Patient satisfaction with antiretroviral services at primary health-care facilities in the Free State, South Africa – a two-year study using four waves of cross-sectional data
2008

Patient Satisfaction with Antiretroviral Services in South Africa

Sample size: 975 publication Evidence: moderate

Author Information

Author(s): Edwin Wouters, Christo Heunis, Dingie van Rensburg, Herman Meulemans

Primary Institution: University of the Free State

Hypothesis

What is the level of patient satisfaction with antiretroviral treatment services and how do human resource shortages affect this satisfaction?

Conclusion

The study found high levels of patient satisfaction with ART-related services, but identified human resource shortages as a significant obstacle to improving care.

Supporting Evidence

  • Patients reported high satisfaction with general services and services provided by nurses.
  • Waiting times were identified as a major source of dissatisfaction.
  • Significant differences in satisfaction were observed across different health districts.

Takeaway

Patients in South Africa are generally happy with their HIV treatment services, but long waiting times and not enough nurses can make them unhappy.

Methodology

Four waves of cross-sectional data were collected from a random sample of 975 patients enrolled in the public-sector ART programme.

Potential Biases

Patients may have withheld critical feedback, leading to skewed satisfaction results.

Limitations

The study may have high satisfaction scores that mask underlying issues, and it did not account for all factors influencing patient satisfaction.

Participant Demographics

The mean age was 37.5 years, with 68.1% women; education levels were low, and the unemployment rate was 83.6%.

Statistical Information

P-Value

p<0.001

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1186/1472-6963-8-210

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