Patient's dissatisfaction with the public and private laboratory services in conducting HIV related testing in Tanzania

Mfinanga, S.; Kahwa, Amos; Kimaro, Godfather; Kilale, Andrew M.; Kivuyo, Sokoine; Senkoro, Mbazi; Ngowi, Bernard; Mtandu, Rugola; Mutayoba, Beatrice; Ngadaya, Esther; Mashoto, Kijakazi Obed

doi:10.1186/1472-6963-8-167

Cited by 15 publications

(16 citation statements)

References 8 publications

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“…The lowest rate of satisfaction was observed on critical value notification, getting urgent/STAT results on time and adequacy of test menu on laboratory request format which is almost similar with the finding from studies conducted in selected government hospitals in Eastern Ethiopia (Teklemariam et al, 2013), Gondar University Hospital, Northwest Ethiopia (Addis et al, 2013), Tanzania (Mfinanga et al, 2008), and specialized hospital in Alexandria, Egypt (Elhoseeny and Mohammad, 2013). This implies the need for improving laboratory services in terms of quality management system to ensure proper reporting and critical value notification.…”

Section: Discussionsupporting

confidence: 75%

Health care providers satisfaction with the clinical laboratory service of Nekemte Referral Hospital, Western Ethiopia

Ejeta¹,

Tadele²,

Desalegn³

et al. 2015

Int. J. Med. Med. Sci.

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The objective of this study was to assess health care providers' satisfaction with the service provided by the clinical laboratory personnel at Nekemte Referral Hospital, Western Ethiopia to determine the level of satisfaction of health care providers on clinical laboratory services. A cross sectional study was conducted from March to April, 2014 at Nekemte Referral Hospital. The data was collected from 105 randomly selected health professionals. The collected data was analysed using Statistical Package for Social Sciences (SPSS) version 20 statistical software. Bivariate and multivariate logistic regression analyses were used to assess the association between treatment outcomes and predictor variables. The overall satisfaction for all health care professionals on clinical laboratory services was 62.86%, while specific professional level of satisfaction was 51.2% for nurses, 65.0% for physicians, 75.0% for health officer (Assistant physician) and 85.7% for midwifes. Lack of adequacy of laboratory materials, absence of a timely report of critical values, lack of getting urgent results on time, and inadequacy of test menu on laboratory request forms were areas mentioned as sources of dissatisfaction. The overall degree of customers' satisfaction with laboratory services was good. But the study showed room for improvement. In addition to taking intervention, the root causes of dissatisfaction need to be investigated and means of improving the satisfaction level should be designed and implemented.

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Section: Discussionsupporting

confidence: 75%

Health care providers satisfaction with the clinical laboratory service of Nekemte Referral Hospital, Western Ethiopia

Ejeta¹,

Tadele²,

Desalegn³

et al. 2015

Int. J. Med. Med. Sci.

View full text Add to dashboard Cite

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“…On the other hand, this study finding was also higher compared to the result at the University of Gondar hospital which assessed satisfaction with ART laboratory services (54.7%) and Tanzania (65.2%) [12,25]. The possible explanations might be differences in study settings, quality of service and units assessed for satisfaction such as laboratories.…”

Section: Discussioncontrasting

confidence: 66%

Patient satisfaction with antiretroviral therapy services and associated factors at Gondar town health centers, Northwest Ethiopia: an institution-based cross-sectional study

Adissu

Biks

Tamirat

2020

BMC Health Serv Res

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Background: The Human Immunodeficiency Virus (HIV) with which over 37 million peoples are living is the leading cause of morbidity and mortality worldwide. The rapid expansion of antiretroviral treatment has dramatically reduced HIV related deaths and transmissions. Patient satisfaction could be an indispensable parameter used to measure patients' desired fulfillment by the services. Hence, this study aimed to determine the level of patient satisfaction with antiretroviral therapy services and determinants at Gondar town health centers. Methods: An institution-based cross-sectional study was conducted from November 1 to 30, 2018. The systematic random sampling technique was used to select 663 HIV/AIDS patients on antiretroviral therapy follow-ups. Data were collected using a pretested interviewer-administered questionnaire and patient medical document reviews. Summary statistics such as means, medians and proportions were calculated and presented in the form of tables, graphs, and texts. Bivariate and multivariable logistic regression analysis was fitted and adjusted odds ratio (AOR) with a 95% confidence interval (CI) was computed to assess the strength of association. Variables with p-value 0.05 at multivariable logistic regression considered significant determinants of patient satisfaction. Results: The overall patient satisfaction with antiretroviral therapy services was 75.4% (95%CI, 71.9 to 79%). Patients' age 38-47 years (AOR = 5.90, 95%CI: 3.38,10.31) and ≥ 48 years (AOR = 2.66, 95%CI:1.38,5.12), absence of signs and directions to ART clinic (AOR = 0.53,95%CI:0.35,0.82), Azezo health center (AOR = 2.68,95%CI:1.47,4.66) and Teda health center (AOR = 4.44,95%CI:1.73,11.30), and travel that took more than 1 h (AOR = 0.56;95% CI:0.32,0.97) were determinants of patient satisfaction with the services. Conclusion: The overall patient satisfaction with antiretroviral therapy service was lower than the national target of 85% with the marked difference among health centers. Older age, absence of signs and directions to ART clinics, and longer travel from home to health centers were factors influencing patient satisfaction with antiretroviral treatments. This suggests that further improvement of accessibility is likely needed to increase patient satisfaction.

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“…In some studies in sub-Saharan Africa, patients with higher education were less satisfied with the level of privacy received at public sector HIV services [60], while women reported low levels of confidentiality with patient HIV test results [41]. However, in this study patient characteristics generally did not significantly influence patient satisfaction, indicating that the health systems structures and processes affected all patients roughly equally.…”

Section: Discussioncontrasting

confidence: 54%

Patient satisfaction with HIV and TB treatment in a public programme in rural KwaZulu-Natal: evidence from patient-exit interviews

Chimbindi

Bärnighausen

Newell

2014

BMC Health Serv Res

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BackgroundPatient satisfaction is a determinant of treatment uptake, adherence and retention, and an important health systems outcome. Queues, health worker-patient contact time, staff attitudes, and facility cleanliness may affect patient satisfaction. We quantified dimensions of patient satisfaction among HIV and TB patients in a rural sub-district of KwaZulu-Natal, South Africa, and identified underlying satisfaction factors that explained the data.MethodsWe conducted patient-exit interviews with 300 HIV and 300 TB patients who were randomly selected using a two-stage cluster random sampling approach with primary sampling units (primary healthcare clinics) selected with probability-proportional-to-size sampling. We performed factor analysis to investigate underlying patient satisfaction factors. We compared the satisfaction with HIV and TB services and examined the relationships between patient satisfaction and patients’ socio-demographic characteristics in multivariable regression.ResultsAlmost all patients (95% HIV, 97% TB) reported to be globally satisfied with the healthcare services received on the day of the interview. However, patient satisfaction with specific concrete aspects of the health services was substantially lower: 52% of HIV and 40% of TB patients agreed that some staff did not treat patients with sufficient respect (p = 0.02 for difference between the two patient groups); 65% of HIV and 40% of TB patients agreed that health worker queues were too long (p < 0.001). Based on factor analysis, we identified five factors underlying the HIV data and the TB data (availability, accommodation, acceptability and communication for HIV and TB patients; health worker preference for HIV patients only; and global satisfaction for TB patients only). The level of satisfaction did not vary significantly with patients’ socio-demographic characteristics.ConclusionsIn this rural area, HIV and TB patients’ evaluations of specific aspects of health services delivery revealed substantial dissatisfaction hidden in the global assessments of satisfaction. A wide range of patient satisfaction variables could be reduced to a few underlying factors that align broadly with concepts previously identified in the literature as affecting access to healthcare. Increases in health systems resources for HIV and TB, but also improvements in facility maintenance, staff attitudes and communication, are likely to substantially improve HIV and TB patients’ satisfaction with the care they receive in public-sector treatment programmes in rural communities in South Africa.

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Patient's dissatisfaction with the public and private laboratory services in conducting HIV related testing in Tanzania

Cited by 15 publications

References 8 publications

Health care providers satisfaction with the clinical laboratory service of Nekemte Referral Hospital, Western Ethiopia

Health care providers satisfaction with the clinical laboratory service of Nekemte Referral Hospital, Western Ethiopia

Patient satisfaction with antiretroviral therapy services and associated factors at Gondar town health centers, Northwest Ethiopia: an institution-based cross-sectional study

Patient satisfaction with HIV and TB treatment in a public programme in rural KwaZulu-Natal: evidence from patient-exit interviews

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