Date of Conferral



Doctor of Healthcare Administration, DHA


Health Services


John Oswald


This study surveyed healthcare professionals and rheumatic heart disease (RHD) female participants in two hospitals located in central Afghanistan to examine the effects of communication among healthcare professionals, ethnicity and socioeconomic status, and the health quality of life. The social ecological models (SEM) of health promotion was utilized in the individual (communication between healthcare professionals), community (health quality of life), and societal factors (ethnicity and socioeconomic status). Three research questions were explored in this study: the significance of RHD healthcare professional's education to their RHD female patients ages 16 to 45 years; a correlation between ethnicity and socioeconomic status among the targeted participants; and a correlation between health-related quality of life and RHD education among the targeted participants. This study was a cross-sectional quantitative survey design with 138 participants to determine the factors of RHD education, communication training, and beliefs of the targeted population in assessing RHD effects. McNamara's, Pearson's, and Chi test was used for determining correlation and relation of the research variables. The results of this study showed a correlation between healthcare professional communications and RHD but no correlations for ethnicity and socioeconomic status, and health quality of life and RHD. This study promotes positive social change through training healthcare professional to educate their female RHD patients about prevention and living with the disease. This research showed that the onset of healthcare professional education could reduce the effects of the disease. Moreover, the need for funding of the society would also control the RHD effected population.