Quality Assessment of Performance of Health Workers in Health Facilities on District Level in Yemen

Abstract

Objective: To evaluate the performance of health workers in respect to the acute respiratory infections (ARI) & acute diarrhea in <5 children.Setting: Rural health centers in 11 districts in the reform project in Republic of Yemen.Method: Across sectional study involving 312 cases of ARI & diarrhea. Data were collected through direct observation using WHO algorithm for integrated management of child illness. Performance score was considered as: well done mean ± ISD or poor mean – ISD fair in between sides of SD according to correct element performed Results: The mean score of workers had fair performance 30.4 ± 3.5, 89.4% of workers had fair performance 6.1% well done & 4.5% poor. The performance was better among in workers who received training courses in ARI/ Ad management. There was a decline in performance skills with time lapse after training. There was a high percentage of irrational use of drugs irrespective of the. H workers categoryConclusion: There is a need for promoting health workers efficiency in ARI/ diarrhea management through basic training, refreshing courses & supportive supervisionKeywords: Quality, assessment, performance, health workers