1Albana Morina
Ministry of Health, Prishtina, Kosova.
Aim: Presentation of services in Primary Health Care with a focus on the home visiting program for mothers and children. Needs and requirements of individuals and the community with the aim of promoting, maintaining and improving health for all citizens of the Republic of Kosovo. Evidence suggest that inequalities in health services should be addressed and enable quality of services to everyone.
Methodology: Assessment of level of integration and application of home visits for mother and children health within primary health care structure, based on home visiting performance indicator for 2015/2019, observations from monitoring visits, interviews with family medicine management as well as interviews with health workers were selected to be further analysed in selective 22 municipalities.
Results: Implementation of home visits resulted with better performance for certain Municipalities compare to others. There are identified number of factors that indicate the reason for such a performance. Decentralization of services and performance of managerial capacity is one of the factors that affect the efficiency of services and implementation of policies. Out of total 30 000 home visits conducted during 2015-2019, 13 % of them are to infants within the first 3 days of life, considered as critical period for the identification and prevention of diseases. Compare to 2015/2016, quantity and quality of home visits has been increased during 2018/2019.
Conclusions: Provision of services through home visits ensures continuation of care, health promotion and inclusion in the family and community, involves other sector which reduces the inequality of access to health services for maternal and child health.
Keywords: children, home visit, mother, Kosova.