Patients’ Satisfaction with HIV Care Providers in Public Health Facilities in Lusaka: A Study of Patients who were Lost-to-Follow-Up from HIV Care and Treatment

Njekwa Mukamba, Obvious N. Chilyabanyama, Laura K. Beres, Sandra Simbeza, Kombatende Sikombe, Nancy Padian, Charles Holmes, Izukanji Sikazwe, Elvin Geng, Sheree R. Schwartz

Research output: Contribution to journalArticle

Abstract

Prognosis among those who are HIV infected has improved but long-term retention is challenging. Health systems may benefit from routinely measuring patient satisfaction which is a potential driver of engagement in HIV care, but it is not often measured in Africa, and Zambia in particular. This study aims to internally validate a patient satisfaction tool, assess satisfaction among patients previously lost-to-follow up (LTFU) from HIV care in Lusaka province and to measure association between patient satisfaction with their original clinic and re-engagement in HIV care. A cross-sectional assessment of satisfaction was conducted by tracing sampled patients drawn from public health facilities. Our findings suggest that satisfaction tool, previously validated in USA, exhibits high internal consistency for measuring patient satisfaction in the Zambian health system. Patient satisfaction with healthcare providers is associated with re-engagement in HIV care. Future interventions on patient-centred care are likely to optimize and support retention in care.

Original languageEnglish (US)
Pages (from-to)1151-1160
Number of pages10
JournalAIDS and behavior
Volume24
Issue number4
DOIs
StatePublished - Apr 1 2020

Keywords

  • HIV
  • Lost-to-follow-up (LTFU)
  • Patient satisfaction
  • Re-engagement
  • Zambia

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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