Patient satisfaction with integrated HIV and antenatal care services in rural Kenya.
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A cluster randomized controlled trial was initiated in Kenya to determine if full integration (FI) of HIV care, including HAART, into antenatal care (ANC) clinics improves health outcomes among HIV-infected women and exposed infants, compared to a non-integrated (NI) model. This article examines ANC clients' satisfaction with and preferences regarding HIV-integrated services. In this cross-sectional study, pregnant women attending five FI clinics (n=185) and four NI clinics (n=141) completed an interviewer-administered questionnaire following an ANC visit. By self-report, 55 women (17%) were HIV(+), 230 (71%) were HIV(−), and 40 (12%) did not know their HIV status. Among HIV-infected women, 79% attending FI clinics were very satisfied with their clinic visit compared to 54% of women attending NI clinics (P=0.044); no such difference was found among HIV-uninfected women. In multivariate analysis, overall satisfaction was also independently associated with satisfaction with administrative staff, satisfaction with health care providers, positive evaluation of wait time, and having encountered a receptionist. Full integration of HIV care into antenatal clinics can significantly increase overall satisfaction with care for HIV-infected women, with no significant decrease in satisfaction for HIV-uninfected women served in the same clinics.
CitationAIDS Care. 2012;24(11):1442-7
Department of Family and Community Medicine, University of California, Davis, CA, USAResearch Care and Treatment Program, Kenya Medical Research Institute, Nairobi, KenyaDepartment of Pediatrics, University of California, San Francisco, CA, USADepartment of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, CA, USADepartment of Obstetrics and Gynecology, Indiana University, Indianapolis, IN, USA
- Faculty of Health Sciences (FHS)