Background: Standards are application of the rules of the medical care within the institutions
of Orphans. Aim of the study: was to assess quality of health care provided in orphanage at
Dakahlia Governorate, develop standards care for orphan children, implement the standards
care for orphan children and evaluate the developed standard care for orphan children.
Subjects & methods: Research Design: Exploratory and cross section descriptive study
with before-after assessment. Setting: the current study was carried out in five shelters at
Belkas. Dakahlia Governorate. Subjects: composed of all children 6-18years (N=100
children, 100 care giver and 5 nurses. Tools of data collection: Two tools were used to
collect data mainly interviewing questionnaire sheet and observation check list. Results:
revealed that the three quarters of study orphan children were male. Nearly one third of the
children inside shelters were didn't not complete their education, while two third of them were
Continuity education. Half of the children were see orphanage as punishment institution.
Health problems among orphanage shelters were significantly higher, including many
diseases. More than one third of children were suffer from psychological problems before
apply developed standards care while 14% after intervention, half of them were suffer from
social problems before intervention decreased to rich 10% after intervention and 22% of them
suffer from physical problems before while 10% after intervention. Conclusion: It can be
concluded that care giver had limited knowledge and skills regarding develop and apply the
developed standards of health care for orphans in orphanages before applying standards
health care and after applying standards but still need more developed. Recommendations:
The study recommended that the standards health care services and nursing role should be
apply in the orphanage ,proper nursing care should be provided to orphanage children to treat
their health problems.