Caregiver satisfaction with paediatric HIV treatment and care in Nigeria and equity implications for children living with HIV

Caregiver satisfaction has the potential to promote equity for children living with HIV, by influencing health-seeking behaviour. We measured dimensions of caregiver satisfaction with paediatric HIV treatment in Nigeria, and discuss its implications for equity by conducting facility-based exit interviews for caregivers of children receiving antiretroviral therapy in 20 purposively selected facilities within 5 geopolitical zones. Descriptive analysis and factor analysis were performed. Due to the hierarchical nature of the data, multilevel regression modelling was performed to investigate relationships between satisfaction factors and socio-demographic variables. Of 1550 caregivers interviewed, 63% (95% CI: 60.6–65.4) reported being very satisfied overall; however, satisfaction varied in some dimensions: only 55.6% (53.1–58.1) of caregivers could talk privately with health workers, 56.9% (54.4–59.3) reported that queues to see health workers were too long, and 89.9% (88.4–91.4) said that some health workers did not treat patients living with HIV with sufficient respect. Based on factor analysis, two underlying factors, labelledAvailability and Attitude, were identified. In multilevel regression, the satisfaction with availability of services correlated with formal employment status (p p p p 

July 16, 2016
Year of publication
2016
Resource types
Journal and research articles
Tags
HIV, pediatric HIV, pediatric HIV treatment, treatment access, ART adherence, antiretroviral drugs, research, ART, ARVs, treatment, children

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