Abstract
Background: Standards are application of the rules of the medical care within the institutionsof Orphans. Aim of the study: was to assess quality of health care provided in orphanage atDakahlia Governorate, develop standards care for orphan children, implement the standardscare for orphan children and evaluate the developed standard care for orphan children.Subjects & methods: Research Design: Exploratory and cross section descriptive studywith before-after assessment. Setting: the current study was carried out in five shelters atBelkas. Dakahlia Governorate. Subjects: composed of all children 6-18years (N=100children, 100 care giver and 5 nurses. Tools of data collection: Two tools were used tocollect data mainly interviewing questionnaire sheet and observation check list. Results:revealed that the three quarters of study orphan children were male. Nearly one third of thechildren inside shelters were didn't not complete their education, while two third of them wereContinuity education. Half of the children were see orphanage as punishment institution.Health problems among orphanage shelters were significantly higher, including manydiseases. More than one third of children were suffer from psychological problems beforeapply developed standards care while 14% after intervention, half of them were suffer fromsocial problems before intervention decreased to rich 10% after intervention and 22% of themsuffer from physical problems before while 10% after intervention. Conclusion: It can beconcluded that care giver had limited knowledge and skills regarding develop and apply thedeveloped standards of health care for orphans in orphanages before applying standardshealth care and after applying standards but still need more developed. Recommendations:The study recommended that the standards health care services and nursing role should beapply in the orphanage ,proper nursing care should be provided to orphanage children to treattheir health problems.
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