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Patient satisfaction with integrated HIV and antenatal care services in rural Kenya.
- Source :
- AIDS Care; Nov2012, Vol. 24 Issue 11, p1442-1447, 6p, 3 Charts
- Publication Year :
- 2012
-
Abstract
- A cluster randomized controlled trial was initiated in Kenya to determine if full integration (FI) of HIV care, including HAART, into antenatal care (ANC) clinics improves health outcomes among HIV-infected women and exposed infants, compared to a non-integrated (NI) model. This article examines ANC clients' satisfaction with and preferences regarding HIV-integrated services. In this cross-sectional study, pregnant women attending five FI clinics (n=185) and four NI clinics (n=141) completed an interviewer-administered questionnaire following an ANC visit. By self-report, 55 women (17%) were HIV(+), 230 (71%) were HIV(−), and 40 (12%) did not know their HIV status. Among HIV-infected women, 79% attending FI clinics were very satisfied with their clinic visit compared to 54% of women attending NI clinics (P=0.044); no such difference was found among HIV-uninfected women. In multivariate analysis, overall satisfaction was also independently associated with satisfaction with administrative staff, satisfaction with health care providers, positive evaluation of wait time, and having encountered a receptionist. Full integration of HIV care into antenatal clinics can significantly increase overall satisfaction with care for HIV-infected women, with no significant decrease in satisfaction for HIV-uninfected women served in the same clinics. [ABSTRACT FROM PUBLISHER]
- Subjects :
- CHI-squared test
CONFIDENCE intervals
EPIDEMIOLOGY
HIV infections
SCIENTIFIC observation
PATIENT satisfaction
PRENATAL care
REGRESSION analysis
RESEARCH funding
T-test (Statistics)
DATA analysis
RANDOMIZED controlled trials
HIGHLY active antiretroviral therapy
CROSS-sectional method
DATA analysis software
DESCRIPTIVE statistics
Subjects
Details
- Language :
- English
- ISSN :
- 09540121
- Volume :
- 24
- Issue :
- 11
- Database :
- Complementary Index
- Journal :
- AIDS Care
- Publication Type :
- Academic Journal
- Accession number :
- 82935442
- Full Text :
- https://doi.org/10.1080/09540121.2011.652357