شرعی امور میں آسانی اور سہولت کا تصور، قرآنی احکام کی روشنی میں

Islam is considered to be the religion of nature due to its originality and suitability to human nature for all times or centuries. It continues to be successful in the developed world, and elsewhere, because its call is in accordance with the fitrah or natural inclinations of mankind. Allah, subhanahu wata'aala, is the creator of mankind and therefore knows his nature more intricately than mankind himself. Allah has therefore chosen for us a religion best suited to the nature of mankind, a religion that goes neither to the extremes of hardship nor of laxity, but instead provides a middle path; in other words, a religion of ease. Islam does not lay on people tasks that they cannot do or they will have difficulty in doing. Whenever, there is any difficulty performing any religious obligation faced by Muslims, they have provided an element of ease and comfort. In this regard, the focus of this paper is to throw light on the notion of ease and leniency of Islam.  

Assessment of Patient Satisfaction With Primary Health Care at the Family Medicine Centre of Aga Khan University Hospital, Nairobi

Background: Patient satisfaction is one of the key indicators by which the quality of healthcare service is evaluated. The World Conference of Family Doctors African Chapter's (WONCA-Africa) encourages Family Medicine practices to regularly assess their patients' satisfaction as one of the criteria for benchmarking and auditing the quality of primary care in Africa. The Kenyan government, in a quest to improve primary care provision, has formulated policy to make family physicians essential players in coordinating and enhancing standards of primary care. Objective: This study aimed to assess patient satisfaction with the quality of primary health care services provided by family physicians at the Family Medicine Clinic Aga Khan University Hospital Nairobi. Methods: A cross-sectional, descriptive, quantitative study using a modified version of the post-consultation General Practice Assessment Questionnaire (GPAQ-R) was conducted. A total of 317 patients were selected through systematic random sampling. Level of satisfaction was calculated by averaging summing the total scores of different domains in the questionnaire. The cut off for the level of satisfaction was 82 points out of a possible 128 points. Exploratory Factor analysis derived factors affecting overall satisfaction. The correlation of the independent variables with overall satisfaction was analysed using the Chi-Square test. Results: Of the 310 study respondents, 93% were satisfied with the care provided. The overall mean patient satisfaction score (standard deviation) was 103.14 (14.2). Factors that mostly contributed to overall patient satisfaction were effective communication (variance 31 %) and timeliness of care (variance 8 %). Patients with long-standing conditions were more satisfied than those with acute conditions. (99.01 % v 90 %, p=0.006). Conclusion and recommendation: Patients were highly satisfied with the care provided at the Family Medicine Clinic. Communication and timeliness of care contributed to overall satisfaction. Patients' with chronic conditions were found to be satisfied with the care provided. Additional research that incorporates a care provider's perspective may be required to better elucidate enablement and empathy as factors that affect patient satisfaction. Furthermore, we recommend a study that addresses financial accessibility, infrastructure and clinical competencies of care providers in the assessment.