Abstract
Health care quality is a global issue, Afghanistan’s health system has been steadily progressing over the last 17 years, with increasing coverage of health services throughout the country. In 2018, 3,135 health facilities were functional, which ensured access to almost 87% of the population within two hours distance. Afghanistan’s National Health Policy 2015-20 has five policy areas: governance, institutional development, public health, health services and human resources. The health care industry is undergoing a rapid transformation to meet the ever-increasing needs and demands of its patient population. Hospitals are shifting from viewing patients as uneducated and with little health care choice, to recognizing that the educated consumer has many service demands and health care choices available. The closest most tool for measuring consumer experiences is the occasional patient satisfaction survey.
Herat Regional Hospital (HRH) located in the centre of Herat City is not only covering Herat Province but as regional centre, is serving four provinces including Ghor, Badghis and Farah as some of the most conflict affected high priority area bringing hundreds of weapon wounded referrals to the hospital.
Objective: To assess patient satisfaction with services provided in Herat regional Hospital, Herat Province, Afghanistan. To analyse how satisfied are patients with the performance of hospital and which services and facilities are needed to improve in future plan.
Material & Methods: A cross –sectional study was conducted among patients randomly from Urban and Rural area in Herat and surrounding districts and provinces. A multistage sampling technique was used to select the respondents. A total of 400 patients attending this study. A self-designed, pretested, semi structured questionnaire was developed to draw the patient’s satisfaction to the health care services from Herat Regional Hospital. The survey covered most of the wards of hospital like Surgery ward, neuro surgery, internal, orthopaedic, mental health, ENT, burn and plastic surgery ward. From the other hand is should be mentioned that the infectious ward Paediatric obstetrics and gynaecology ward was not included in our survey, as their building was in different locations.
Results: Overall, 47% of the patients were satisfied with the services received from Herat Regional Hospital, while the remaining 53% were unsatisfied. Patients and their relatives were dissatisfied about delayed reports and lack of equipped and medical machines, lack of beds and rooms, lack of doctors and other medical staff. These are the important finding of the result. The level of patient’s satisfaction in some parts are good and will be explained in this study.