ArticleBMJ open2015
Perceived quality of HIV treatment and care services in Wolaita Zone of southern Ethiopia: a cross-sectional study.
Article in BMJ open, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Quality disparity in terms of clients' satisfaction with selected exempted health care services provided in Ethiopia:Health policy OPEN · 2022Article
- Continuous quality improvement in HIV and TB services at selected healthcare facilities in South Africa.Southern African journal of HIV medicine · 2021Review
- Capacity of health facilities for diagnosis and treatment of HIV/AIDS in Ethiopia.BMC health services research · 2018Article
- Exploring attitudes and perceptions of patients and staff towards an after-hours co-pay clinic supplementing free HIV services in Kampala, Uganda.BMC health services research · 2017Article
- Measuring health system responsiveness at facility level in Ethiopia: performance, correlates and implications.BMC health services research · 2017Article
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2 authors.
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Abstract
objectiveTo investigate the levels and factors affecting the perceived quality of HIV/AIDS treatment and care services.
designA cross-sectional study.
settingThe study was conducted in Wolaita Zone of southern Ethiopia in one hospital and five health centres providing antiretroviral therapy (ART) and pre-ART.
participants481 persons infected with HIV on outpatient care, 408 (83.8%) on ART and 73 (16.2%) on pre-ART care.
results324 (71.4%) of the participants perceived the quality of HIV care as 'good', while 130 (28.6%) stated that it was 'not good'; 219 (46.2%) and 255 (53.8%) were satisfied and not satisfied with the services, respectively. In the multivariate analysis, a unit increase in the doctors subscale of multidimensional health locus of control-form c score resulted in a 1.27 (1.04 to 1.55) increase in the odds of perceived good quality of care (p<0.05). Similarly, a unit increase in the responsiveness, perceived financial fairness, and perceived transportation convenience scores was associated with a 1.03 (1.01 to 1.05) (p<0.05), 1.08 (1.05 to 1.15) (p<0.01), and 1.07 (1.05 to 1.18) (p<0.05) increase in the odds of perceived good quality of HIV care, respectively. In terms of client satisfaction with services, a 1 km increase in the distance from health facilities, and unemployment were associated with a 4.64 (2.61 to 8.25) (p<0.001), 1.02 (1.01 to 1.04) (p<0.05) and 2.23 (1.30 to 4.54) (p<0.01) times, respectively, increase in the perceived quality of HIV treatment and care services.
conclusionsThe majority of the participants reported perceptions of good quality HIV care and satisfaction with the services. Satisfaction with services; responsiveness; health locus of control; perceived financial fairness; perceived transportation convenience; employment status; and distance from the health facility were predictors of the perceived quality of HIV care. Thus, improving quality of HIV treatment services may require addressing the above factors.
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