EVALUATION OF MENTAL HEALTH PROGRAM IN THE LEVEL OF RURAL HEALTH HOUSES AND CENTERS IN ISFAHAN (1980)

H TABAN, AHMAD REZA ZAMANI, B SADEGHI

Abstract


Introduction. After 10 years of establishment of mental health program in primary health care system (PHC) in Iran and effects of this program in civic development, It seems necessary to evaluate this program and distinguish weak and strong points of the program.
Methods. In a cross-sectional study 550 persons, 63 behvarzes, 30 ingeniouses and 30 physicians from 50 health houses and 30 health centers were randomly selected and their knowledge and atitude toward mental health were estimated using a valid and relaiable questionnaire.
Results. Mean of knowledge score was 13.4 in people, 11.5 in phycisions, 10.9 in Behvarzes and 10.5 in ingeniouses . Mean of attitude score was 12.7 in people, 12.7 in phycisions, 12.2 in behvarzes and 14.4 in ingeniouses. referral from level 2 to 3 was 41% and follow up was 58% of expected rate.
Discussion. This study showed that patient screening and follow-up is very poor, however, referral and positive attitude is very good and knowledge level of study groups is intermediate. Finally, program evaluation is poor. Weakness of design and accomplishment of program are the most important reesons for unsuccessfulness.

Keywords


Managemant, Evaluation, Mental Health