The assessment of the effectiveness of continuous evaluation and education in using standard rules in midwifery offices in shiraz (2001-2002 ).

Introduction. The present study was designed to assess the effect of continuous evaluation and education in usage of standard rules in midwifery office in Shiraz. Methods. This was an interventional (quasi experimental) study. All midwifery offices (50 units) in Shiraz were evaluated by technicians from Control and Evaluation Health Office of Vice Chancellor for Clinical and Drug Affairs. In this regard standard checklists were completed in 3 step visits. In each step of evaluation, on the basis of observation faults or disobey from standard checklists, related intervention as face to face education was done and evaluated again in following step. Finally we analyzed the data statistically and comparison between results of 3 steps of evaluation was done. Result. Overall mean score of fault at midwifery offices decreased from step 1 (5.33 ± 0.46) to step 2 ( 3.08 ± 0.33 ), also it decreased in step 3 (1.37 ± 0.18 ) and these differences were statistically significant with Repeated Measurement Test ( p 0.0001 ). Also regarding evaluated disobeys of each step in details based on different aspects considered in the standard check list, mean score showed a decrease in step 1 to 3 in these fields: Environmental health, usage of appropriate disinfectant, necessary instruments at midwifery offices and required instruments for emergency delivery (p0.0001 ), personal health and having legal license at offices ( p 0.03 ) but in 2 fields it didn’t show any significant difference between steps which were, prescription and proper tariff. Conclusion. We should have continuous evaluation to assess the effectiveness and improvement of our educational program. With continuous evaluation, correction of observed defects will be done as soon as possible by appropriate intervention and education. So our medical and health program will be successful.