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Experiences of HIV Patients in a Tertiary Hospital in Southwest Nigeria

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Experiences of HIV Patients in a Tertiary Hospital in Southwest Nigeria Science Journal of Clinical Medicine 2020; 9(3): 50-57 http://www.sciencepublishinggroup.com/j/sjcm doi: 10.11648/j.sjcm.20200903.11 ISSN: 2327-2724 (Print); ISSN: 2327-2732 (Online) Patients’ Treatment Satisfaction: Experiences of HIV Patients in a Tertiary Hospital in Southwest Nigeria Osho Patrick Olanrewaju 1, *, Adepoju Omoseni Oyindamola 2, Joseph Adejoke Ajidat 3, Joseph Oluyemi 4, Ojo Oladotun Ayotunde 5, Ojo Matilda Adesuwa Osagie 1, Oni Oluwatosin Idowu 6 1Department of Haematology & Blood transfusion, Faculty of Basic Clinical Sciences, University of Medical Sciences, Ondo-City, Nigeria 2Department of Business Administration, Federal University of Technology, Akure, Nigeria 3Department of Microbial Pathology, University of Medical Sciences, Ondo, Nigeria 4Department of Sociology and Anthropology, Nelson Mandela University, Port-Elizabeth, South Africa 5Department of Physics, Biophysics and Medical Physics Unit, Osun State University, Osogbo, Nigeria 6Department of Haematology/Virology, University of Medical Sciences Teaching Hospital, Akure, Nigeria Email address: *Corresponding author To cite this article: Osho Patrick Olanrewaju, Adepoju Omoseni Oyindamola, Joseph Adejoke Ajidat, Joseph Oluyemi, Ojo Oladotun Ayotunde, Ojo Matilda Adesuwa Osagie, Oni Oluwatosin Idowu. Patients’ Treatment Satisfaction: Experiences of HIV Patients in a Tertiary Hospital in Southwest Nigeria. Science Journal of Clinical Medicine . Vol. 9, No. 3, 2020, pp. 50-57. doi: 10.11648/j.sjcm.20200903.11 Received : May 22, 2020; Accepted : June 15, 2020; Published : July 17, 2020 Abstract: According to the World Health Organization, about 40 Million people are living with HIV/ AIDS, where two- third resides in the African region and about 2 Million of them are from Nigeria. Hence, this study assessed the satisfaction of patients with services provided in a tertiary hospital in southwest Nigeria. This is due to the fact that the satisfaction of patients is a measure used to evaluate the quality of health care delivery of a hospital and from health care services providers. It is a cross sectional study that employed purposive and convenience sampling methods using well-structured questionnaires to retrieve information from HIV/ AIDS patients. A total of 143 respondents participated fully and whose data were analyzed using Statistical Package for Social Science (SPSS version 20), where the level of patient’s satisfaction was measured. The patients’ satisfaction was based on Service Quality (SERVQUAL) framework. Result from the study revealed that the patients were currently satisfied with the services being offered them, at a grand mean of 4.46 and standard deviation of 0.52. Also, the respondents ranked responsiveness dimension of SERVQUAL framework first with an average mean of 4.53 and standard deviation of 0.47. They ranked Empathy dimension as the lowest dimension, with an average mean of 4.36 and standard deviation of 0.58. Thus, the study recommends that health workers should be trained by the government on how to convey affection while providing services to HIV/ AIDS patients. Keywords: Patients Satisfaction, HIV, AIDS, and SERVQUAL life expectancy of citizens of different countries and thus 1. Introduction necessitates reduction of life threatening disease such as Healthcare service delivery is an essential mandate for HIV/ AIDS [2]. As a result, improving the health status of the achieving health targets for sustainable development people places a demand on countries to strengthen their goals (SDGs) and the satisfaction of patients is a measure of healthcare system. This is necessary to tackle high mortality evaluating the quality of healthcare delivery, especially rate which caused by several factors which include the epidemics like HIV/ AIDS [1]. The sustainable burden of HIV/ AIDs. According to World Health development goal three (SDG 3) is a measure of improving Organization [1], there are 1.9 Million people living with 51 Osho Patrick Olanrewaju et al. : Patients’ Treatment Satisfaction: Experiences of HIV Patients in a Tertiary Hospital in Southwest Nigeria HIV/ AIDS in Nigeria, which is an improvement from 3.2 2. Literature Review Million people as at 2016. However, according to the National Agency for the Control of AIDS [3] resources Patient Satisfaction available to drive HIV/AIDS treatments for the people are Patient satisfaction is a multidimensional concept, based limited, hence available resources must be strategically on a relationship between experiences and expectations. The distributed. This strategic deployment of resources has led term patient satisfaction as used herein means the positive to about 52% Nigerians who are still unaware of their HIV emotional reaction to the consultation and the positive status [4]. Hence, the need to look at the efficiency of experience of the treatment in its various aspects. It has also services rendered to people with HIV/ AIDS to avoid been described as the gap between what patients expect to transmission to people without HIV/ AIDS. receive as a service and what they actually get [14]. Also, Nigeria is the fourth country in the world with the Generally, it is how happy the patients are with their highest number of people living with HIV/ AIDS (PLWHA) transaction and overall experience with the company. By and exceeding South Africa, Mozambique and India [5]. large, it is a very subjective concept that can be hard to Consequently, PLWHA in the country are confronted with measure, but which is of great importance in health care. This different challenges such as access to health care services, is because it gives direct feedback to service providers, as an shortage of manpower in the health service centers, important indicator of quality of services and shows the congested health care facilities, knowledge gap among health relationship between services and treatment outcomes [15]. It care providers and sides effect of the drugs used for treatment, can also be valuable competitive tools that helps to improve high cost of treatment and fluctuating funding of the different patient’s quality of life and helps service providers determine programs for PLWHA by the Federal government of Nigeria customer’s specific problems that require attention [12]. [3, 6, 7]. Moreover, patients are confronted with other According to Beattie, Pinto, Nelson and Nelson, [16] barriers, such as patients’ low socio-economic status, long patient’s satisfaction relates to the results of the treatment waiting times, inadequate knowledge of HIV, user fees, they have received while their satisfaction with the care stigma and discrimination, and interference with focuses on their satisfaction with the services they have antiretroviral (ART) therapy [8, 9]. received. In order to achieve the satisfaction, it is discovered To assess the quality of service delivery, patients’ that most of the patients’ concerns revolve around the health satisfaction constitutes a key measure through the feedback care facilities which include access, cost of the treatment and from the service utilizers. Today, patients are conscious of treatment time [16]. Moreover, Beattie, Turner, Dowda, their rights in terms of healthcare services rendered by the Michener and Nelson [17] found that overall patient service provider [10]. Patients’ satisfaction often determines satisfaction was more related to the degree at which the extent at which they adhere to medical advice, care and healthcare providers answered the patients’ questions and the prescribed treatment schedule [11] Dissatisfaction with respect they give them during the care. The same researchers health services can have serious consequences which may found that patients acknowledged the value of their result in patients not following treatment regimens, failing to interaction with the health care provider especially when they go for follow-up care and spreading negative information to discussed relevant information related to their problems with discourage others from using a healthcare service [12]. them. Healthcare facilities are required to offer quality service to The Servqual framework improve the health status of the patients and maintain a A range of studies have described patient satisfaction healthy population [10, 13]. differently and have used a variety of tools and dimensions to According to the National Agency for the Control of AIDS measure patients’ satisfaction with health services [14, 18, 19, [3], effective performance of health care delivery have a 20, 21, 22]. Many studies in both developed and developing tremendous effect on critical HIV intervention that impacts countries have successfully used the SERVQUAL tool / on HIV risk, transmission, morbidity and mortality. This will framework. For example a study conducted by Parasuraman help in attaining the United Nations of 90 – 90 – 90 targets et al. [23], and another study that was done in Bangladesh and the goal of ending AIDS epidemics by 2030. Therefore, which identified the determinants of patient satisfaction with this study investigated the satisfaction of PLWHA as regards public, private and foreign hospitals used a modified the services rendered to them. This will evaluate current SERVQUAL framework Andaleeb et al affirms this [12]. strategies of services being rendered to the patients and thus Variables that had the greatest impact on satisfaction were the give insights into better ways of improving health care doctor composite, tangibles, nurse composite and hospital services to optimize PLWHA socio-economic
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