Patients’ satisfaction with HIV and AIDS care in Anambra State, Nigeria

Abstract

IntroductionHIV and AIDS care requires frequent visits to the hospital. Patient satisfaction with care services during hospital visits is important in considering quality and outcome of care. Increasing number of patients needing treatment led to the decentralization of care to lower level hospitals without documented patient perception on the quality of services. The study determined and compared patient satisfaction with HIV and AIDS care services in public and private hospitals and identified the factors that influence it.MethodThis was a cross-sectional comparative study of patients receiving antiretroviral treatment in public and private hospitals in Anambra State. The sampling frame for the hospitals consisted of all registered public and private hospitals that have rendered antiretroviral services for at least one year. There were three public urban, nine public rural, eleven private urban and ten private rural hospitals that met the criteria. One hospital was selected by simple random sampling (balloting) from each group. Out of a total of 6334 eligible patients (had received ART for at least 12 months), 1270 were recruited by simple random sampling from the hospitals proportionate to size of patient in each hospital. Adapted, validated and pretested Patient Satisfaction Questionnaire (PSQ18) was interviewer-administered on consenting patients as an exit interview. A Chi-square test and logistic regression analysis were conducted at 5% level of significance.ResultThere were 635 participants each in public and private hospitals. Of the 408 patients who had primary education or less, 265(65.0%) accessed care in public hospitals compared to 143(35.0%) who accessed care in private hospital (p<0.001). Similarly, of the 851 patients who were currently married, 371 (43.6%) accessed their care in public compared to 480 (56.4%) who accessed care in private (p<0.001). The proportion of participants who were satisfied were more in public hospitals (71.5%) compared to private hospitals (41.4%). The difference in proportion was statistically significant (χ2 = 116.85, p <0.001). Good retention in care [AOR: 2.3, 95%CI: 1.5–3.5] was the only predictor of satisfaction in public hospitals while primary education [adjusted odds ratio (AOR); 2.3, 95%CI: 1.5–3.4], residing in rural area [AOR: 2.0, 95%CI: 1.4–2.9], and once-daily dosing [AOR: 3.2, 95%CI: 2.1–4.8] were independent predictors of patient' satisfaction among private hospital respondents.ConclusionSatisfaction was higher among patients attending public hospitals. Patient’s satisfaction was strongly associated with retention in care among patients in public hospitals. However, in private hospitals, it was influenced by the patient’s level of education, place of residence, and antiretroviral medication dosing frequency.

Patient satisfaction with antiretroviral therapy services and associated factors at Gondar town health centers, Northwest Ethiopia: an institution-based cross-sectional study

“…Significant variations among health centers might be explained by differences in the setups, health professional experiences, and materials availability, and accessibility in the health centers. The level of satisfaction in this study was consistent with that of a study at a referral hospital in Ethiopia (75.2%) [14] and a public hospital in Nigeria (71.4%) [21]. Patients satisfaction measurement had important implications for services providers and planners to identify gaps and improvement of service quality of the health care system.…”

“…The sample size was determined by using the single population proportion with the assumptions of 80% power, 4% margin of error and 41.5% proportion of satisfaction among HIV/AIDS patients from a study done in Nigeria [21], by considering a 10% non-response rate. The final sample was 663 adult HIV/AIDS patients who were on ART at least for 6 months.…”

Clients’ satisfaction with preventive services for malaria during pregnancy in Anambra state, Nigeria

“…Without limited health insurance cover and out of pocket spending, it could easily tip pregnant women and their families into catastrophic health spending and hence the dissatisfaction. The relationship between cost of services and satisfaction with health services have earlier been reported [ 17 ].…”

“…The part on knowledge was designed after literature search while the section on satisfaction was adapted from Patient Satisfaction Questionnaire, a standardized questionnaire [ 16 ], and modified it to suit our study. The patient satisfaction questionnaire had earlier been validated in the same state with Cronbach alpha of 0.78 [ 17 ]. Translation to native languages was done in cases where the respondents do not speak English.…”

Clients' satisfaction with preventive services for malaria during pregnancy in Anambra State, Nigeria

“…The patient satisfaction questionnaire had earlier been validated in the same state with Cronbach alpha of 0.78. 17 Translation to native languages was done in cases where the respondents do not speak English. Back-translation was also done to avoid ambiguity and ensure uniformity of understanding.…”