Assessment of an effective observer system in SRH malpractice

Ethical capacity building in health care system is improving by health services managers. Clients, health care providers and policy makers in health system need an ethical guideline in order to lead them in complex ethical situations. Ethical principles act as a barrier to challenge with providers’ medical malpractice and neglectance. In worldwide they continuously face ethical difficulties. Communication skills, in service training and ethics committee guidelines are effective approaches for solving these problems. Providers’ malpractices, errors and breaching of clients rights may produce serious physical, psychological and socio-economical consequences. The aim of this study was assessment of an effective observer system in SRH malpractice.
This study was an exploratory study. Mixed method approach was selected based on the study’s purpose. Forty five expert persons accepted participating in the study and completed informed consent. They were obstetricians-gynecologists; SRH specialists, medical ethicist, general practitioners, midwives, family health providers, lawyers and clergymen. Purposeful sampling was applied to data collection and achievement to saturation. Data were gathered through semi-structural, open-ended questions by Email and responds were analyzed using content analysis. Consensus was obtained after Round 2 and Round 3 Delphi.
The study’s main results included respect of clients’ rights, respect of providers’ rights, justice-centered system, lawful-centered system, accountability, process of malpractice reporting and assessment.
setting-up a network in order to improve Sexual and Reproductive Health services in Iran has created several new options in screening, diagnosis and treatment methods for women in reproductive age and as ethical issues. Providing an effective controlling system in order to assess and evaluate legal and ethical malpractice for respecting clients’ rights is a key element in SRH services.