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IJAMSB Abstract

Clients’ satisfaction with services in HIV treatment centres: Comparison of urban and rural centres in Anambra State, Nigeria

Azuike E.C.1,2*, Kadiri-Eneh N.P.3, Onyemachi P.E.4, Nwachukwu A.C.5, Chikezie J.A.6 and Enukeme J.U.7

1Department of Community Medicine, Chukwuemeka Odumegwu Ojukwu University/University Teaching Hospital, Awka, Anambra State, Nigeria.

2Foundation for Health and Development in Nigeria.
3Department of Community Medicine, University of Port Harcourt Teaching Hospital, Port Harcourt, Rivers State, Nigeria.

4Department of Community Medicine, Abia State University/University Teaching Hospital, Aba, Abia State, Nigeria.

5Department of Surgery, Chukwumeka Odumegwu Ojukwu University/University Teaching Hospital, Awka, Anambra State, Nigeria.

6Department of Internal Medicine, Abia State University, Uturu, Abia state, Nigeria.

7Department of Community Medicine, Abia State University Teaching Hospital, Aba, Abia State, Nigeria.

Accepted June 01, 2017

A satisfied client is a retained client in business, likewise in the business of healthcare. HIV is a chronic disease and regular visit to the health facility is key to a healthy life for a person living with HIV. If a client is not satisfied with the services at an HIV treatment centre, such a patient may not be as compliant as s/he would have been if satisfied. This study compared clients' satisfaction with services in rural and urban HIV treatment centres in Anambra State, Nigeria. This was a descriptive cross-sectional comparative study carried out at four HIV treatment centres (2 urban and 2 rural) in Anambra State, Nigeria. A pre-tested, semi-structured, interviewer administered questionnaire was used to interview the clients. Data were analysed with International Business Machines-Statistical package for the Social Sciences (IBM-SPSS) Version 20.0. Frequency distributions of all relevant variables were developed. Relevant means and proportions were calculated. Association between the independent variables and the dependent variables was determined using logistic regression analysis. Chi square test was also applied in appropriate situations. A p-value of <0.05 was considered significant. Ethical approval for this study was sought and obtained from the Nnamdi Azikiwe University Teaching Hospital Ethical Committee (NAUTHEC). Written informed consent was obtained from the respondents. A total of 1100 respondents participated in this study. The response rate was 100%. There were more females than males in both the urban 363(66.0%) and rural centres 355(64.5%). The commonest age group among the urban respondents was the age group 21-30 years, 170 (30.9%), the same age group was also the commonest among the rural respondents 240 (43.6%). The mean age of the urban respondents 37.09 (±10.00) was higher than the mean age of the rural respondents 34.99 (±10.71). Majority of the respondents were satisfied 773 (70.3%). However a higher proportion of the urban respondents were satisfied 484 (88.0%), compared with the rural respondents 289 (52.5%). (p = 0.000). The urban respondents were 8 times more likely to be satisfied compared with the rural respondents [OR: 8.793 (95% CI: 5.737-13.477)]. This study showed that the respondents in the urban HIV treatment centres were more satisfied than the rural respondents with the overall services they receive at the HIV treatment centres. We recommend further research to determine the factors that make the clients at the urban HIV treatment centres more satisfied than the clients at the rural HIV treatment centres.

Keywords: Patient Satisfaction, Urban HIV treatment centres, Rural HIV treatment centres.

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