Predictors of Service Satisfaction Among Clients Receiving Antiretroviral Therapy Services at Public Hospitals in Eastern Ethiopia

Taye Mekonnen, 1 Yadeta Dessie, 2 Biftu Geda, 3 Zelalem Bekele, 3 Genanaw Atnafe, 3 Lemma Getacher 4 1Department of Public Health Emergency, Harari Regional Health Bureau, Harar, Ethiopia; 2School of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia; 3Dep...

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Autores principales:	Mekonnen T, Dessie Y, Geda B, Bekele Z, Atnafe G, Getacher L
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	antiretroviral therapy client satisfaction ethiopia harar public hospitals predictors Immunologic diseases. Allergy RC581-607
Acceso en línea:	https://doaj.org/article/dc92326df2424b999e058ad3f3372dfa
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spelling	oai:doaj.org-article:dc92326df2424b999e058ad3f3372dfa2021-12-02T14:35:45ZPredictors of Service Satisfaction Among Clients Receiving Antiretroviral Therapy Services at Public Hospitals in Eastern Ethiopia1179-1373https://doaj.org/article/dc92326df2424b999e058ad3f3372dfa2021-07-01T00:00:00Zhttps://www.dovepress.com/predictors-of-service-satisfaction-among-clients-receiving-antiretrovi-peer-reviewed-fulltext-article-HIVhttps://doaj.org/toc/1179-1373Taye Mekonnen, 1 Yadeta Dessie, 2 Biftu Geda, 3 Zelalem Bekele, 3 Genanaw Atnafe, 3 Lemma Getacher 4 1Department of Public Health Emergency, Harari Regional Health Bureau, Harar, Ethiopia; 2School of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia; 3Department of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia; 4Department of Public Health, College of Health Sciences, Institute of Medicine and Health Science, Debre Berhan University, Debre Berhan, EthiopiaCorrespondence: Lemma Getacher Email lemmagetacher@gmail.comBackground: The issue of service satisfaction with antiretroviral therapy services needs more attention as it indicates the outcome of quality health services. Although different studies have been conducted on client satisfaction in different countries, there is limited evidence on the major predictors of client satisfaction with ART services in Ethiopia.Objective: To assess the predictors of service satisfaction among clients receiving antiretroviral therapy services at a public hospital in Harar Town, Eastern Ethiopia.Methods: A hospital-based cross-sectional study design was employed among 413 antiretroviral therapy clients from February to March 2018. The data were cleaned and entered into EpiData version 3.1 and exported to SPSS version 21 for analysis. A five-point Likert scale was used to assess client satisfaction with the ART services. Clients who scored ≥ 75% of the items were categorized as “satisfied” and those who scored < 75% of the items were categorized as “dissatisfied”. Independent variables with a p-value of ≤ 0.25 in the binary regression analysis were included in the multivariate logistic regression analysis to control confounding factors. Statistical significance was set at a p-value less than 0.05.Results: The overall client satisfaction with ART services was 76.9% (95% CI: 72.6, 80.6). Regarding the predictors, clients who were not attending formal education [(AOR=3.7, 95% CI: 1.75,8.12)] and primary education [(AOR=3.9, 95% CI: 1.66,9.32)], low wealth index [(AOR=2.8, 95% CI: 1.27, 6.28)], longer duration of treatment [(AOR=2.7, 95% CI: 1.46, 5.5.20)], shorter waiting time [(AOR=5.4, 95% CI: 2.52, 11.57)], disclosure of serostatus of HIV [(AOR=3.7, 95% CI: 1.59, 8.49)], seen by the same health care providers repeatedly [(AOR=2.0, 95% CI: 1.06, 3.82)], loss of medical records [(AOR=0.26, 95% CI: 0.13,0.50)] and social supports [(AOR=2.3, 95% CI: 1.12,4.63)] were significantly associated with service satisfaction on antiretroviral therapy services.Conclusion: Overall client satisfaction with ART services was relatively low in the study area. However, not attending formal and primary education, low wealth index, longer duration of treatment, shorter waiting time, disclosure of serostatus, seen by the same health care providers, loss of medical records, and social support were independent predictors of client satisfaction.Keywords: antiretroviral therapy, client satisfaction, Ethiopia, Harar, public hospitals, predictorsMekonnen TDessie YGeda BBekele ZAtnafe GGetacher LDove Medical Pressarticleantiretroviral therapyclient satisfactionethiopiahararpublic hospitalspredictorsImmunologic diseases. AllergyRC581-607ENHIV/AIDS: Research and Palliative Care, Vol Volume 13, Pp 737-747 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	antiretroviral therapy client satisfaction ethiopia harar public hospitals predictors Immunologic diseases. Allergy RC581-607
spellingShingle	antiretroviral therapy client satisfaction ethiopia harar public hospitals predictors Immunologic diseases. Allergy RC581-607 Mekonnen T Dessie Y Geda B Bekele Z Atnafe G Getacher L Predictors of Service Satisfaction Among Clients Receiving Antiretroviral Therapy Services at Public Hospitals in Eastern Ethiopia
description	Taye Mekonnen, 1 Yadeta Dessie, 2 Biftu Geda, 3 Zelalem Bekele, 3 Genanaw Atnafe, 3 Lemma Getacher 4 1Department of Public Health Emergency, Harari Regional Health Bureau, Harar, Ethiopia; 2School of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia; 3Department of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia; 4Department of Public Health, College of Health Sciences, Institute of Medicine and Health Science, Debre Berhan University, Debre Berhan, EthiopiaCorrespondence: Lemma Getacher Email lemmagetacher@gmail.comBackground: The issue of service satisfaction with antiretroviral therapy services needs more attention as it indicates the outcome of quality health services. Although different studies have been conducted on client satisfaction in different countries, there is limited evidence on the major predictors of client satisfaction with ART services in Ethiopia.Objective: To assess the predictors of service satisfaction among clients receiving antiretroviral therapy services at a public hospital in Harar Town, Eastern Ethiopia.Methods: A hospital-based cross-sectional study design was employed among 413 antiretroviral therapy clients from February to March 2018. The data were cleaned and entered into EpiData version 3.1 and exported to SPSS version 21 for analysis. A five-point Likert scale was used to assess client satisfaction with the ART services. Clients who scored ≥ 75% of the items were categorized as “satisfied” and those who scored < 75% of the items were categorized as “dissatisfied”. Independent variables with a p-value of ≤ 0.25 in the binary regression analysis were included in the multivariate logistic regression analysis to control confounding factors. Statistical significance was set at a p-value less than 0.05.Results: The overall client satisfaction with ART services was 76.9% (95% CI: 72.6, 80.6). Regarding the predictors, clients who were not attending formal education [(AOR=3.7, 95% CI: 1.75,8.12)] and primary education [(AOR=3.9, 95% CI: 1.66,9.32)], low wealth index [(AOR=2.8, 95% CI: 1.27, 6.28)], longer duration of treatment [(AOR=2.7, 95% CI: 1.46, 5.5.20)], shorter waiting time [(AOR=5.4, 95% CI: 2.52, 11.57)], disclosure of serostatus of HIV [(AOR=3.7, 95% CI: 1.59, 8.49)], seen by the same health care providers repeatedly [(AOR=2.0, 95% CI: 1.06, 3.82)], loss of medical records [(AOR=0.26, 95% CI: 0.13,0.50)] and social supports [(AOR=2.3, 95% CI: 1.12,4.63)] were significantly associated with service satisfaction on antiretroviral therapy services.Conclusion: Overall client satisfaction with ART services was relatively low in the study area. However, not attending formal and primary education, low wealth index, longer duration of treatment, shorter waiting time, disclosure of serostatus, seen by the same health care providers, loss of medical records, and social support were independent predictors of client satisfaction.Keywords: antiretroviral therapy, client satisfaction, Ethiopia, Harar, public hospitals, predictors
format	article
author	Mekonnen T Dessie Y Geda B Bekele Z Atnafe G Getacher L
author_facet	Mekonnen T Dessie Y Geda B Bekele Z Atnafe G Getacher L
author_sort	Mekonnen T
title	Predictors of Service Satisfaction Among Clients Receiving Antiretroviral Therapy Services at Public Hospitals in Eastern Ethiopia
title_short	Predictors of Service Satisfaction Among Clients Receiving Antiretroviral Therapy Services at Public Hospitals in Eastern Ethiopia
title_full	Predictors of Service Satisfaction Among Clients Receiving Antiretroviral Therapy Services at Public Hospitals in Eastern Ethiopia
title_fullStr	Predictors of Service Satisfaction Among Clients Receiving Antiretroviral Therapy Services at Public Hospitals in Eastern Ethiopia
title_full_unstemmed	Predictors of Service Satisfaction Among Clients Receiving Antiretroviral Therapy Services at Public Hospitals in Eastern Ethiopia
title_sort	predictors of service satisfaction among clients receiving antiretroviral therapy services at public hospitals in eastern ethiopia
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/dc92326df2424b999e058ad3f3372dfa
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Predictors of Service Satisfaction Among Clients Receiving Antiretroviral Therapy Services at Public Hospitals in Eastern Ethiopia

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