Table 4 Process challenges of middle-aged men in utilizing new health services
Category | Codes | Similar meanings |
|---|---|---|
Service quality | Poor communication skills while interacting with clients | • Staff’s use of vague and incomprehensible terms • Poor counseling • Staff’s lack of sufficient skills to hold group education |
Incomplete provision of middle-aged service package | • Absence of a physician at the time of services delivery • Elimination of services required by men from service packages such as kidney and urinary tract services | |
Poor hygienic conditions of the health service centers | • Ignoring beautification of service centers • Not observing hygiene in service centers | |
Program management | Poor referral system | • Inadequate follow-up of care within the referral system • Lack of proper division of labor in the referral system • Shortage of doctors and experts |
Low priority of men’s health program within the health system | • Low priority of men’s services in the service registration system (46) | |
Shortage of male urban community health workers in service centers | • Not hiring male urban community health workers in service centers | |
Inadequate utilization of the capacities and participation of other sectors | • Not using the potential of Dehyari (Rural Governor Offices) • Not using the potential of factories, offices and clubs | |
Interest in the quantity of activities | • Managers’ interest in the quantity of the activities of health workers • Health workers’ haste in providing more but incomplete services | |
System of information registration and follow-up | Frequent disconnections in the Internet and intranet network | • Poor coverage of Internet and intranet networks in CHSCs, HBs and HPs |
Systems problems | • Impracticality of inviting middle-aged people through sending SMS in the systems (46) • Incomplete provision of reports on men’s health status in SIB system | |
No active house-to-house follow up by community health workers | • Unavailability of a vehicle for community health workers to do service follow-ups • Community health workers’ insecurity and being disrespected during follow-ups | |
Health education and publicizing | Inadequate publicizing and poor health education | • Inadequate publicizing of the available services • System inefficiency in holding training courses for the personnel |
No active presence of the health system in cyberspace for publicizing | • Not using the competitive advantages of cyberspace to attract people • Insufficient training for community health workers |