Caregiver satisfaction with paediatric HIV treatment and care in Nigeria and equity implications for children living with HIV
Identifieur interne : 003881 ( Ncbi/Curation ); précédent : 003880; suivant : 003882Caregiver satisfaction with paediatric HIV treatment and care in Nigeria and equity implications for children living with HIV
Auteurs : Dick Chamla ; Chukwuemeka Asadu ; Ebun Adejuyigbe ; Abiola Davies ; Ebele Ugochukwu ; Lawal Umar ; Ilesanmi Oluwafunke ; Fatimah Hassan-Hanga ; Chinyere Onubogu ; Immaculata Tunde-Oremodu ; Chinelo Madubuike ; Esther Umeadi ; Obed Epundu ; Adenike Omosun ; Emmanuel Anigilaje ; Daniel AdeyinkaSource :
- AIDS Care [ 0954-0121 ] ; 2016.
Abstract
Caregiver satisfaction has the potential to promote equity for children living with HIV, by influencing health-seeking behaviour. We measured dimensions of caregiver satisfaction with paediatric HIV treatment in Nigeria, and discuss its implications for equity by conducting facility-based exit interviews for caregivers of children receiving antiretroviral therapy in 20 purposively selected facilities within 5 geopolitical zones. Descriptive analysis and factor analysis were performed. Due to the hierarchical nature of the data, multilevel regression modelling was performed to investigate relationships between satisfaction factors and socio-demographic variables. Of 1550 caregivers interviewed, 63% (95% CI: 60.6–65.4) reported being very satisfied overall; however, satisfaction varied in some dimensions: only 55.6% (53.1–58.1) of caregivers could talk privately with health workers, 56.9% (54.4–59.3) reported that queues to see health workers were too long, and 89.9% (88.4–91.4) said that some health workers did not treat patients living with HIV with sufficient respect. Based on factor analysis, two underlying factors, labelled
Url:
DOI: 10.1080/09540121.2016.1176682
PubMed: 27392010
PubMed Central: 4991217
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<author><name sortKey="Davies, Abiola" sort="Davies, Abiola" uniqKey="Davies A" first="Abiola" last="Davies">Abiola Davies</name>
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<author><name sortKey="Ugochukwu, Ebele" sort="Ugochukwu, Ebele" uniqKey="Ugochukwu E" first="Ebele" last="Ugochukwu">Ebele Ugochukwu</name>
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<author><name sortKey="Tunde Oremodu, Immaculata" sort="Tunde Oremodu, Immaculata" uniqKey="Tunde Oremodu I" first="Immaculata" last="Tunde-Oremodu">Immaculata Tunde-Oremodu</name>
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<author><name sortKey="Omosun, Adenike" sort="Omosun, Adenike" uniqKey="Omosun A" first="Adenike" last="Omosun">Adenike Omosun</name>
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<author><name sortKey="Anigilaje, Emmanuel" sort="Anigilaje, Emmanuel" uniqKey="Anigilaje E" first="Emmanuel" last="Anigilaje">Emmanuel Anigilaje</name>
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</affiliation>
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<author><name sortKey="Adeyinka, Daniel" sort="Adeyinka, Daniel" uniqKey="Adeyinka D" first="Daniel" last="Adeyinka">Daniel Adeyinka</name>
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<series><title level="j">AIDS Care</title>
<idno type="ISSN">0954-0121</idno>
<idno type="eISSN">1360-0451</idno>
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<front><div type="abstract" xml:lang="en"><title>ABSTRACT</title>
<p>Caregiver satisfaction has the potential to promote equity for children living with HIV, by influencing health-seeking behaviour. We measured dimensions of caregiver satisfaction with paediatric HIV treatment in Nigeria, and discuss its implications for equity by conducting facility-based exit interviews for caregivers of children receiving antiretroviral therapy in 20 purposively selected facilities within 5 geopolitical zones. Descriptive analysis and factor analysis were performed. Due to the hierarchical nature of the data, multilevel regression modelling was performed to investigate relationships between satisfaction factors and socio-demographic variables. Of 1550 caregivers interviewed, 63% (95% CI: 60.6–65.4) reported being very satisfied overall; however, satisfaction varied in some dimensions: only 55.6% (53.1–58.1) of caregivers could talk privately with health workers, 56.9% (54.4–59.3) reported that queues to see health workers were too long, and 89.9% (88.4–91.4) said that some health workers did not treat patients living with HIV with sufficient respect. Based on factor analysis, two underlying factors, labelled <italic>Availability</italic>
and <italic>Attitude</italic>
, were identified. In multilevel regression, the satisfaction with availability of services correlated with formal employment status (<italic>p</italic>
< .01), whereas caregivers receiving care in private facilities were less likely satisfied with both availability (<italic>p</italic>
< .01) and attitude of health workers (<italic>p</italic>
< .05). State and facility levels influenced attitudes of the health workers (<italic>p</italic>
< .01), but not availability of services. We conclude that high levels of overall satisfaction among caregivers masked dissatisfaction with some aspects of services. The two underlying satisfaction factors are part of access typology critical for closing equity gaps in access to HIV treatment between adults and children, and across socio-economic groups.</p>
</div>
</front>
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