الفهرس 
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Abstract
According to WHO, a major challenge hindering countries from delivering PHC
is establishing and maintaining high quality services.
Evaluation of the quality of health care is now considered to be an essential
component of health system research. It helps to identify points of weakness within
programmes and systems which call for strengthening. The future, however,
depends entirely on what is done now. The decisions, actions, resource allocation,
and work done now will create the future.
Accreditation standards are considered necessary to promote high quality,
reliable and safe services enabling health service organizations to embed practical
and effective QI and patient safety initiatives into their daily operations. Therefore,
these standards soon become the yardsticks by which performance is measured and
accreditation is achieved.
Accreditation and compliance with standards aims to improve patient safety and
strengthen the quality of health care, where improvement in quality is believed to
result in fewer mistakes, shorter delays, improvements in productivity, increased
market share and lower costs.
The aim of the present work was to improve the quality of health care services
provided in the PHC sector by trying to assess the degree of compliance of
Monshaat Sultan FHC with the current Egyptian PHC Accreditation Standards,
analyze the current situation using SWOT analysis and make a suggestion of a
corrective action plan including all items that showed any degree of noncompliance
with standards.
To achieve such aim, a cross-sectional descriptive study was conducted on
Monshaat Sultan FHC.
Study used the PHC Accreditation Program Survey Instrument, designed, tested
then finalized in February 2001 by MOHP, where all activities related to standards
were reviewed during the period from May 2014 to August 2014, and analysis then
reporting was done in the period from September 2014 to April 2015.
The accreditation tool is divided into eight dimensions which were selected
based on their relative importance in defining quality of services in Egypt. The
eight dimensions included in the assessment, were: Patient Rights, Patient care,
Safety, Support Services, Management of Information, Quality Improvement
Program, Family Practice and Management of the organization
The study revealed that overall compliance of Monshaat Sultan FHC with
current Egyptian PHC Accreditation Standards was 33.64%.
The study showed that among the eight dimensions of quality Patient Care
showed the highest compliance with standards with a percentage of 46.65%, and
QI Program showed the lowest compliance with a percentage of 12.12%.
Patient Rights compliance with standards was 13.73%, Safety was 38.70%,
Support Services was 43.89%, Information Management was 23.81%, Family
Practice Model was 24.07% and Facility Management compliance with standards
was 12.82%.
CONCLUSION
Finally, we conclude that:
Monshaat sultan FHC, now, is only 33.64% in compliance with current
Egyptian PHC Accreditation Standards, while it was 80.18% in the year 2004.
Lack of training, follow-up with quality activities and lack of continuous
assessment are most leading causes.
Monshaat sultan FHC has many strengths and opportunities favoring
preparation of the center for accreditation and improvement of performance