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PATIENT SATISFACTION WITH INTEGRATED HIV AND ANTENATAL CARE SERVICES IN RURAL KENYA

Identifieur interne : 001D92 ( Pmc/Corpus ); précédent : 001D91; suivant : 001D93

PATIENT SATISFACTION WITH INTEGRATED HIV AND ANTENATAL CARE SERVICES IN RURAL KENYA

Auteurs : Baotran N. Vo ; Craig R. Cohen ; Rachel M. Smith ; Elizabeth A. Bukusi ; Maricianah Onono ; Katie Doolan ; Sierra Washington ; Janet M. Turan

Source :

RBID : PMC:3495002

Abstract

A cluster randomized controlled trial was initiated in Kenya to determine if full integration (FI) of HIV care, including HAART, into antenatal care (ANC) clinics improves health outcomes among HIV-infected women and exposed infants, compared to a non-integrated (NI) model. This paper examines ANC clients’ satisfaction with and preferences regarding HIV-integrated services. In this cross-sectional study, pregnant women attending five FI clinics (n=185) and four NI clinics (n=141) completed an interviewer-administered questionnaire following an ANC visit. By self-report, 55 women (17%) were HIV(+), 230 (71%) were HIV(−) and 40 (12%) did not know their HIV status. Among HIV-infected women, 79% attending FI clinics were very satisfied with their clinic visit compared to 54% of women attending NI clinics (P=0.044); no such difference was found among HIV-uninfected women. In multivariate analysis, overall satisfaction was also independently associated with satisfaction with administrative staff, satisfaction with health care providers, positive evaluation of wait time, and having encountered a receptionist. Full integration of HIV care into antenatal clinics can significantly increase overall satisfaction with care for HIV-infected women, with no significant decrease in satisfaction for HIV-uninfected women served in the same clinics.


Url:
DOI: 10.1080/09540121.2011.652357
PubMed: 22296261
PubMed Central: 3495002

Links to Exploration step

PMC:3495002

Le document en format XML

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<name sortKey="Washington, Sierra" sort="Washington, Sierra" uniqKey="Washington S" first="Sierra" last="Washington">Sierra Washington</name>
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<p id="P1">A cluster randomized controlled trial was initiated in Kenya to determine if full integration (FI) of HIV care, including HAART, into antenatal care (ANC) clinics improves health outcomes among HIV-infected women and exposed infants, compared to a non-integrated (NI) model. This paper examines ANC clients’ satisfaction with and preferences regarding HIV-integrated services. In this cross-sectional study, pregnant women attending five FI clinics (n=185) and four NI clinics (n=141) completed an interviewer-administered questionnaire following an ANC visit. By self-report, 55 women (17%) were HIV(+), 230 (71%) were HIV(−) and 40 (12%) did not know their HIV status. Among HIV-infected women, 79% attending FI clinics were very satisfied with their clinic visit compared to 54% of women attending NI clinics (P=0.044); no such difference was found among HIV-uninfected women. In multivariate analysis, overall satisfaction was also independently associated with satisfaction with administrative staff, satisfaction with health care providers, positive evaluation of wait time, and having encountered a receptionist. Full integration of HIV care into antenatal clinics can significantly increase overall satisfaction with care for HIV-infected women, with no significant decrease in satisfaction for HIV-uninfected women served in the same clinics.</p>
</div>
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<journal-id journal-id-type="nlm-ta">AIDS Care</journal-id>
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<article-title>PATIENT SATISFACTION WITH INTEGRATED HIV AND ANTENATAL CARE SERVICES IN RURAL KENYA</article-title>
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<contrib contrib-type="author">
<name>
<surname>Vo</surname>
<given-names>Baotran N.</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="A1">1</xref>
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<contrib contrib-type="author">
<name>
<surname>Cohen</surname>
<given-names>Craig R.</given-names>
</name>
<degrees>MD, MPH</degrees>
<xref ref-type="aff" rid="A2">2</xref>
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<contrib contrib-type="author">
<name>
<surname>Smith</surname>
<given-names>Rachel M.</given-names>
</name>
<degrees>MD, MPH</degrees>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Bukusi</surname>
<given-names>Elizabeth A.</given-names>
</name>
<degrees>MBChB, M.Med (ObGyn), MPH, PhD</degrees>
<xref ref-type="aff" rid="A4">4</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Onono</surname>
<given-names>Maricianah</given-names>
</name>
<degrees>MBChB</degrees>
<xref ref-type="aff" rid="A4">4</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Doolan</surname>
<given-names>Katie</given-names>
</name>
<degrees>MPH</degrees>
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<contrib contrib-type="author">
<name>
<surname>Washington</surname>
<given-names>Sierra</given-names>
</name>
<degrees>MD, MPH</degrees>
<xref ref-type="aff" rid="A5">5</xref>
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<contrib contrib-type="author">
<name>
<surname>Turan</surname>
<given-names>Janet M.</given-names>
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<degrees>PhD, MPH</degrees>
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<aff id="A1">
<label>1</label>
University of California - Davis, Sacramento, CA, USA – Department of Family and Community Medicine</aff>
<aff id="A2">
<label>2</label>
University of California - San Francisco, San Francisco, CA, USA - Department of Obstetrics, Gynecology, and Reproductive Sciences</aff>
<aff id="A3">
<label>3</label>
University of California - San Francisco, San Francisco, CA, USA - Department of Pediatrics</aff>
<aff id="A4">
<label>4</label>
Kenya Medical Research Institute, Nairobi, Kenya</aff>
<aff id="A5">
<label>5</label>
Indiana University, Indianapolis, IN, USA</aff>
<author-notes>
<corresp id="CR1">
<bold>c) Please send correspondence</bold>
to: Baotran N. Vo, MD 4860 Y St, Suite #2300, Sacramento, CA 95817, USA 1(714)331-7795 Fax: (916) 734-5641
<email>Baotran.Vo@ucdmc.ucdavis.edu</email>
</corresp>
<corresp id="CR2">
<bold>d) Please send reprint requests to:</bold>
Janet Molzan Turan, PhD, MPH Assistant Professor Department of Obstetrics, Gynecology, and Reproductive Sciences University of California, San Francisco 50 Beale St., Suite 1200 San Francisco, CA 94105 Fax: (415) 597-9300 Tel: (415) 597-9304, (650) 322-2754
<email>Janet.Turan@ucsf.edu</email>
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<pub-date pub-type="nihms-submitted">
<day>25</day>
<month>10</month>
<year>2012</year>
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<day>01</day>
<month>2</month>
<year>2012</year>
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<pub-date pub-type="ppub">
<month>11</month>
<year>2012</year>
</pub-date>
<pub-date pub-type="pmc-release">
<day>01</day>
<month>11</month>
<year>2013</year>
</pub-date>
<volume>24</volume>
<issue>11</issue>
<fpage>1442</fpage>
<lpage>1447</lpage>
<abstract>
<p id="P1">A cluster randomized controlled trial was initiated in Kenya to determine if full integration (FI) of HIV care, including HAART, into antenatal care (ANC) clinics improves health outcomes among HIV-infected women and exposed infants, compared to a non-integrated (NI) model. This paper examines ANC clients’ satisfaction with and preferences regarding HIV-integrated services. In this cross-sectional study, pregnant women attending five FI clinics (n=185) and four NI clinics (n=141) completed an interviewer-administered questionnaire following an ANC visit. By self-report, 55 women (17%) were HIV(+), 230 (71%) were HIV(−) and 40 (12%) did not know their HIV status. Among HIV-infected women, 79% attending FI clinics were very satisfied with their clinic visit compared to 54% of women attending NI clinics (P=0.044); no such difference was found among HIV-uninfected women. In multivariate analysis, overall satisfaction was also independently associated with satisfaction with administrative staff, satisfaction with health care providers, positive evaluation of wait time, and having encountered a receptionist. Full integration of HIV care into antenatal clinics can significantly increase overall satisfaction with care for HIV-infected women, with no significant decrease in satisfaction for HIV-uninfected women served in the same clinics.</p>
</abstract>
<kwd-group>
<kwd>patient satisfaction</kwd>
<kwd>HIV</kwd>
<kwd>antenatal care</kwd>
<kwd>service integration</kwd>
<kwd>Kenya</kwd>
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<funding-group>
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<funding-source country="United States">National Institute of Mental Health : NIMH</funding-source>
<award-id>K01 MH081777-05 || MH</award-id>
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