The Study of Quality and Satisfaction with The Service Delivery of Well Child Clinic According to Maternal and Child Health Standards, Health Region 6

Abstract

This descriptive research aimed to evaluate the service delivery, recipient satisfaction, and operational challenges of well child clinics in one province within a Thai 6 th health region, following national maternal and child health standards. Using random sampling, seven hospitals were selected: one general/regional hospital, two community hospitals, and four sub-district health promotion hospitals. Data were collected from 21 service providers and 70 service recipients. Through questionnaires and in-depth interviews. Results showed that while over 80% of providers adhered to standard practices, gaps remained in facility readiness and service completeness particularly in areas such as physical exam rooms, growth monitoring tools, and services like vision, hearing, and blood pressure checks. For children under two, common omissions included blood tests and iron supplementation; for those aged 3-5, vision testing, emotional development assessment, and blood pressure checks were frequently missed. Overall recipient satisfaction was high (average score 4.42), with cost rated most positively and wait times and child-friendly health promotion areas notes as key concerns. The study recommends aligning clinic operations with national guidelines, improving infrastructure, staffing, and ongoing staff training to enhance service quality