European Journal of Molecular & Clinical Medicine

Saudi Arabia is considered to be an area of endemic hepatitis B virus (HBV) infection. Among Saudi children, the overall HbsAg carrier rate dropped from 6.7% in 1989 to 0.3% in 1997 after mass HB vaccination program among adults prevalence is 0.22%. The prevalence varied by region, ranging from 0.03% to 0.72% with a mean prevalence of 0.15%.The coverage of hepatitis B vaccination remains low in developing countries to date. Building capacity in hepatitis B virus prevention and management for students is one of the pillars of the national viral hepatitis control strategy. The hepatitis B virus (HBV) is considered a global problem which threatens the public health It may cause chronic infection which develops to liver cirrhosis and leads to death. The population infected with HBV has been found to be about 2 billion people, whereas annually 360 million people getting chronic liver disease and 600 thousand facing death either from chronic liver disease or liver cancer globally. 

     Overcoming the scourge of malaria infection is possible when healthcare workers have good levels of understanding and attitudes towards the disease, which will influence their treatment practices. Saudi Arabia and Yemen are the only two countries in the Arabian Peninsula that are yet to achieve malaria elimination. This study assessed Knowledge of Malaria fever causes and symptoms among health care workers at the primary healthcare in Makkah City at Saudi Arabia. Malaria is one of the deadliest mosquito-borne diseases in the world. More than 80% of the total populations are at risk of malaria in the 22 countries in Asia and the Pacific. South Asia alone is home to an estimated 1.4 billion people at risk of contracting malaria.
 Aim of the study: The study aimed to assess the knowledge about Malaria fever causes, signs and symptoms among health care workers at the primary healthcare in Makkah City at Saudi Arabia.
Methods: Across sectional descriptive study conducted among including health care workers at the primary healthcare in Makkah Al-Mokarramah city, during the October to December, 2020, the Sample size of medical practitioners. Our total participants were (350).
Results: shows the
Total knowledge of the malaria fever results show the majority of participant had weak information were(62.6%) while average of the Knowledge about participants  signs of the malaria fever were(33.4%) the data ranged from(1-24) by mean ±SD(11.094±4.503) and a statistical significant relation While Chi-square X2 180.109  and P=value 0.001and  that is a significant positive correlation between Knowledge about causes and signs were r= 0.70) and p-value =0.001
 Conclusion: Malaria remains a public health problem in most governorates of KSA region. Health professionals have suboptimal knowledge and practice levels regarding causes, signs, symptoms, standard precautions of infection control, while most of them have positive attitude. The identification and monitoring of malaria transmission hotspots and predictors would enable control efforts to be intensified and focused on specific areas and therefore expedite the elimination of residual malaria from the whole region
 Therefore, it is recommended to enforce their training

Background:
Primary health care, the basis of universal health coverage, needs to be assessed on its performance through Saudi health care quality system and future opportunities to serve the Saudi Arabian population increase the chance of desired health outcomes. Saudi Arabia has invested heavily in its health care system by establishing health care infrastructures to improve health of the nation. However, it remains to be seen whether it is efficient and effective in providing health care services needed. In spite of substantial improvements in the Saudi Arabian health services sector in the past few decades, the country is facing a number of challenges in its primary health care system. These challenges include increased demand because of rapid population growth, high costs of health care services, inequitable access, concerns about the quality and safety of care, a growing burden of chronic diseases, a less than effective electronic health system, poor cooperation and coordination between other sectors of care, and a highly centralized structure.
Aim of the study: This study aims to determine the impact of quality on the Saudi Heath care system in primary health care centers in Makkah on satisfaction of Saudi people.
 Method:A cross-sectional studydesign. The current study was conducted male and female in primary health care centers in Makkah.the study randomly sampled. The total sample size will be (300) participated. female and male.
Results:Regarding Patient satisfaction about study results showed that the majority of participants were high satisfaction proportions (65.7%) while average satisfaction were (31%) While The Range (50 – 113) Mean +SD (89.913±11.636). Regarding Patients satisfaction about Patients satisfaction about social and behavioral characteristics results show that the majority of participants were high satisfaction proportions (64.3%) while average satisfaction were (33.3%) While the Range (28 –56)Mean+SD(46.796±5.9636)
Conclusion:The Saudi Arabian health care system needs comprehensive reform with a focus on primary health care.There is substantial variation in the quality of Saudi primary care services. In order to improve quality, there is a need to improve the management and organization of primary care services. Professional development 
strategies are also needed to improve the knowledge and skills of staff.
 
 

Background:
Dengue has emerged as a major public health problem, with increasing incidence and widening geographic spread over recent years. It is a vector-borne disease that is transmitted from person to person by mosquitoes. Dengue is a mosquito-borne infection found in tropical and subtropical regions around the world. In recent years, transmission has increased predominantly in urban and semi urban areas and has become a major international public health concern.Since 1994, Makkah province became a dengue-endemic area with high rate of dengue infection during, spring and early summer. The primary-care physician plays a key role in dengue diagnosis, management, and prevention.
Aim of the study:The study aimed to assess the level of knowledge about symptoms of the dengue fever in the primary health-care medical practitioner’s in Makkah Al-Mokarramah city at Saudi Arabia
.Methods: Across sectional descriptive study conducted among including medical practitioner’s  in selected primary health–care centers in Makkah Al-Mokarramah city, during the October to December, 2018, the Sample size of medical practitioners . Our total participants were (300)
.Results: This table shows the majority of participant (43.0%) have average level of knowledge about symptoms of dengue fever followed by (36.3%) of participant high while Range(0-10) and Mean ±SD(6.387±2.323). Regarding knowledge about signs dengue fever, that majority of participant (48.3%) have average level of knowledge followed by (38.3%) of participant have an high level of knowledge while Range(1-11) and Mean ±SD(7.877±2.052). Regarding the participant total level of knowledge about dengue fever, about (41.4%) have average level followed by (38.3%) have average level of knowledge while Range(3-21) and Mean±SD(14.263±4.021)
Conclusion: This review highlights the need for revealed major gaps on knowledge about symptoms of the dengue fever in the primary health-care medical practitioner’s related to dengue Makkah. primary health-care medical practitioner’s working in primary Health care need training and regular supervision to improve their knowledge on the about symptoms of the dengue fever. The results of this study provide a useful opportunity to identify strengths and areas in need of improved, knowledge about symptoms of the dengue fever in primary-care management of dengue.