Caregiver satisfaction with paediatric HIV treatment and care in Nigeria and equity implications for children living with HIV

Autor: EF Ugochukwu, Chinelo Madubuike, Ebun Adejuyigbe, Ilesanmi Oluwafunke, Adenike Omosun, Immaculata Tunde-Oremodu, Emmanuel Anigilaje, Chinyere Ukamaka Onubogu, Fatimah Hassan-Hanga, Obed Epundu, Dick Chamla, Esther N. Umeadi, Abiola Davies, Lawal Waisu Umar, Daniel A Adeyinka, Chukwuemeka Asadu
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Typology
Adult
Male
medicine.medical_specialty
Health (social science)
Social Psychology
Pediatric hiv
Adolescent
Attitude of Health Personnel
Human immunodeficiency virus (HIV)
Nigeria
HIV Infections
Personal Satisfaction
medicine.disease_cause
Article
Health Services Accessibility
03 medical and health sciences
equity
Young Adult
0302 clinical medicine
medicine
Humans
030212 general & internal medicine
Young adult
Psychiatry
Child
Quality of Health Care
Equity (economics)
Descriptive statistics
business.industry
030503 health policy & services
Public Health
Environmental and Occupational Health
satisfaction
paediatric HIV
Articles
Middle Aged
Caregiver
Multilevel regression
Caregiver satisfaction
Caregivers
Family medicine
Female
0305 other medical science
business
Factor Analysis
Statistical
Zdroj: AIDS Care
ISSN: 1360-0451
0954-0121
Popis: Caregiver satisfaction has the potential to promote equity for children living with HIV, by influencing health-seeking behaviour. We measured dimensions of caregiver satisfaction with paediatric HIV treatment in Nigeria, and discuss its implications for equity by conducting facility-based exit interviews for caregivers of children receiving antiretroviral therapy in 20 purposively selected facilities within 5 geopolitical zones. Descriptive analysis and factor analysis were performed. Due to the hierarchical nature of the data, multilevel regression modelling was performed to investigate relationships between satisfaction factors and socio-demographic variables. Of 1550 caregivers interviewed, 63% (95% CI: 60.6–65.4) reported being very satisfied overall; however, satisfaction varied in some dimensions: only 55.6% (53.1–58.1) of caregivers could talk privately with health workers, 56.9% (54.4–59.3) reported that queues to see health workers were too long, and 89.9% (88.4–91.4) said that some health workers did not treat patients living with HIV with sufficient respect. Based on factor analysis, two underlying factors, labelled Availability and Attitude, were identified. In multilevel regression, the satisfaction with availability of services correlated with formal employment status (p
Databáze: OpenAIRE
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