Comparison of satisfaction with care between two different models of HIV care delivery in St. Petersburg, Russia

Суворова, Алена Владимировна; Belyakov, Andrey; Махаматова, Алия Фархатовна; Ustinov, Andrey; Levina, Olga S.; Tulupyev, Alexander L.; Niccolai, Linda M.; Рассохин, В. В.; Heimer, Robert

doi:10.1080/09540121.2015.1054337

Cited by 10 publications

(7 citation statements)

References 17 publications

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“…To address this issue, we conducted a spatial analysis to determine if proximity of residence to existing care facilities in St Petersburg was associated with more engagement, but we could not detect any significant associations (data not shown); nor were residential locations a significant factor associated with any other step in the cascade. Previous work has suggested that stigma and strength of the patient–physician bond can play important roles in accessing and remaining in HIV care . This study adds additional factors that appear to influence this step, including drug use, drug treatment and medical insurance.…”

Section: Discussionmentioning

confidence: 92%

Engagement in HIV care and its correlates among people who inject drugs in St Petersburg, Russian Federation and Kohtla-Järve, Estonia

Heimer

Usacheva²,

Barbour

et al. 2017

Addiction

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Background and Aims HIV infection and mortality in Eastern Europe are driven by unsafe injection drug use. We sought to compare engagement in care from HIV testing through receipt of antiretroviral treatment among HIV-positive people who inject drugs (PWID) in St. Petersburg, Russian Federation (RF) and Kohtla-Järve, Estonia and identify factors significantly associated with failure to progress at each stage of the HIV treatment cascade. Design Cross-sectional biobehavioral surveys of PWID with an analysis stratified by location – two Russian speaking regions with similar HIV epidemic histories and current prevalence. Setting Field-based surveys conducted in St. Petersburg, RF and Kohtla-Järve, Estonia. Participants We recruited 452 HIV-positive PWID in St. Petersburg (November 2012 to June 2013) and 370 HIV-positive PWID in Kohtla-Järve (June–August 2012) using respondent driven sampling. Measurements Participants were tested for antibodies to HIV, and administered a questionnaire focusing on participants’ medical care histories. Engagement in care was categorized as a cascade of five transitional steps through six stages ranging from HIV testing to current receipt of antiretroviral medications. Findings Progress along the cascade was greater in Kohtla-Järve (32.7% were receiving antiretroviral medications) than in St. Petersburg (9.7%). In both locations, we found the steps with high failure rates were the transitions from being aware of one’s HIV diagnosis to being in regular care and initiation of highly active antiretroviral therapy (HAART). Factors significantly associated with transition failure in both locations and across steps included high alcohol consumption, variables associated with drug choice and injection frequency, and lack of basic medical insurance. Conclusion The two steps in treatment cascade for HIV-positive PWID in St. Petersburg, RF and Kohtla-Järve, Estonia requiring greatest improvement are retention in regular care and initiation of HAART. Both individual behavioral and structural factors are associated with failure to transition along the cascade.

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Section: Discussionmentioning

confidence: 92%

Engagement in HIV care and its correlates among people who inject drugs in St Petersburg, Russian Federation and Kohtla-Järve, Estonia

Heimer

Usacheva²,

Barbour

et al. 2017

Addiction

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“…For example, a recent grant from American International Health Alliance supported the formation of a partnership between the AIDS Center and Yale University that led to the establishment of the Baltic AIDS Training and Education Center—St. Petersburg and the creation of six decentralized clinics to make it easier for patients to access HIV treatment (www.aiha.com/en/WhatWeDo/HIV-AIDS_RusTCS.asp; [64]). Recognizing the complex circumstances and treatment needs of the patients that it serves and the community members it aims to engage in the future, the AIDS Center has also integrated psychological and substance abuse counseling into the menu of services it offers.…”

Section: Discussionmentioning

confidence: 99%

Internalized HIV and Drug Stigmas: Interacting Forces Threatening Health Status and Health Service Utilization Among People with HIV Who Inject Drugs in St. Petersburg, Russia

et al. 2015

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Marked overlap between the HIV and injection drug use epidemics in St. Petersburg, Russia, puts many people in need of health services at risk for stigmatization based on both characteristics simultaneously. The current study examined the independent and interactive effects of internalized HIV and drug stigmas on health status and health service utilization among 383 people with HIV who inject drugs in St. Petersburg. Participants self-reported internalized HIV stigma, internalized drug stigma, health status (subjective rating and symptom count), health service utilization (HIV care and drug treatment), sociodemographic characteristics, and health/behavioral history. For both forms of internalized stigma, greater stigma was correlated with poorer health and lower likelihood of service utilization. HIV and drug stigmas interacted to predict symptom count, HIV care, and drug treatment such that individuals internalizing high levels of both stigmas were at elevated risk for experiencing poor health and less likely to access health services.

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“…15 While levels of general satisfaction were higher in other studies. 14,23,26 Various factors affecting patients" satisfaction were found as age, education, time taken to reach ART centre and adherence in this study. The strong predictors of satisfaction with the ART services were education attainment and age in study done in Nigeria similar to this study.…”

Section: Discussionmentioning

confidence: 99%

Patient satisfaction with ART centre services among people living with HIV: a cross sectional study in a tertiary care hospital, Chhattisgarh, India

Dixit

Verma

Shrivastava

et al. 2018

Int J Community Med Public Health

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Background: ART centres provide the comprehensive care to the people living with HIV (PLHIV) in public sector. Patients’ satisfaction is one of the commonly used outcome measures of patient care. The objective was to assess the level of satisfaction of PLHIV and factors associated with PLHIV satisfaction with the services at ART centre.Methods: The study was a cross-sectional design carried out at a tertiary level health care centre, Raipur during March 2016 to May 2016. A total of 320 PLHIV were selected into the study using systematic sampling. A pre-designed, pre-tested questionnaire was used to obtain data from the participants.Results: The mean age of the PLHIV was 37.76 years±8.59. The highest score was in “satisfaction with interaction with the pharmacist” (15.38±2.786), and the lowest in “satisfaction with general services” (13.67±2.822). 61.3% of all 320 respondents were satisfied with the overall services provided at ART centre. Older, less educated, those who take lesser time to reach ART centre and adherent respondents were more likely to be satisfied with the services.Conclusions: The study shows generally high satisfaction with services but there is still need for improvement of services in some areas where the patients showed dissatisfaction.

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Comparison of satisfaction with care between two different models of HIV care delivery in St. Petersburg, Russia

Cited by 10 publications

References 17 publications

Engagement in HIV care and its correlates among people who inject drugs in St Petersburg, Russian Federation and Kohtla-Järve, Estonia

Engagement in HIV care and its correlates among people who inject drugs in St Petersburg, Russian Federation and Kohtla-Järve, Estonia

Internalized HIV and Drug Stigmas: Interacting Forces Threatening Health Status and Health Service Utilization Among People with HIV Who Inject Drugs in St. Petersburg, Russia

Patient satisfaction with ART centre services among people living with HIV: a cross sectional study in a tertiary care hospital, Chhattisgarh, India

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