Patient Satisfaction with Antiretroviral Therapy Services in selected hospitals of Addis Ababa Using the Donebidean Model
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Date
2024-10
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Addis Ababa University
Abstract
Antiretroviral therapy (ART) is a group of medications that is taken lifelong to treat HIV. Due to chronic nature of the disease, clinicians need to carefully and frequently monitor patient status and initiate appropriate therapy when needed. Patient’s satisfaction occurs when patients feel their needs and expectations are being meet by the service delivery they receive in health institutions. The objective of this study is to assess patient satisfaction with Antiretroviral Therapy Services in selected hospitals of Addis Ababa Using the Donebidean Model. Both qualitative and quantitative approach was conducted. 199 respondents were selected and a structured questionnaire quantitative data and Key informant interview for qualitative data using open-ended questionnaire. Descriptive statics, Mann-Whitney U Test and binary logistic regression analysis was used to find association with patient satisfaction at P value < 0.05. 61.3% of Patients on ART are satisfied with an overall mean satisfaction rate was 76.25%. Mann-Whitney U Test showed that patients on EMR system are more satisfied 66.7% with P< 0.05. Binary logistic regression analysis, Hospital (AOR 4.30, 95% CI: 2.2–8.42, p<0.05), Waiting time (AOR 2.03, 95% CI: 1.03–3.99, p<0.05). consultation time (AOR 2.66, 95% CI: 1.18–5.97, p<0.05), and history of loss of card (AOR 0.4, 95% CI: 0.2–0.79, p<0.05) were found to be significantly associated with ART patient satisfaction. Overall patients were Satisfied with antiretroviral therapy service with Structural and process components have significantly affected ART patient satisfaction key words: ART, Anti Retroviral Therapy, Patient satisfaction, HIV, Donebidean Model,
Ethiopia