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|Title: ||Assessment of Quality of Adult Antiretroviral Treatment Services in public hospitals of Addis Ababa|
|Authors: ||Daniel, Dejene|
|Advisors: ||Dr. Mesfin Addisie|
Dr. Amha Haile
|Keywords: ||public health|
|Copyright: ||Jun-2008 |
|Date Added: ||18-May-2012 |
|Publisher: ||ADDIS ABABA UNIVERSITY|
|Abstract: ||Background: Antiretroviral therapy (ART) is a breakthrough intervention in care, support &
prevention of HIV/AIDS. This program has been scaled up and decentralized in our country
recently. Multiple works should be done to assess the quality of the service in Addis Ababa.
Objective: The study tried to assess the quality of ART services in public hospitals of A.A. with
emphasis on client satisfaction, providers’ views, functional & structural status of the ART service.
Methodology: Quantitative & qualitative designs were used. 420 clients were considered for exit
interview about their satisfaction using structured questionnaire. To assess the structural &
functional aspects in ART sites, self-administer questionnaire for ART coordinators and observation
check list were used. In-depth interview of providers was conducted for their views on services.
Descriptive statistics was used for most variables. SPSS version 15 was used for data entry,
cleaning and analyses.
Result and Discussion: Nearly half clients had consultations time less than 10 minutes. Critical
information of procedures, ongoing counseling was not given for many clients. All ordered
laboratory tests & all prescribed drugs were not available for 21.8% and 14.4%of clients
respectively which is not in accordance with recommendations( national & WHO’s) for ART
implementation. Linkage of clients to care and support functions were a major gap (84.0% were not
linked despite having the need). It hampers the comprehensiveness of ART care in this study area.
The overall none satisfaction rate was 44.4%. it is large figure which negatively effect prime
objectives of the program; like good adherence, safe & effective drugs, expansion of the service.
The major determinants for none satisfaction were availability of OI drugs; care & support functions,
waiting & consultation time. The determinants were similar to different studies for clients
satisfaction. Poor motivational schemes & workload were big gaps.
Conclusion: The overall none satisfaction rate was too large. Most sites had the minimum
recommended packages for implementation of ART. However, there was significant work load; long
waiting time, and short consultations time. Shortage OI drugs and poor care and support
interventions were a big challenge.
Recommendation: Strengthen programs on care and support through resource mobilization,
community involvements through health education need to be done. Attention should be given by all
stakeholders for continuous availability of OI drugs. Offering services in extra time, decentralization
&task shifting should be encouraged. Hospitals should Increase responsiveness to preferences of
clients using suggestion boxes, during meeting and decisions. Build the capacity of hospitals to
address the problems of telephone, laboratory services, and motivational aspects.|
|Appears in:||Thesis - Public Health|
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