A cross sectional study to assess the satisfaction level among people living with HIV/AIDS in a hilly state of northern India

Sunita ., D. S. Dhadwal, Anmol Gupta, Anjali Mahajan, Amit Sachdeva


Background: Patient satisfaction is the patient’s perception of care received compared with the care expected.Measurement of patient satisfaction helps in understanding patients’ experiences of health care, identifying problems and evaluation of health care. Increased patient satisfaction leads to increased patient retention and decreases medical malpractice claims. Dissatisfied patients may have worse outcomes as they may not follow treatment plans. The objective of the study was to determine the satisfaction level among people living with HIV/AIDS visiting ART Centre IGMC Shimla.

Methods: A cross sectional study was conducted among >15 years from September 2016 to August 2017 in ART Centre IGMC Shimla and satisfaction level was assessed by using the PSQ18 instrument.

Results: Total 160 participants were enrolled in study among which 71.9% were males while 92.5% were above 30 years of age. Most of the patients were asymptomatic (currently not ill) at the time of consultation and their mode of disease transmission was sexual. The mean scores of PSQ-18 domains i.e. general satisfaction, technical quality, interpersonal manner, communication, financial aspects, time spent with doctor, accessibility and convenience was calculated. Highest score in interpersonal manner, time spent with doctor (3.99±0.12) and lowest score in general satisfaction (3.77±0.54). There was no statistically significant difference between overall satisfaction in relation to different socio demographic and clinical variables found in our study.

Conclusions: Our study reflects that patients were much satisfied with the way health care providers were treating them and spent time with them while they were dissatisfied with something about the health care they were receiving.


HIV, AIDS, Satisfaction level, PSQ18

Full Text:



Aiello A, Garman A, Morris BS. Patient satisfaction with nursing care: A multilevel analysis. J Quality Management in Health Care. 2000;312(3):187–91.

Mindaye T, Taye B. Patient’s satisfaction with laboratory services at antiretroviral therapy clinics in public hospitals, Addis Ababa, Ethiopia. BMC Res Notes. 2012;5:184-7.

Andaleeb SS, Siddiqui N, Khandakar S. Patient satisfaction with health services in Bangladesh. Health Policy Plan. 2007;22:263–73.

Ware Je JR, Davies AA, Stewart AL. The measurement and meaning of patient satisfaction. Health Med Care Serv Rev. 1978;1:3–15.

Fitzpatrick R. Surveys of patient satisfaction: designing a questionnaire and conducting a survey. Br Med J. 1991;302:1129–32.

Chakraborty SN, Bhattacherjee S, Rahaman MA. A cross-sectional study on patient satisfaction in an Urban Health Care Centre of Siliguri Municipal Corporation, Darjeeling, West Bengal. Med J DY Patil Univ. 2016;9:325-30.

Suryakantha AH. Community Medicine with Recent Advances. 2nd ed. Bengaluru (India): Jaypee Brothers Medical Publishers (P) Ltd.2010;3:591.

Vahab SA, Madi D, Ramapuram J, Bhaskaran U, Achappa B. Level of Satisfaction Among People Living with HIV (PLHIV) Attending the HIV Clinic of Tertiary Care Center in Southern India. J Clin Diagnos Res. 2016;10(4):8-10.

Liping M, Peng X, Haijiang L, Lahong J, Fan L. Quality of Life of People Living with HIV/AIDS: A Cross-Sectional Study in Zhejiang Province, China. PLoS ONE. 2015;10(8):0135705.

Charles B, Jeyaseelan L, Pandian AK, Sam AE, Thenmozhi M, Jayaseelan V. Association between stigma, depression and quality of life of people living with HIV/AIDS (PLHA) in South India – a community based cross sectional study. BMC Public Health. 2012;12:463:1-11.

Deshmukh NN, Deshmukh JS, Borkar AM, Khamgaonkar MB. Depression in people living with HIV/AIDS: A Prevalence study in Anti-Retroviral Therapy Centre. J Acad Indust Res. 2013;2(5):262-4.

Bakiono F, Ouédraogo L, Sanou M, Samadoulougou S, Guiguemdé PW, Samadoulougou FK, et al. Quality of life in people living with HIV: a cross-sectional study in Ouagadougou, Burkina Faso. Springer plus. 2014;3:372-7.

Karkashadze E, Gates MA, Chkhartishvili N, DeHovitz J, Tsertsvadze T. Assessment of quality of life in people living with HIV in Georgia. Int J STD AIDS. 2017;28(7):672–8.

Naik AB, Naik AB. Emergence and Social Stigmatization of HIV/AIDS in Kashmir Valley. Int J Indian Psychol. 2015;3:132-7.

Sonani HP, Undhad AM, Savani GT. Clinical and socio-demographic profile of patients registered at art centre, smimer, Surat. National J Community Med. 2011;2(1):130-2.

Rai S, Yesikar V, Dixit S, Sharma SS, Saroshe S, Patel J, Assessment of client satisfaction among HIV/AIDS patients attending selected ART centers of Indore and Ujjain division of Madhya Pradesh. Public health Rev: Int J Public health Res. 2016;3(2):59-64.

Holikatti PC, Kar N, Mishra A, Shukla R, Swain SP, Kar S. A study on patient satisfaction with psychiatric services. Indian J Psychiatry. 2012;54:327-32.