Volume 2, Issue 9


Quality of Clinical Care for People Living With HIV/AIDS in Dil Chora Referral Hospital, Dire Dawa, East Ethiopia


Author: Anteneh Eshetu1*, Tesfaye Gobena2, Bezatu Mengeste2, Agumasie Semahegn1

1. School of Nursing and Midwifery, College of health and medical sciences, Haramaya University
Department of environmental health science, College of health and medical sciences, Haramaya University

Abstract: Background: Acquired immune deficiency syndrome has had a detrimental socio-economic impact on the country. Antiretroviral therapy and ensuring the quality of all services are major components of comprehensive response against acquired immune deficiency syndrome. This study was to assess the quality of care provided to persons living with human immune virus.
Methodology: Facility based cross-sectional study design was conducted June to November 2010 in Dil Chora hospital. Inventories were performed in the antiretroviral therapy clinic, laboratory and pharmacy. Donabedian’s structure–process–outcome model of health care quality was employed as framework. A 24-item and five scale satisfaction questionnaire was employed to measure the level of satisfaction of patients.
Results: The level of satisfaction of clients average satisfaction level was 3.82, 95% CI (3.77, 3.87). About 47.4% of patients had at least one visit during last three months. Only 34.9% of clients had CD4 counting service twice and paired t-test mean differences between the initiation and last three months showed [OR=132.88; 95% CI: 97.1, 168.6) t=7.35].
Conclusion: The proportion of patients who are with a functional status of working at 12 months of antiretroviral therapy was much lower than nationally in six months. The health bureau and hospital administration mobilize resources to available resource to improve of quality service.

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