Health problems and health care requirements of the population affiliated to Tuzla Aydınlı Primary Care Centre
Introduction and Objective: Primary health care services provide a cost-effective service and improvement to health indicators of the country, effective management of chronic diseases, and strengthening the healthy life behaviour of individuals and society. The aim of this study is to determine sociodemographic and health characteristics and their use of health care services in Tuzla Aydınlı Training Family Health Centre for more effective service provision.
Materials and Methods: The patients from the patient list of the Marmara University Pendik TRH Training Family Health Centre (TFHC) were recruited in this observational, descriptive study with a sampling according 0-35 mo; 3-9 year;10-17 year and 18 and over year-old age groups. Questionnaires containing questions about sociodemographic status and health characteristics were performed face to face by researchers. The questionnaires of the 0-9 year-old patients were filled by their parents.
Results: Ninety six patients from the 0-9 year age group; 39 from 10-17 year age group and 160 from the 18 and over age group, a total of 295 patients were recruited in this study. Gender distribution of 0-9 age group was 52.1% female/ %47.9 male. Education levels of 77.1% of their parents were over eight years. Rate of consanguinity was 12.5%. All vaccines and respective scanning of 0-2 year old infants were complete. The healthy child monitoring of the 0-35 mo and 3-9 year group patients were performed in Tuzla TFHC (62.2%; 74.5 respectively), in 0-35 month group 40,0% of the healthy child visits were performed by a paediatrician, in 3-9 age group 98.0% by a family physician.
Gender distribution of 39 adolescents in group 10-17 was 64.1%F/35.9%M. Health monitoring visits of this group were performed in TFHC by %61,5, 25,6% of them were not performed; 87,0% of them preferred family physician for health examination. The rate of chronic disease was 12.8%, 2.6% of them required special care. Rates of receiving counselling for tobacco use, physical activity, alcohol use, substance abuse, and reproductive health are 28.2%; 20.5%; 17.9%; 10.3%; 5.1% respectively.
In our study, 38.7% of 160 subjects at ≥18 age group were female; education level of %61.2 was >8 years. Chronic disease frequency was 51.9%, 17.8% required special care, and 3.8% required home care; disability rate was 6.9%; 22.5% were going to control more than once monthly. Of this group 14.4% (n = 23) had colon cancer screening, 23.8% (n = 38) had adult vaccines, 51.9% (n = 83) had regular eye controls, 42.5% (n = 68) had their hearing tests done. Rate of women in reproductive age was 62.9%. Rate of pap-smear testing was 1.4%.
Discussion and Conclusion: The target population usually receives health care from TASM. The prevalence of chronic diseases in the adult group is high; childhood vaccines and screenings are done successfully; consultancy services and screening programs for adult group should be developed.