Quality of Antiretroviral Therapy Service and Factors Associated with Client Satisfaction among Adult HIV/AIDS Positive Individuals at Public Health Facilities in Injibara Town, Awi Zone, northwest, Ethiopia, 2020

Abstract

ABSTRACT Introduction: HIV/AIDS, one of the major public health problem globally as well as in Ethiopia. Quality of antiretroviral therapy services provided for persons with HIV/AIDS reduce HIV related morbidity and mortality. Out of all 37.9 million HIV cases in 2018, 770 000 people died due to gaps in quality of HIV care services. In low- and middle-income countries, quality of HIV care is sub-optimal and poorquality attributed 15% of overall deaths each year. Objective- to assess quality of antiretroviral therapy service and factors associated with client satisfaction among adult HIV/AIDS positive individuals at public health facilities in Injibara town, Awi Zone, northwest Ethiopia, 2020 Method- An institutional based cross-sectional study was conducted from March 1 to 30/2020. The systematic random sampling technique was used to select 408 study participants. Data collected using an interviewer-administered questionnaire, observation checklist and document review then, entered into Epi data 4.6.0.0 and analyzed using SPSS version25. Both bi-variable and multivariable logistic regression were analyzed. In multivariable analysis, variables with P-value ? 0.05 were declared statistically significant and adjusted odds ratio with 95% confidence interval was used to determine the strength and direction of association. Result: 408 ART service user clients’ participated in this study. The overall quality of ART service score; for input, process, and HIV positive clients’ satisfaction was 76.31%, 67.5%, and 76.2 %, respectively. Educational status Conclusion and Recommendation Overall score level for quality of ART services provided to adult HIV/AIDS positive clients was below the standard Key words=service quality, HIV positive adults, HIV/AIDS, Antiretroviral therapy, satisfaction,