Objectives: The study aims to evaluate the application of monitoring indicators for maternal, newborn andchild health through the evaluation of impact and coverage health indicators and to evaluate the usefulness of theapplication of these indicators at sub primary health care centers in Baghdad City.Methodology: A descriptive comparative design, which is using the evaluation approach, has been steered atSub Primary Health Centers of Baghdad City in order to evaluate the application; impact and coverage, and theusefulness of monitoring indicators for maternal, newborn and child health from December 4th 2017 to April 29th2018. A multistage, "non-probability" convenient, sample is selected for the present study. A total of six SubPrimary Health Centers in Al-Karkh Health Directorate, compared with six Sub Primary Health Centers in AlRussafaHealth Directorate. A questionnaire is adopted from the World Health Organization "health monitoringmaternal, newborn and child health: understanding key progress indicators" and developed for the purpose of thepresent study. Content validity and internal consistency reliability are determined for the study instrumentthroughout a pilot study. Data were collected through the utilization of the study instrument and the structuredinterview technique as means of data collection. Data were analyzed through the application of descriptivestatistical data analysis approach of frequency, percentage, mean, total scores and range and inferential statisticaldata analysis approach that includes t-test.Results: Findings of the study revealed that the maternal, newborn and child health indicators are not perfectlyapplied and experiencing some deficiencies in their application at the sub primary health care centers.Confirmatory data analysis throughout hypothesis testing has revealed that sub primary health care centers areexperiencing almost the same problems relative to the impact, coverage and usefulness of these indicators.Recommendations: The study recommends that the Ministry of Health and Environment Public HealthDirectorate can take serious planning for action in applying these indicators, periodic and systematically drivenmonitoring and evaluating the application of such indicators, and focal personnel can be encouraged toparticipate in training sessions and workshops for the benefits of applying these indicators

Background: In the health context, the word “quality” often denotes a spectrum of desirable characteristics of health systems and, in particular, health care. Quality assurance programs are designed to investigate the effectiveness, efficiency, safety, and standards of health services and strategies and to identify measures for achievable improvements. A characteristic feature of quality assurance in health is that, with dynamic developments in medical practice required to stay in line with modern trends, the quality assurance system needs to be continually updated. Aims of The Study: To evaluate the quality assurance of sub-primary health care centers in Basra city, relative to their structure, process, and outcome. Methodology: A Descriptive study design was employed to evaluate the quality of primary healthcare with respect to structure, process, and consumer satisfaction, involving (60) clients and (10) sub-primary health Basra city for the period of October 15th 2021 through May 1st 2022. Non-probability “convenient” sample of (10) primary health care centers. Conclusion: The Ministry of Health and Environment with the collaboration of the Basra health directorate periodically monitors the primary healthcare centers in Basra City and guarantees that all of them, regardless of their classification as sub-primary healthcare centers. The Directorate of Public Health in Basra, which is responsible for the primary health care sectors in Basra, must distribute the medical staff according to health standards and indicators to ensure quality because there is a shortage of medical staff and in addition to a shortage of medical equipment because the primary care sub-centers cross the important part, especially in rural areas. Keywords: Evaluation, Quality assurance, Primary healthcare, Primary Health Care Centers.

Objective(s): The objective of the study is to determine the nutritional status of adolescents through anthropometric measurements (Body Mass Index, triceps skin fold thickness, mid-upper arm circumference and mid-arm muscle circumference) in Al- Najaf governorate. Methodology: descriptive study was conducted in the governorate of Najaf on adolescents aged (10-19), in collaboration with the Directorate of Education in the governorate of Najaf for the period of December 1st 2011 to June 1st 2012. The sample included students of primary schools, intermediate schools and secondary schools (1330 students) males and females and the sample at random selected of those schools, in Najaf, the division into three districts (Najaf, Kufa, and Manadhera) and all divided into urban and rural areas. The information was collected through self-fill data as a way to collect the sample using a questionnaire composed of two parts, Part I, including demographic characteristics and contains(12) Items and the second part, which included anthropometric measurements that filled by the researcher. Select the stability of the questionnaire during the study and select the pilot study through a group of 15 experts. Been described and analyzed the data using methods of descriptive statistics and inferential. Results: The results showed that there was a significant correlation scale, the proportion of fat under the skin and the ratio of the effect in males 22.5% and females 16.4%, while with regard to the scale of the vicinity of the average upper arm was Ceuta effect in males 51.1% and females 41.2%, with respect to scale ocean Average arm muscles influencing the proportion of 67% in males and females 75.9%, the study showed that there is a significant impact between nutritional status and adolescents of both sex. Conclusion: The vast majority of students were at age group (14-15 and16-17) years; also Education Levels in Secondary schools; and in Family type in Nuclear family rather than extended family, also Socio-Economic Status in Middle status. The majority of Body Mass Index in obese was male, while the majority of overweight was female. The large subject of study in Triceps Skin fold Thickness the lower than range in male, but above normal range in female. In the both genders, the Mid-Upper Arm Circumference was lower than normal range in great subject of the study. In both genders, the Mid-Arm Muscle Circumference was lower than normal range in great subject of the study. Recommendations: The study recommended to pay attention to adolescents in terms of food and the emphasis on food quality, not quantity, activating the role of school health and give importance to the countryside more broadly, the work of rounds of health inspection for teenagers interested in aspect and food follow a regular basis, work sessions of the healthy nutrition of the parents in the schools with the assistance of specialists in the field of nutrition and public health, the work of explanatory posters showing the importance of nutrition and food in adolescence.

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