Primary health care centres (PHCC) are the front line of the health care system. Patient satisfaction is a crucial indicator of the quality of health care delivery, and ongoing research is required to ensure that the health care system operates efficiently. The aim is to evaluate the level of patient satisfaction with the health care services provided in the primary health care centres located in the heart of Basra city. A cross-sectional study in the primary health care centres involved 450 patients, and it was conducted from the 1st of February 2023 until the 30th of June 2023 in Basra, Iraq. Six central PHCC were randomly selected from each of the 3 sectors in a systematic way (1:6). Clients’ satisfaction with care was assessed according to the revised model of quality, which includes general appearance, trust, responsiveness, reassurance and sympathy. All of these details, including the socio-demographic characteristics, were collected by a face-to-face interview questionnaire and analysed by SPSS software. Patients' level of satisfaction was 59.2%. The reasons behind satisfaction were cleanliness of the facilities, good lighting, available area of waiting, ease of having a primary health care card, patient satisfaction within follow-up medical examination and procedure, and that the nursing staff provided their best services (79.6%, 91.3%, 97.8%, 98.2%, 86.2%, and 88.7%, respectively). The study showed that the most stated reason behind unsatisfaction was the unavailability of diagnostic machines and tools (51.8%) and the unavailability and effectiveness of medications (62.2%). A significant association was found between the level of patients' satisfaction with PHCC services and the respondents' level of education, and there is a significant association between age and level of satisfaction. The level of satisfaction with the services provided by PHCC in Basra is relatively acceptable. The majority of patients who come to PHCC are 30-39 years old (31.1%), and most of the patients that come to the primary health care centre have primary school education (36.7%). The lower educated patients are more satisfied than the higher educated patients. Cleanliness, competence of the staff, respect and good handling are the main causes of high levels of satisfaction.

Index Terms- PHCC, Basrah, Family Medicine, Iraq, Patient satisfaction