Evaluation of Organization Structure as Component of Quality Improvement for Maternal and Child Health Promotion in Baghdad City’s Primary Health Care Centers

Abstract

A descriptive evaluation study is conducted on primary health care centers in Baghdad City in order to
evaluate the organization structure as component of quality improvement of maternal and child health promotion
from April 10th 2012 to May20th 2013. A total of (22) primary health care centers. Study instrument was
comprised of three questionnaires and overall items included in these questionnaire were (65) items. Data are
collected through the utilization of the developed questionnaire and the interview technique as means of data
collection. Data are analyzed through the application of descriptive statistical data analysis methods which
includes the measurement of the frequencies, percentages, and computation of mean scores, and inferential
statistical data analysis approach which includes the measurement of the multiple linear regressions and factor
analysis. The study findings reveal that the organizational structure has experienced severe lack of fund, lectures,
availability of library, availability of classroom, availability of whiteboard, and use of internet to communicate with
consumers. Furthermore, some organizational structure moderately experience lack of air-conditioned units,
availability of computers, availability of data show, planning to establish or expand the health promotion hall and
the number of the staff in the health promotion unit. On the other hand, the remaining items of the organizational
structure have experienced better status than other items, and the aspect of staff has revealed that most of them
staff has lacked practices and experiences relative to their task as providers of health promotion service to
pregnant women as consumers. The study recommend that great efforts can be presented by the Ministry of
Health for the improvement of the organizational structure for the sake of better continuous quality improvement
of maternal and child health promotion, consumers can be considered vital participants who should be provided
with benefit-wise educational courses by which their health promotion can be motivated and developed, staff has
to be presented with better education and opportunities for well-structured training courses in the area of health
promotion, and further studies can be conducted on large sample size and nation-wide oriented ones.