Cargando…

Assessment of antiretroviral treatment (ART) care service provision in Tigray Region health centers, North Ethiopia

BACKGROUND: Client satisfaction is a vital component and main concern intertwined with strategic decisions in service provisions. To improve efficiency of services, eliciting the opinion of users about the available services and identifying factors associated with dissatisfaction is very critical. T...

Descripción completa

Detalles Bibliográficos
Autores principales: Tessema, Shewaye Belay, Adane, Mesafint Molla
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4566360/
https://www.ncbi.nlm.nih.gov/pubmed/26358005
http://dx.doi.org/10.1186/s12913-015-1032-8
_version_ 1782389709828259840
author Tessema, Shewaye Belay
Adane, Mesafint Molla
author_facet Tessema, Shewaye Belay
Adane, Mesafint Molla
author_sort Tessema, Shewaye Belay
collection PubMed
description BACKGROUND: Client satisfaction is a vital component and main concern intertwined with strategic decisions in service provisions. To improve efficiency of services, eliciting the opinion of users about the available services and identifying factors associated with dissatisfaction is very critical. Thus, the main objective of this study was to assess the perceived levels of clients’ satisfaction with health services at ART clinic level in health centres of Tigray Region in Ethiopia. METHODS: Cross sectional study was conducted from May to June 2013 in Tigray Region ART clinics. A total of 714 ART care user were included in the study using both purposive and probability sampling technique. Data was collected by using structured questionnaire and the collected data was analysed using Statistical Package for the Social Sciences (SPSS) version 16.0. Crude and Adjusted logistic regression analyses were carried out to identify the associated factors underlying perceived levels of clients’ overall satisfaction. Finally, the results were presented with table as well as odds ratio (OR) and 95 % confidence interval (CI). RESULTS: A total of 714 study participants were enrolled in this study. An overall satisfaction level of 89.6 % was reported by ART care service users. Higher scores of satisfaction of services provisions were reported for courtesy and respect (95.80 %) followed by privacy (93.28 %). On the other hand, respondents’ dissatisfaction was rated 35.32 % for toilet cleanliness followed by 26.19 % for availability of additional drugs. As for overall satisfaction and associated factors, adjusted logistic regression analyses showed that marital status [AOR = 2.01 (95 % CI: 1.11, 3.60)], educational status [AOR = 3.13 (95 % CI: 1.15, 8.53)], travel distance to reach health centre [AOR = 3.59 (95 % CI: 1.23, 10.50)], toilet cleanliness [AOR = 2.22 (95 % CI :1.62, 6.32)], and ART drug availability [AOR = 2.60 (95 % CI :1.18, 6.52)] were found to have influence on overall ART service satisfaction status. CONCLUSIONS: This study revealed high level of client satisfaction rate and were associated with preventable and modifiable factors such as marital status, educational status, travel distance to reach health centre, toilet cleanliness and ART drug availability. Therefore, countermeasures such as increasing access to ART service, availing clean toilet and ART drugs may further increase client satisfaction level in the region.
format Online
Article
Text
id pubmed-4566360
institution National Center for Biotechnology Information
language English
publishDate 2015
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-45663602015-09-12 Assessment of antiretroviral treatment (ART) care service provision in Tigray Region health centers, North Ethiopia Tessema, Shewaye Belay Adane, Mesafint Molla BMC Health Serv Res Research Article BACKGROUND: Client satisfaction is a vital component and main concern intertwined with strategic decisions in service provisions. To improve efficiency of services, eliciting the opinion of users about the available services and identifying factors associated with dissatisfaction is very critical. Thus, the main objective of this study was to assess the perceived levels of clients’ satisfaction with health services at ART clinic level in health centres of Tigray Region in Ethiopia. METHODS: Cross sectional study was conducted from May to June 2013 in Tigray Region ART clinics. A total of 714 ART care user were included in the study using both purposive and probability sampling technique. Data was collected by using structured questionnaire and the collected data was analysed using Statistical Package for the Social Sciences (SPSS) version 16.0. Crude and Adjusted logistic regression analyses were carried out to identify the associated factors underlying perceived levels of clients’ overall satisfaction. Finally, the results were presented with table as well as odds ratio (OR) and 95 % confidence interval (CI). RESULTS: A total of 714 study participants were enrolled in this study. An overall satisfaction level of 89.6 % was reported by ART care service users. Higher scores of satisfaction of services provisions were reported for courtesy and respect (95.80 %) followed by privacy (93.28 %). On the other hand, respondents’ dissatisfaction was rated 35.32 % for toilet cleanliness followed by 26.19 % for availability of additional drugs. As for overall satisfaction and associated factors, adjusted logistic regression analyses showed that marital status [AOR = 2.01 (95 % CI: 1.11, 3.60)], educational status [AOR = 3.13 (95 % CI: 1.15, 8.53)], travel distance to reach health centre [AOR = 3.59 (95 % CI: 1.23, 10.50)], toilet cleanliness [AOR = 2.22 (95 % CI :1.62, 6.32)], and ART drug availability [AOR = 2.60 (95 % CI :1.18, 6.52)] were found to have influence on overall ART service satisfaction status. CONCLUSIONS: This study revealed high level of client satisfaction rate and were associated with preventable and modifiable factors such as marital status, educational status, travel distance to reach health centre, toilet cleanliness and ART drug availability. Therefore, countermeasures such as increasing access to ART service, availing clean toilet and ART drugs may further increase client satisfaction level in the region. BioMed Central 2015-09-10 /pmc/articles/PMC4566360/ /pubmed/26358005 http://dx.doi.org/10.1186/s12913-015-1032-8 Text en © Tessema and Adane. 2015 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Tessema, Shewaye Belay
Adane, Mesafint Molla
Assessment of antiretroviral treatment (ART) care service provision in Tigray Region health centers, North Ethiopia
title Assessment of antiretroviral treatment (ART) care service provision in Tigray Region health centers, North Ethiopia
title_full Assessment of antiretroviral treatment (ART) care service provision in Tigray Region health centers, North Ethiopia
title_fullStr Assessment of antiretroviral treatment (ART) care service provision in Tigray Region health centers, North Ethiopia
title_full_unstemmed Assessment of antiretroviral treatment (ART) care service provision in Tigray Region health centers, North Ethiopia
title_short Assessment of antiretroviral treatment (ART) care service provision in Tigray Region health centers, North Ethiopia
title_sort assessment of antiretroviral treatment (art) care service provision in tigray region health centers, north ethiopia
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4566360/
https://www.ncbi.nlm.nih.gov/pubmed/26358005
http://dx.doi.org/10.1186/s12913-015-1032-8
work_keys_str_mv AT tessemashewayebelay assessmentofantiretroviraltreatmentartcareserviceprovisionintigrayregionhealthcentersnorthethiopia
AT adanemesafintmolla assessmentofantiretroviraltreatmentartcareserviceprovisionintigrayregionhealthcentersnorthethiopia