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326869
Exploring patient and health worker satisfaction with access, utilization and quality of care in HIV Care and Treatment Centers following PEPFAR-funded infrastructure investments in Tanzania


Monday, November 2, 2015

Boniphace Idindili, MPH, MD, PhD, Biostatistics and Epidemiology, RTI International, Dar es Salaam, Tanzania
Kristen Stolka, MPH, Biostatistics and Epidemiology, RTI International, Research Triangle Park, NC
Barbara Do, MSPH, Biostatistics and Epidemiology, RTI International, Research Triangle Park
Irene Mashasi, MA, Independent consultant, Dar es Salaam
Philbert Bashosho, MA, Independent consultant, Dar es Salaam, Tanzania
Happy Karungula, Independent consultant, Dar es Salaam, Tanzania
Florida Chintowa, Independent consultant, Dar es Salaam, Tanzania
Godfrey Mwakabole, B.Arch., Independent consultant, Dar es Salaam, Tanzania
Kimberly Ashburn, PhD, RTI International, Research Triangle Park, NC
Norman Goco, MHS, RTI International, Research Triangle Park, NC
Purpose: We aimed to evaluate how CDC and PEPFAR-supported infrastructure investments contributed to patient and health worker satisfaction with access, utilization and quality of HIV care and treatment services.

Methods: Semi-structured interviews with patients and health workers were conducted in a purposively selected sample of 16 HIV care and treatment centers constructed or renovated between 2007-2009. Summary statistics were tabulated and chi-square tests performed to examine differences between rural and urban facilities.

Results: 300 patients and 107 health workers were interviewed. 167 (57%) patients and 64 (60%) health workers were present before and after investments. The majority of patients agreed that confidence in quality of care (95%), comfort being seen at the facility (98%), and privacy and confidentiality (100%) had improved. 60% of rural patients and 74% of urban patients agreed that access to water and electricity was more reliable (p<.05) and 64% of rural patients and 92% of urban patients agreed that access to ART medication was more convenient (p<.01). Although the majority (88%) of health workers agreed that access to care for patients was more convenient, 62% of rural and 74% of urban health workers agreed that their work load had increased since the investments.

Conclusions: Patient and health worker satisfaction with services increased with infrastructure investments, however, disparities in the perception of reliable access to care exist between rural and urban patients. The majority of health workers interviewed noted improved access to care yet this was accompanied by increased workloads. Further research to address the identified gaps is recommended.

Learning Areas:

Public health or related research

Learning Objectives:
Describe the results of an evaluation of patient and health worker satisfaction with access, utilization and quality of care in HIV care and treatment facilities following PEPFAR-funded construction and renovation investments.

Keyword(s): HIV/AIDS, Public Health Infrastructure

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I coordinated the development of the evaluation protocol and data collection forms, analyzed data, and wrote the conference abstract and prepared the poster presentation.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

Back to: 3102.0: Poster Session 2