ASSESSMENT OF PATIENTS SATISFACTION WITH HIV/AIDS CARE IN ANAMBRA STATE, NIGERIA.

ASSESSMENT OF PATIENTS SATISFACTION WITH HIV/AIDS CARE IN ANAMBRA STATE, NIGERIA.

Abstract

Introduction
Continuous quality improvement is linked to the use of timely and useful feedback from clients in HIV care. Patient satisfaction surveys provide a vehicle for feedback. From the first days of the epidemic some twenty plus years ago, one thing that set HIV apart from other illnesses was the degree to which consumers influenced HIV policy and care. So it is not surprising that HIV experts and care professionals agree that consumer involvement, such as patient satisfaction survey, is an essential part of HIV care and policy making today. The introduction of ART services in Nigeria has significantly impacted positively on the overall well being of PLWHAs. However, there is little understanding of their satisfaction and perception of quality of care provided. Consequently, this study was carried out to assess patients’ satisfaction with ambulatory HIV/AIDS care in some health facilities in Anambra State.
Methodology
The study design is cross-sectional and comparative. A total of 300 patients (150 each from NAUTH, Nnewi and SCBH, Onitsha) were selected using systematic sampling technique from the daily ARV clinic register obtained from the medical records departments of both centres. Data was collected using a structured interviewer-administered questionnaire and analysed using SPSS version 13. This was complemented with 4 sessions of FGDs, each involving 10 participants purposively selected, and 2 KIIs. Data collected were analysed thematically in addition to using quotes to express the opinions of the respondents.
Results
The mean age of the respondents were 36.5 ± 9.2 and 38.3± 9.1 for the secondary and tertiary health facilities respectively. Majority of the patients in both localities were married, their educational status did not differ significantly from each other and most of them were traders. A significant proportion of those that reside outside the state utilized the tertiary health
facility. The mean overall satisfaction score for both facilities differed from each other 4.04 ± 0.33 and 4.25± 0.45 (t=4.51, p=0.001), for NAUTH, Nnewi and SCBH, Onitsha respectively and the difference was statistically significant. PLWHAs from both facilities were least satisfied with access to care, although they were impressed with waiting time except for the time spent at the records unit. User fees, though complained of by most participants, and socio-demographic characteristics did not significantly influence patient satisfaction. Good patient care and quality of service were what the patients liked most about the facilities, while delays and staff attitude ranked highest in what they like least. Recruitment of more staff and retraining of the existing ones were considered uppermost as possible ways of improving patient care in both facilities. Also, they desired to be given more roles in determining the services provided to them and where possible PLWHAs should be involved in patient care.
Conclusion
Patient satisfaction survey has been shown to be an important tool in assessing outcome and quality of care. It provides a feedback mechanism for improving services provided to HIV patients. Their overall satisfaction with the services provided to them was quite high. Therefore, there is need to sustain the current level of quality of care provided to the patients and if possible improve upon it. However, efforts should be made to further decentralize ART services to make it more accessible to the growing number of PLWHAs needing care and support.

Title Page———i

Certification——–ii

Dedication———iii

Acknowledgement——-iv

Abstract ———vi

Table of Content——–vii

 

Chapter One

1.0 Introduction ——-1

1.1 Statement of Problem——4

1.2 Purpose of the Study——5

1.3 Significance of Study——8

1.4 Limitation——–9

1.5 Scope of Study——-11

 

Chapter Two

2.0 Review of Related Literature —-12

2.6 Summary of Literature Review—- 19

 

Chapter Three

3.0 Research Methodology and Procedure—22

3.1 Population ——–22

3.2 Sample and Sampling Technique—-22

3.3 Validation of the Instrument —-23

3.4 Reliability of the Instrument —–23

3.5 Data Analysis——-23

 

Chapter Four

4.0 Presentation and Discussion of Result—24

4.1 Analysis and interpretaion of Data—25

4.2 Discussion of Results——38

 

Chapter Five

5.0. Summary, Conclusion, and Recommendation  –40

5.1 Summary——–40

5.2 Conclusion——–41

5.3 Recommendation——42

References ———45

Appendix 1——–47

Appendix ———50

ASSESSMENT OF PATIENTS SATISFACTION WITH HIV/AIDS CARE IN ANAMBRA STATE, NIGERIA.

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