Quality of care at ART clinic in Shashamanne referral hospital, West Arsi zone, Oromina National Regional State, South Ethiopia

• Main Author: Melese Belayneh
• Format: Article
• Language: English
• Published: Makhdoomi Printers 2017-01-01
• Series: Global Journal of Medicine and Public Health
• Subjects: Quality; ART Care
• Online Access: http://gjmedph.com/uploads/O3-Vo6No6.pdf
• ISSN: 2277-9604; 2277-9604

Background Low income nations like Ethiopia, which are heavily affected by HIV pandemic, health system needs to provide comprehensive services for escalating numbers of HIV positive patients. While demand is increasing, resources are not expanding at desirable rates to meet these demands. This leads to the risk of running poor quality antiretroviral therapy in resource limited health facilities. However, there is paucity of research based evidences on the quality of health services in the country in general, and on anti retroviral therapy in particular. Objective To assess quality of care at antiretroviral therapy clinic in Shashamanne Referral Hospital. Method A cross‐sectional study was conducted in Shashamanne Referral hospital from May 30 to June 30,2017.The study population were selected people living with HIV, antiretroviral therapy clinics and health care workers in antiretroviral therapy clinics during the study period. Stratified sampling method was used to identify study population. Interviewer administered questionnaire was employed among 204 patients to assess their satisfaction. Medical records review check list was used to get vital information from documents of 354 patients. Interview guide was also used to assess providers’ view on services. Data were entered by using SPSS version 20 and analyzed using descriptive, bivariate and multivariate techniques. Ethical clearance was obtained from Jimma University College of Public Health and Medical Sciences. Results Resources required for implementation of antiretroviral therapy wee available as per recommendation by the national Guideline. However, scarcity of some OIs and ARV drugs and absence of a few laboratory services seen in the hospital. HIV/AIDS care given in line with national guidelines but study revealed that only 42.7% of clients eligible for isoniazid preventive therapy actually taken it. Average mean satisfaction score of patients was 2.51 and significant dissatisfaction seen on waiting time and on knowing what meant results of laboratory tests such as CD4 for their health but overall quality of care at ART clinic rated as good by 49% of patient. Conclusion and Recommendation Though services in ART clinic provided in line with the national guideline, majority of clients haven’t received INH. The study results revealed strong association between IPT and TB disease on binary logistic regression. Despite 49% clients rated the quality of ART clinic as good, majority of clients were dissatisfied on knowing what meant results of laboratory tests.