Comparative Analysis of Patient Satisfaction Levels in HIV/AIDS Care in Secondary and Tertiary Health Care Facilities in Nigeria

SA Nwabueze, POU Adogu, AL Ilika, MC Asuzu


Background: Continuous quality improvement is linked to
the use of timely and useful feedback from clients in HIV
care. HIV experts and care professionals agree that
consumer involvement, such as patient satisfaction survey, is
an essential part of HIV care and policy making today. The
introduction of Antiretroviral Drugs (ARTs) services in
Nigeria has significantly impacted positively on the overall
well being of people living with HIV/AIDS (PLWHAs).
However, there is little understanding of their satisfaction
and perception of quality of care provided.
Objective: This study comparatively assessed patients'
satisfaction with ambulatory HIV/AIDS care in secondary
and tertiary health facilities in Anambra State.
Methods: This was a descriptive comparative crosssectional
study of 300 PLWHAs conducted at Nnamdi
Azikiwe University Teaching Hospital (NAUTH), Nnewi (150)
and at St. Charles Borromeo Catholic Hospital (SCBH),
Onitsha (150). Sample selection was by systematic sampling
technique whereby every 3rd patient registered to see the
doctor each day was recruited. Data was collected using a
structured interviewer-administered questionnaire and
analyzed using SPSS version 13.

Results: Patients in Nnewi were more likely to spend more
2 money on transport (÷ = 33.36, p=0.0001), while those in
Onitsha were more likely to incur more expenses on non-HIV
2 tests (÷ = 5.73, p=0.017). Patients visiting the tertiary health
facility were significantly more satisfied with access to care
than those visiting the secondary health care facility were,
(p<0.021). Delay was mentioned as what the patients from
both centers like least.
Conclusion: This study showed high patients' satisfaction
with their care and management. However, there is need for
regular (6-monthly or annual) patient satisfaction surveys,
by the programme managers to help in review of patients'
care and the improvement of the services in the area of
HIV/AIDS care in both institutions studied as well as other
institutions offering the same services.

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