveness still need improvement to enhance patient satisfaction and is directly associated with the domains of responsiveness. However, it is the need of an hour to standardize ..

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