Positive Attitude For Effective Health Service Delivery

As a health worker, there are some basic etiquettes that you need to possess for a good health service delivery, this page speaks the role of health workers’ positive attitude, and relationship with clients to improve their attitude towards clients, apply basic quality principles in their daily activities, and strengthen their community engagement skills respectively to create demand creation and uptake of health services, especially routine immunization, at health facility levels.

Best attitude for effective health service delivery

This topic emphasizes how you, as a health worker can use the knowledge gained from other trainings to better serve clients (positive attitude).

You being a health worker, you exists because of the people you serve! This perception should be our driving force as we continuously strive to provide quality services, reach all the eligible populations and meet our personal and collective work targets and RI indicator.

Health Service Provision and Clients’ Right,

Think of your primary health care (PHC) as profit-making business organization, (your family business). To generate revenue,  make profit and survive, your PHC must provide quality goods and services that satisfy its clients and that’s why applying some certain business growth strategies is a must do things to your PHC.

Similarly, as health worker, you should provide quality health services that satisfy your clients/patients and meet their needs while respecting their rights as clients.

Note: Your clients have a right to have certain expectations when  they come to the health facility to receive services. So, just like in a business, the primary focus of every health provider should be to meet the client’s expectation given available resources

Now, with the application of the above information and skills in your day-to-day health service delivery, what are the rights of clients seeking health services?

People have basic rights and develop expectations based on those rights. Particularly, clients have basic rights that must be respected by health worker if,  their expectations are to be met. These clients’ right include:

  • Right To Accurate Information: Every client have a right to accurate, appropriate, understandable, and clear information related to the health services they have come to seek. For example: routine immunization or health conditions they have come to treat.
  • Right To Informed Choice: Clients also have a right to make a voluntary, well-considered decision that is based on options, information, and clarity provided by the health worker.
  • Dignity And Respect: All clients have the right to be treated with respect and compassion. As a service provider, you need to ensure that clients are as comfortable as possible during procedures.
  • Safe And Effective Care: Clients have a right to safe services. As a health provider, ensure that the services you are providing does not cause any direct or indirect harm neither physical, psychological or emotional to your client.
  • Privacy, Confidential And Expression Of Opinion: Clients have a right to privacy and confidentiality during the delivery of services such as counseling, examinations, etc.
  • Right To Access Quality Health Services: Clients have a right to that are affordable (and in some cases free e.g. Routine Immunization), available at convenient times and places, fully accessible with no physical barriers, and inappropriate eligibility requirements or social barriers such as tribe, and religion etc.
  • Continuity Of Care: All clients have a right to continuity of services, supplies, referrals, and follow-up necessary to maintaining their health.

Some basic needs of health service providers to fully grant the right of clients and ensure quality services, health workers’ have basic needs which should be met under ideal circumstances.

These needs include: 

  1. Good Management And Supportive Supervision: This can come directly from higher level managers at LGAs or from Ward Focal Persons and health facility in-charges at ward and health facility levels respectively.
  2. Training, Information And Personal Development: Health service providers need to continually update their knowledge and skills through reading e.g. “routine immunization guide for service provider”, training, partner and private personal training/capacity building programs.
  3. Supplies, Equipment, Infrastructure And Security: Health care staff need reliable, sufficient inventories of supplies, instruments, and working equipment, as well as the infrastructure necessary to ensure the uninterrupted delivery of high-quality services. In addition, health worker should also be provided a secured environment to work.

We have been mentioned “positive attitude” right from the begging of topic, what do you understand by the word good attitude?

With no further ado, Attitude refers to ideas, thoughts we hold about ourselves, others, objects and experiences.

Alternatively, attitude can be said to be a judgment a person makes about a person, group, event or issue which can be associated with positive, negative or neutral feelings.

Your attitude influence your behavior and how we react to others. Likewise the attitude of health workers towards patients.

How A Health Worker Can Improve His/Her Attitude For Better Service Delivery

  • Think about the best service you have ever received.
  • Where and when was this service provided? 
  • Why do you think it was good? 
  • How did it make you feel?

Now think about the worst service you have ever received and draw the contrast.

Then, ask yourself: 

if you are the recipient of the services you currently provide, how would you rate it? 

Note!!  Your patient wants what you want!  positive attitude in health care is what your clients need to patronize the services offered in your PHC. 

Importance Of Health Worker Attitude in Health Care Service Delivery 

Your attitude as a health worker impact on your success in achieving required health outcomes and meeting national routine immunization indicators.

From the table below, a health worker who lacks the will, commitment and personal motivation to do his work efficiently will be at the lowest level in immunization coverage and quality indicators whereas,  his counterpart who has the will and the Can-do attitude is more likely to meet required outcomes, see table below.

Attitude Impacts Outcome Chance Of Success
I DID! 100%
I Will 90%
I Can 80%
I Think I Can 70%
I Might 60%
I think I might 50%
I Want To 40%
I wish I could 30%
I don’t know how 20%
I Can’t 10%
I Won’t 0%

Impact Of Positive Attitude On Health Outcomes 

Health workers provide essential services which should ordinarily meet their client’s expectations. However, the attitude of health workers in different country’s health facilities have resulted in several negative reports about health workers from clients who access care. 

Aside from challenges with absenteeism or unavailable of health workers, these reports highlights the following negative behavior of  health workers:

  • Neglect;
  • Judgmental and verbally abusive behavior;
  • Lack of respect 
  • Lack of sympathy and empathy
  • Lack of attention to privacy
  • Extortion of money from clients even when services are free.

These negative attitudes and behaviors of health workers is a direct violation of some of the rights of your clients which we mentioned earlier and could:

  • Affect patient well-being,
  • Hinder potential patients from seeking health services like immunization.
  • Undermine the quality and effectiveness of care they deliver.

Conclusion: As a HW, your client’s satisfaction should be your number one priority. In everything, treat others as you would want them to treat you.

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