Patients’ perception of quality of tuberculosis healthcare service in South West Nigeria

Akin Oyebade; Olatoun Adeola; Timothy Akinmurele; Olaniyi Taiwo; Adeniyi Oginni; Isiaka Adekunle; Maroof Gbadamosi

doi:10.18203/2394-6040.ijcmph20230913

Authors

Akin Oyebade Osun State Agency for Control of AIDS, Osogbo, Nigeria https://orcid.org/0000-0003-0202-0315
Olatoun Adeola Equitable Health Access Initiative, Lagos, Nigeria
Timothy Akinmurele Equitable Health Access Initiative, Lagos, Nigeria
Olaniyi Taiwo Intercountry Center for Oral Health for Africa, Nigeria
Adeniyi Oginni Osun State Health Insurance Agency, Osogbo, Nigeria
Isiaka Adekunle Osun State Ministry of Health, Osogbo, Nigeria
Maroof Gbadamosi Osun State Ministry of Health, Osogbo, Nigeria

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20230913

Keywords:

Quality of TB care, Waiting time, TB facility, Patient satisfaction

Abstract

Background: Nigeria has the highest burden of tuberculosis (TB) in Africa and is among the 14 countries in all the 3 world health organization global high-burden countries for TB, TB/HIV and MDR-TB. The aim of this study was to assess patients’ perception of the quality of TB healthcare in Southwest Nigeria

Methods: The study utilized the cross-sectional design, and data was collected from drug-sensitive TB clients receiving care at health facilities providing TB healthcare services

Results: The average time clients spent to get to TB facilities from home was 23 minutes, the average waiting time was 6.7 minutes, and the average medical visit time was 17 minutes. Sixty-seven percent of respondents strongly agreed that doctors explained medical test result with them and 68.7% strongly agree that they wanted the medical doctors to spend more time with them. The mean score for convenience of accessing drugs was 4.8±0.5 mins, mean score for convenience of accessing laboratory test was 4.7±0.6 mins and mean score for convenience of accessing chest x-ray was 3.8±1.4 mins. Overall, the quality of TB care was perceived to be good.

Conclusions: Overall, the quality of TB services is very good from the perspectives of the patient, however, there is need to improve integrated patient-centered TB healthcare services by medical doctors. In addition, access to chest x-ray services should be improved to enhance quality of TB services.

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References

World Health Organization. Global tuberculosis report 2022. Available at: https://www.who.int/teams/global-tuberculosis-programme/tb-reports/global-tuberculosis-report-2022. Accessed on 27 January 2023.

World Health Organization. Global Tuberculosis Report Factsheet, 2022. Available at: https://www.who.int/publications/m/item/global-tuberculosis-report-2022-factsheet. Accessed on 27 January 2023.

National Tuberculosis and Leprosy Control Programme, Department of Public Health, Federal Ministry of Health, Nigeria. The National Strategic Plan for Tuberculosis Control Towards Universal Access to Prevention, Diagnosis and Treatment 2015-2020, 2014. Available at: https://www.health.gov.ng/doc/NFM_Nigeria_NSP-for-TB-Control2015-2020_anx5.pdf. Accessed 1 February 2023.

Alli O, Ogbolu D, Salawu M, Oyedeji J, Oladokun L, Obaseki F. Molecular identification and prevalence of Mycobacterium Tuberculosis complex amongst People living with HIV in Osun State. Nigeria. Afr J Clin Exp Microbiol. 2010;11:3.

Oyedeji G, Adeyemo C, Dissou A, Abiodun T, Alli O, Onaolapo O et al. Prevalence of Multi-Drug Resistant Tuberculosis among Tuberculosis Patients Attending Chest Clinics in Osun-State, Nigeria. Curr Pharmaceutical Biotechnol. 2020;21(10);939-47.

National Tuberculosis and Leprosy Control Programme. Federal Ministry of Health, Nigeria Annual TB Report, 2019. Available at: https://www.health.gov.ng/doc/Draft-2019-NTBLCP-Annual-report-22032020.pdf. Accessed on 27 June 2022.

World Health Organization. Quality health services, 2020. Available at: https://www.who.int/news-room/fact-sheets/detail/ quality-health-services. Accessed on 1 February 2023.

World Health Organization. Quality of care, 2020. Available at: https://www.who.int/ health-topics/quality-of-care# tab=tab_1. Accessed on 1 February 2023.

Institute of Medicine. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, D.C: National Academy Press. 2001.

Wikipedia. Osun State, 2012. Available at: https://en.wikipedia.org/wiki/Osun_State. Accessed on 20 January 2023.

Ibrahim F, Jaleta F Tuberculosis Treatment Services Satisfaction and Associated Factors among Patients Attending Public Health Centers in Kolfe Keranio Sub City, Addis Ababa, Ethiopia. J Heal Systems Policies. 2020;2(3):298-318.

Dunsch F, Evans D, Macis M, Qiao W. Bias in patient satisfaction surveys: a threat to measuring healthcare quality. BMJ Global Heal. 2018;3:e000694.

Belay M, Alemayehu A, Birtukan T, Tezera M. Patients’ Perspectives of the Quality of Tuberculosis Treatment Services in South Ethiopia. Am J Nursing Sci. 2014;3:48-55.

Mesfin M, Newell J, Walley J, Gessessew A, Tesfaye T, Lemma F et al. Quality of tuberculosis care and its association with patient adherence to treatment in eight Ethiopian districts. Health policy and planning. 2009;24(6):457-66.

Nezenega Z, Gacho Y, Tafere T. Patient satisfaction on tuberculosis treatment service and adherence to treatment in public health facilities of Sidama zone, South Ethiopia. BMC Heal Services Res. 2013;13:110.