DOI: https://dx.doi.org/10.18203/2394-6040.ijcmph20222892
Published: 2022-10-29

Patients’ perception of quality of anti-retroviral therapy services in south west Nigeria: a cross sectional study

Akin Oyebade, Ishola Familusi, Olawale Dauda

Abstract


Background: The World Health Organization reports that 60% of deaths from conditions requiring health care are due to poor quality of health care in low- and medium-income countries. The aim of this study is to assess quality of antiretroviral therapy (ART) services in Osun State, Nigeria.

Methods: This study utilized descriptive cross sectional study design. A semi-structured interviewer-administered questionnaire was developed to collect data from 150 patients receiving ART care from two health facilities providing ART services

Results: The mean score for perceived quality of ART care providers was 29.6 with 98.7% of respondents having high score and the mean score for perceived quality of ART Service Delivery was 56.3 with 97.3% of respondents having high score while the mean score for perceived quality of Health Facility structure was 22.1 with 79.3% of respondents having high score. Also, 96.7% of respondents strongly agreed that ART services are satisfactory; however only 22.7% of respondents strongly agreed that time spent with staff was adequate while 62.7% of respondents reported that Medical Records unit had the most delay. Age of respondents and the type of health facility were statistically significantly associated with perception of good quality of care

Conclusions: The time spent by patients with ART care providers needs to be optimized and the delay encountered in medical records unit should be reduced to improve quality of ART service delivery. Also, quality of ART care providers in University of Osun teaching hospital and ART facility structure at State Hospital Asubiaro should be improved.

 


Keywords


Anti-retroviral therapy, Quality of care, ART care provider, Service delivery, Perception of quality

Full Text:

PDF

References


Fact sheet: HIV/ AIDS.2019. Available at: https://www.who.int/health-topics/hiv-aids#tab= tab_1. Accessed on 24 August 2022.

HIV Basics: Transmission.2020. Available at: https://www.cdc.gov/hiv/basics/hiv-transmission/ ways-people-get-hiv.html. Accessed on 24 August 2022.

Global tuberculosis report 2021. Available at: https://www.who.int. Accessed on 24 August 2022.

Fact sheet: Tuberculosis.2021. Available at: https://www.who.int/news-room/fact-sheets/detail/ tuberculosis. Accessed on 24 August 2022.

Federal Ministry of Health. Nigeria HIV/AIDS Indicator and Impact Survey (NAIIS) 2018. Available at: www.nigerianstat.gov.ng/nada/index.php/catalog/65. Accessed on 24 August 2022.

Join United Nations Programme on AIDS. Available at: https://www.aidsinfo.unaids.org/. Accessed on 24 August 2022.

Quality health services.2020. Available at https://www. who.int/news-room/fact-sheets/detail/ quality-health-services. Accessed on 24 August 2022.

Quality of care. Available at: https://www.who. int/health-topics/quality-of-care# tab=tab_1. Accessed on 24 August 2022.

Institute of Medicine (US) Committee on Quality of Health Care in America. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington (DC): National Academies Press (US); 2001.

National Bureau of Statistics. National Population Estimates. Available at: https://nigerianstat.gov.ng /download /474. Accessed on 24 August 2022.

Tiruneh CT, Woldeyohannes FW. Antiretroviral therapy service quality and associated factors at selected public hospitals, Addis Ababa, Ethiopia, 2021. HIV AIDS. 2022;14:129-142

Atsebeha KG, Chercos DH. High antiretroviral therapy service delivery satisfaction and its' associated factors at Midre-genet hospital; Northwest Tigray, Ethiopia. BMC Health Serv Res. 2018;18(1):223.

Alhassan RK, Ketor CE, Ashinyo A. Quality of antiretroviral therapy services in Ghana: Implications for the HIV response in resource-constrained settings. SAGE Open Med. 2021;9:205-11.

Oche MO, Raji MO, Kaoje AU, Gana G, Ango JT, Okafoagu N, Umar AS. Clients satisfaction with anti retroviral therapy services in a tertiary hospital in Sokoto, Nigeria. J AIDS HIV Res. 2013;5(9):328-33.

Getenet H, Haileamlak A, Tegegn A. Clients’ satisfaction with anti retroviral Therapy Services at Jimma University Specialized Hospital. Ethiop J Health Sci. 2008;18(2):23-8.

Amanyire G, Wanyenze R, Alamo S, Kwarisiima D, Sunday P, Sebikaari G, Kamya M, Wabwire-Mangen F, Wagner G. Client and provider perspectives of the efficiency and quality of care in the context of rapid scale-up of antiretroviral therapy. AIDS Patient Care STDS. 2010;24(11):719-27.

Kinkel HF, Adelekan AM, Marcus TS, Wolvaardt G. Assessment of service quality of public antiretroviral treatment (ART) clinics in South Africa: a cross-sectional study. BMC Health Serv Res. 2012;12:228.