Conference abstract

Factors influencing patientís satisfaction with HIV/AIDS care services in public and private hospitals in Anambra State, Southeast Nigeria, 2015

Pan African Medical Journal - Conference Proceedings. 2018:8(17).21 Dec 2018.
doi: 10.11604/pamj-cp.2018.8.17.687

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Keywords: HIV, patientís satisfaction, hospital ownership, Anambra State
Opening ceremony

Factors influencing patientís satisfaction with HIV/AIDS care services in public and private hospitals in Anambra State, Southeast Nigeria, 2015

Chukwuma David Umeokonkwo1,2,&, Chima Onoka3, Mohammed Balogun1

1Nigeria Field Epidemiology and Laboratory Training Programme, Abuja, Nigeria, 2Department of Community Medicine, Federal Teaching Hospital Abakaliki, Ebonyi State, Nigeria, 3Department of Community Medicine, College of Medicine University of Nigeria, Nsukka, Nigeria

&Corresponding author
Chukwuma David Umeokonkwo, Nigeria Field Epidemiology and Laboratory Training Programme, Abuja, Nigeria

Abstract

Introduction: in Nigeria, HIV/AIDS treatment requires frequent visits to the hospital. Patient satisfaction with care services during hospital visits is important in considering quality and outcome of care. Satisfaction is influenced by several factors which need identification for institution of effective interventions. We determined satisfaction and analyzed factors that influence it.

Methods: we conducted a cross-sectional comparative study among 1270 patients who had received antiretroviral therapy for one year in Anambra State. We randomly selected four secondary-level hospitals (two each from public and private) from the list of hospitals providing HIV treatment in the State and recruited patients from the hospitals using multistage probability sampling method. Adapted, validated, pretested and interviewer-administered Patient Satisfaction Questionnaire (PSQ18) was administered on consenting patients as exit interview. We did descriptive statistics, chi square and logistic regression analysis at 5% level of significance.

Results: seventy-two percent (911) of the patients were females, mean age of the patients was 40.1 years. Patients in public hospitals were more satisfied (71.5%) than those in private hospitals (41.4%). The difference in proportion was statistically significant (χ2= 116.85, p < 0.001). Primary education [adjusted odds ratio (AOR); 1.6, 95% CI: 1.2 - 2.1, p < 0.001], residing in rural area [AOR: 1.5, 95% CI: 1.2-2.0, p = 0.002], once daily dosing [AOR: 1.8, 95% CI: 1.4 - 2.5, p < 0.001], attending public hospital [AOR: 3.3, 95% CI: 2.5 - 4.4, p = 0.001] and having good retention in care [AOR: 1.5, 95% CI: 1.1 - 2.1] were independent predictors of patient satisfaction in the study population.

Conclusion: patient satisfaction was influenced by patientís level of education, place of residence, hospital ownership type, retention in care and antiretroviral medication dosing frequency. Highly educated HIV patients, those residing in urban areas and those with poor retention need to be specifically targeted for patient satisfaction interventions.