Clients' satisfaction with HIV treatment and care services in Nigeria.
OBJECTIVE
Many Sub-Saharan Africa countries have witnessed rapid scale-up of HIV treatment and care services in recent years. However, there is increasing evidence suggestive of poor quality of services. In this study, we examined clients' satisfaction with quality of HIV treatment and care services in Nigeria.


STUDY DESIGN
This was a cross-sectional survey of people living with HIV (PLHIV) receiving HIV treatment and care services.


METHODS
The study included 1212 PLHIV receiving HIV treatment and care in 96 health facilities across 12 states. We collected data on clients' satisfaction with four quality domains (confidentiality, staff attitude, physical structure, and perceived improved health) and the overall quality of care, sociodemographic characteristics, type of facility, distance to facility, and time spent at facility. A logistic regression analysis was conducted with clients' satisfaction with the overall quality of care as the dependent variable.


RESULTS
About 90% of the respondents were satisfied with the overall quality of care. Women, rural dwellers, and Muslims, public (government-owned) healthcare facility users, those unsatisfied with confidentiality, and those unsatisfied with staff attitude had statistically significant lower odds of being satisfied with the overall quality of care. After adjusting for sociodemographic characteristics and the type of facility, confidentiality (adjusted odds ratio [AOR] = 0.1, 95% confidence interval [CI] = 0.01-0.81, P = 0.031) and staff attitude (AOR = 0.24, 95% CI = 0.09-0.67, P = 0.006) remained statistically significant.


CONCLUSIONS
Clients' satisfaction with the quality of HIV treatment and care services at health facilities in Nigeria appears high. HIV service provision should be in line with standard ethical principles and more patient centered and responsive to sociodemographic characteristics of PLHIV.
['Anosike|A|A|', 'Olakunde|B O|BO|', 'Adeyinka|D A|DA|', 'Ezeokafor|C|C|', 'Amanze|O|O|', 'Mathews|O|O|', 'Alau|K|K|', 'Ogungbemi|K|K|']
D000293:Adolescent D000328:Adult D003430:Cross-Sectional Studies D005260:Female D015658:HIV Infections D006801:Humans D008297:Male D008875:Middle Aged D009549:Nigeria D017060:Patient Satisfaction D011787:Quality of Health Care D055815:Young Adult
Clients' satisfaction HIV Nigeria Quality of care