الفهرس 
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Abstract
English summary
High–quality primary health care services are the outcome of strong
service delivery and the result of well-organized and achieved services,
supported by a strong system and sufficient inputs, such as human resources,
infrastructure, drugs, and supplies. The aim of the study is to assess the
quality of PHC services in family health centers in El-Behira Governorate.
Material and Methods: Research design: Descriptive research design will
be used to conduct this study. Setting: The study will be conducted in
governmental family health centers in El-Behira governorate affiliated with
the Ministry of Health. Subjects: The subjects of the present study will be
(600) clients and all the nurses (347) working in the studied family health
centers. Sampling: A multistage sampling technique will be used to select
the required sample. Tools: Three tools were used. Tool (I): Nurses’ quality
knowledge and perspective structured questionnaire sheet. Tool (Π): Quality
of Primary Health Care Services Evaluation. centers Tool (III): Clients’
satisfaction of family healthcare services structured interview schedule.
Results: the vast majority of the nurses in Damanhour, Etay EL-Baroad,
Abo-Homos were females. More than two-thirds (68.6%) of the nurses in
Damanhour FHC compared to less than two-thirds of the nurses in Etay El-
Baroad and Abo-Homos (66.4% and 64.3% respectively) and half (54.3%)
of them in El-Rahmanya had a secondary school of nursing diploma. Among
nurses with low perspectives, 3.2% of them had poor knowledge about
quality compared to none of those with high perspectives. The Family
Health Centers had the highest process mean score related to provision of
services especially for maternity care, family planning services and
childcare. While the total clinics’ process is unsatisfactory for essential drugs.
Conclusion: Based on the findings of the present study, it can be concluded
that none of the studied family health centers in all districts studied had a
high total quality level. A significant relation was found between nurses’
mean score of knowledge and their perspective levels related to quality of
services and socio-demographic characteristics related to previous training
and frequency of training. The Family Health Centers had the highest
process mean score related to provision of services especially for maternity
care, family planning services and childcare. Recommendations: The
predominant policy recommendation is that the Egyptian Ministry of Health
needs to improve the budget allocation for primary health care units and
centers as it is the entrance keeper to secondary and tertiary health care. It is
equally important to maintain the support policy for primary health care
services in order to meet the restricted affordability of low-income people
who would fight to get health care if the prices of examination and
medication would be increased.