Background: Research has identified a clear link between clinical outcomes and patient satisfaction especially in chronic diseases like diabetes, where a wide range of needs and expectations exists. Satisfaction affects the timely, efficient, and patient-centred delivery of quality health care. Aim: To assess patients' satisfaction with type 2 diabetes care and its relation to their glycaemic control. Patients and Methods: Analytic cross sectional study with a total of 72 patients ≥18 years old with type 2 diabetes who attend Port Fouad urban family health centre, Port Said city, Egypt were invited to complete 18 items, Patient Satisfaction Questionnaire (PSQ-18) to determine their satisfaction and its relation to the degree of HbA1c control. The questionnaire contained 7 domains to identify patients, doctors and practice determinants of satisfaction. Results: 60% of type 2 diabetic patients were satisfied with the provided health care services. Doctor's communication ranked the highest satisfaction level among other factors followed by satisfaction with consultation time and appropriateness of consultation room. Meanwhile, the study revealed a proportional relationship between overall patients' satisfaction and controlled HbA1c. Conclusion: There was a clear link between patients' satisfaction with type 2 diabetes care and improvement of their glycemic control.

Background: Information on the existing morbidity patterns and health care seeking behavior (HCSB) is essential for the analysis of most health related policy issues and enable governments to provide a need-based health care especially to rural communities. Methods: A community based cross sectional study was conducted from September 1st, 2015 to December1st, 2015 in Mahsama village, Ismailia Governorate, Egypt to determine acute morbidity patterns and HCSB of 839 households. Data were acquired on predesigned and pretested questionnaire. The household heads were considered as the respondents. The questionnaire included information on household incidence of acute illnesses during the preceding 4 weeks and related HCSB. Results: 839 home interviews were conducted with household heads to assess their HCSB and morbidity profile of their family members within the preceding 4 weeks of the study. 442 of respondents (52.7%) reported 984 recent acute illnesses in their families. Upper Respiratory Tract Infection (URTI) presented the most common disease (71.64%). Most patients (53.55%) consulted nonqualified providers. While 46.45% of patients preferred to consult qualified practitioners. The low cost (26.37%) and effectiveness of care (21.82%) were the main reasons behind the selection of the non-qualified providers. Respondents' education level, family income and perception of disease severity were also found to be the main determinants of this pattern of HCSB.Conclusion: it is important to develop a need based health care delivery system and actions focusing on the morbidity patterns and beliefs of local community to direct their HCSB to qualified providers. Key words: Acute morbidity incidence, rural health, health care seeking behavior. Introduction:In rural Egypt, a large number of deaths occurs mostly from preventable and treatable infectious diseases, such as Respiratory Tract Infection (RTI), diarrhea, and malaria. Obtaining reliable estimates of morbidity patterns and HCSB is challenging in resource limited countries like Egypt, where poor people tend to access non-qualified health care providers. Information on the existing morbidity pattern and HCSB is also essential for the analysis of most health related policy issues and enable governments to provide a need-based health care to their communities. (1) Egypt initiated its long-term Health Sector Reform Project in 1997. At the core of the reform was the primary health care (PHC) system. The Egyptian government substantially aiming to shift the focus of healthcare from reliance on specialist care to a less costly and more widely accessible primary care based model. Today around 5000 public primary care practices run by

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