CLIENTS’ SATISFACTION WITH WAITING TIME IN HIV TREATMENT CENTRES: AN URBAN RURAL COMPARISON IN ANAMBRA STATE, NIGERIA
Keywords:
Satisfaction, waiting time, HIV treatment centers
Abstract
Background: Patient satisfaction is very important in healthcare because a satisfied patient will be more cooperative with the medical team. Management of a chronic disease like HIV also needs as much cooperation from clients as possible because the treatment is for life. Waiting time has been reported by several studies as a major determinant of satisfaction in health facilities.
Aim: This study determined and compared clients’ satisfaction with waiting time at urban and rural HIV treatment centers in Anambra State, Nigeria.
Methods: This is a comparative descriptive study. Data were collected using quantitative methods. A semistructured, pre-tested, interviewer-administered questionnaire was used to obtain information on satisfaction with waiting time from clients at the urban and rural HIV treatment centers in Anambra State Nigeria. Data were analyzed with the SPSS version 20 software and summarized using proportions and means, and were presented in tables for easy appreciation.
Results: A total of 1,100 respondents (550 each from the urban and rural HIV treatment centers) participated in this study. There were more females than males in both the urban 363(66.0%) and rural centers 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). A higher proportion of the respondents that were satisfied with waiting time were urban respondents 405(69.2%), compared with the 180(30.8%) rural respondents that were satisfied. (X2 = 184.839,p = 0.000).The urban respondents were four times more likely to be satisfied with waiting time compared with the rural respondents [OR: 4.139 (95% CI: 2.945-5.817)].
Conclusion: The clients in the urban HIV treatment centers were more satisfied with the waiting time than the clients in the rural HIV treatment centers. Appropriate interventions should be instituted to reduce the waiting time of clients in the rural centers.
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References
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38. Olowookere SA, Fatiregun AA, Ladipo MM, Akenova YA. Reducing waiting time at a Nigerian HIV treatment clinic: opinions from and the satisfaction of
people living with HIV/AIDS. Journal of the International Association of Physicians in AIDS Care, 2012; 11(3):188-191.
39. Adamu H, Oche MO. Patient satisfaction with services at a general outpatient clinic of a tertiary hospital in Nigeria. British Journal of Medicine and Medical Research, 2014; 4(11): 2181-2202.
40. Oljira L, Gebre SS. Satisfaction with outpatient health services at Jimma Hospital, Southwest Ethiopia. Ethiopian Journal of Health Development, 2001;15(3): 179-84.
41. Raja LRG, Zaleha MI, Shamsul AS, Suriawati G. Patient satisfaction on waiting time and duration of consultation at orthopaedic clinic, Universiti Kebangsaan Mlaysia Medical Centre. Medicine and Health, 2009;4(1): 35-46.
2. Ajayi IO, Olumide EA, Oyediran O. Patient satisfaction with the services provided at a general outpatients' clinic, Ibadan, Oyo state, Nigeria. African Journal of Medicine and Medical Science, 2005; 3(2): 133-140.
3. Andaleeb SS. Service quality perceptions and patient satisfaction: a study of hospitals in a developing country. Social Science and Medicine, 2001; 52: 1359-1370.
4. Campbell JL, Ramsay J, Green J. Age, gender, socioeconomic and ethnic differences in patients' assessment of primary health care. Quality in Healthcare, 2001; 10: 90-95.
5. Muhondwa EP, Leshabari MT, Mwangu M, Mbembati N, Ezekiel MJ. Patient satisfaction at the Muhimbili National Hospital in Dar es Salaam, Tanzania. East African Journal of Public Health, 2008; 5(2): 67-73.
6. Newman RD, Gloyd S, Nyangezi JM, Machobo F, Muiser J. Satisfaction with outpatient healthcare services in Manica Province, Mozambique. Health Policy and Planning, 1998, 13(2): 174-180.
7. Glick P. How reliable are surveys of client satisfaction with healthcare services? Evidence from matched facility and household data in Madagascar. Social Science and Medicine, 2009; 68(2): 368-379.
8. Ware JE, Davies-Avery A, Stewart AL. The measurement and meaning of patient satisfaction. Health and Medical Care Services Review, 1978; 1(1): 1.
9. Manaf NH, Nooi PS. Patient satisfaction as an indicator of service quality in Malaysian public hospitals. Asian Journal of Quality, 2009; 10(1): 77-87.
10. Oche MO, Raji MO, Kaoje AU, Gana G, Ango JT, Okafoagu N, Adamu H, Oladigbolu RA, Umar AS. Clients’ satisfaction with antiretroviral therapy services in a tertiary hospital in Sokoto, Nigeria. Journal of AIDs and HIV Research, 2013; 5(9): 328-333.
11. Getenet H, Haileamlak A, Tegegn A. Clients' satisfaction with antiretroviral therapy services at Jimma University specialized Hospital. Ethiopian Journal of Health Sciences, 2008; 18(2): 17-24.
12. Wouters E, Heunis C, Renburg D, Meulemans H. Patient satisfaction with antiretroviral services at primary healthcare facilities in the Free state, South Africa-a two year study using four waves of cross-sectional data. BMC Health Services Research, 2008; 8: 201. doi:101186/1472-6963-8-210.
13. Ogunfowokan O, Mora M. Time, expectation and satisfaction: patients' experience at National Hospital Abuja, Nigeria. African Journal of Primary Healthcare and Family Medicine, 2012; 4(1): 1-6.
14. Camacho F, Anderson R, Safrit A, Jones AS, Hoffmann P. The relationship between patients' perceived waiting time and office-based practice satisfaction. New York City Medical Journal, 2006; 67(6): 409-413.
15. Ofovwe CE, Ofili AN. Indices of patient satisfaction in an African population. Public Health, 2005; 119(7): 582-586.
16. Dang BN, Westbrook RA, Black WC, Rodriguez-Barradas MC, Giordano TP. Examining the link between patient satisfaction and adherence to HIV care: a structural equation model. Plos One, 2013; 8(1) e54729. doi: 10.1371/journal.pone.0054729.
17. Dang BN, Westbrook RA, RodriguezBarradas MC, Giordano TP. Identifying drivers of overall satisfaction in patients receiving HIV primary care: A crosssectional study. Plos One, 2010; 7(8):e42980.
18. Crow R, Gage H, Hampson S, Hart J, Kimber A. The measurement of satisfaction with healthcare:Implications for practice from a systematic review of the literature. Health Technology Assessment, 2002; 6(32): 1-244.
19. Joint United Nations Programme on HIV/AIDS (UNAIDS). UNAIDS report on the global AIDS epidemic 2012. Available online www.unaids.org (Accessed 27/01/14).
20. World Health Organisation (WHO). Global summary of the AIDS epidemic 2011. Available online www.who.int/HIV/data. (Accessed 01/02/14).
21. National Agency for the Control of AIDS (NACA). Federal Republic of Nigeria Global AIDS Response Country Progress Report (Nigeria GARPR) 2012. Available online www.naca.gov.ng(Accessed 10/2/14).
22. Heckman TG, Somlai AM, Kalichman SC, Franzoi SL, Kelly JA. Psychological differences between urban and rural people living with HIV/AIDS. The Journal of Rural health, 2008; 14(2): 138-145.
23. Ohl ME, Perencevich E, Mclunes DK, Kim N, Rimland D, Akgun K et al. Antiretroviral adherence among rural compared to urban veterans with HIV infection in the United States. AIDS and Behaviour, 2013; 17(1): 174-180.
24. Lahey T, Lin M, Marsh B. Increased mortality in rural patients with HIV in New England. AIDS Research and Human Retro viruses, 2007; 23(5): 693- 698.
25. Ohl M, Tate J, Duggal M. Rural residence is associated with delayed care entry and increased mortality among veterans with human immunodeficiency virus infection. Med Care, 2010; 48(10):1064-1070.
26. Heckman TG, Somlai AM, Peters J. Barriers to care among persons living with HIV/AIDS in urban and rural areas. AIDS care, 1998; 10(3): 365-375.
27. Reif S, Golin CE, Smith SR. Barriers to accessing HIV/AIDS care in North Carolina: rural and urban differences. AIDS Care, 2005; 17(5): 558-565.
28. Araoye MO. Research methodology with statistics for health and social sciences. 1st Ed. Ilorin: Nathadex Publishers; 2003.
29. Beck EJ, Griffith R, Fitzpatrick R, Mandalia S, Carrier J, Coulon C, et al. Patient satisfaction with HIV services provision in NPMS hospitals: the development of a standard questionnaire. AIDS Care, 1999; 11(3): 331-343.
30. Uzochukwu BSC, Onwujekwe OE, Onoka AC, Okoli C, Uguru NP, Chukwuogo OI. Determinants of nonadherence to subsidized anti-retroviral treatment in southeast Nigeria. Health Policy and Planning, 2009; 24: 189-196.
31. Adewole OO, Anteyi E, Ajuwon Z, Wada I, Elegba F, Ahmed P, et al. Hepatitis B and C virus co-infection in Nigerian patients with HIV infection. The Journal of Infection in Developing Countries, 2009; 3(5). Available at http://www.jidc.org/index.php/journal/article/view/19759507. (Accessed 16/12/14)
32. Oladapo OT, Daniel OJ, Odusoga OL, Ayoola-Sotubo O. Fertility desires and intentions of HIV-positive patients at a suburban specialist centre. Journal of the
National Medical Association, 2005; 97(12): 1672-1681.
33. Olowookere SA, Fatiregun AA, Akinyemi JO, Bamgboye AE, Osagbemi GK. Prevalence and determinants of non-adherence to highly antiretroviral therapy among people living with HIV/AIDS in Ibadan, Nigeria. Journal of Infection in Developing Countries, 2008; 2(5): 369-372.
34. Federal Ministry of Health of Nigeria. National HIV and AIDS and Reproductive Health Survey (NARHS Plus II, 2012). Abuja: Federal Ministry of Health; 2012.
35. Federal Ministry of Health of Nigeria. 2010 National HIV sero-prevalence sentinel survey. Abuja: Federal Ministry of Health 2011.
36. Nwabueze SA, Adogu PO, Ilika AL, suzu MC, Adinma ED. Perception of quality of care in HIV/AIDS programmes among patients in a tertiary healthcare facility in Anambra State. Nigerian Journal of Medicine, 2011; 20(1): 144-150.
37. Opara DC, Umoh IB, John M. Sociodemographic and anthropometric variables of persons living with HIV and AIDS in Uyo, south eastern Nigeria. Pakistan Journal of Nutrition, 2007; 6(6): 547-557.
38. Olowookere SA, Fatiregun AA, Ladipo MM, Akenova YA. Reducing waiting time at a Nigerian HIV treatment clinic: opinions from and the satisfaction of
people living with HIV/AIDS. Journal of the International Association of Physicians in AIDS Care, 2012; 11(3):188-191.
39. Adamu H, Oche MO. Patient satisfaction with services at a general outpatient clinic of a tertiary hospital in Nigeria. British Journal of Medicine and Medical Research, 2014; 4(11): 2181-2202.
40. Oljira L, Gebre SS. Satisfaction with outpatient health services at Jimma Hospital, Southwest Ethiopia. Ethiopian Journal of Health Development, 2001;15(3): 179-84.
41. Raja LRG, Zaleha MI, Shamsul AS, Suriawati G. Patient satisfaction on waiting time and duration of consultation at orthopaedic clinic, Universiti Kebangsaan Mlaysia Medical Centre. Medicine and Health, 2009;4(1): 35-46.
How to Cite
1.
Azuike E C, Adinma E D, Umeh U M, Njelita I A, Anemeje O A, Aniemena R C. CLIENTS’ SATISFACTION WITH WAITING TIME IN HIV TREATMENT CENTRES: AN URBAN RURAL COMPARISON IN ANAMBRA STATE, NIGERIA. Med. res. chronicles [Internet]. 1 [cited 2024Nov.21];4(01):61-6. Available from: https://medrech.com/index.php/medrech/article/view/218
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