LEVEL OF SATISFACTION AND ASSOCIATED FACTORS AMONG ADULTS ATTENDING ART CLINIC IN DIL CHORA REFERRAL HOSPITAL, DIRE DAWA, EASTERN ETHIOPIA

Abstract

Background:Service satisfaction for clients suffering from HIV/AIDS in particular adherence to regimen and strict follow up schedules play a central role in treatment success. However, it still remains a challenge to achieve the universal access target of high quality of HIV/AIDS health care services and optimal patient satisfaction with the hardest hit of HIV epidemics. Objective: The main objective of this study was to assess the perceived levels of clients’ satisfaction with health services at ART clinic level in Dil Chora hospital from November 24 to December 24, 2016 in Dire Dawa, Administration, Eastern Ethiopia. Methods: An institution-based cross-sectional study was conducted. A total of 406 patients were involved in the study using simple random sampling technique. Data were collected by structured questionnaires using an exit face to face interview by four Diploma Nurses. Bivariate and multivariate analyses were used to determine predictors of patient satisfaction. Crude and adjusted odds ratio with its 95% Confidence interval; and P value of less than or equal to 0.05 was used as cut off point for statistical significance. Results: An overall level of patient satisfaction on ART care service was determined using median in a Likert scale of 5 (1 very dissatisfied,2 dissatisfied,3 neutral, 4 satisfied and 5 dissatisfied)the median was to be 4 and 81.8% of the respondents were satisfied. Respondents who had no formal education status [(AOR = 0.33, 95% CI: (0.136, 0.801)], age [(AOR = 0.506, 95% CI: (0.332, 0.772)], were predictors of overall ART service satisfaction status in this study. Conclusion and Recommendation: This study showed that the current status of the overall satisfaction of patients towards hospital based ART services found good and comparable with studies show in other similar studies. Low level of education and being at lower age status were found to be the major causes of dissatisfaction. Therefore, the hospital management better to xiv improve information provision for ART clinic clients catering to the need of people at lower level educational status and lower age groups.