Original Article

Sub-optimal satisfaction of people living with HIV and AIDS regarding their care in Burkina Faso, West Africa

Smaïla Ouédraogo, Ter T.E. Dah, Ismaël Diallo, Maurice Sarigda, Désiré L. Dahourou, Issa Romba, Fatogoma B. Sanon, Pengdwendé A.L. Kaboré, Bapougouni P.C. Yonli, Léon G.B. Savadogo
Journal of Public Health in Africa | Vol 14, No 9 | a118 | DOI: https://doi.org/10.4081/jphia.2023.2432 | © 2024 Smaïla Ouédraogo, Ter T.E. Dah, Ismaël Diallo, Maurice Sarigda, Désiré L. Dahourou, Issa Romba, Fatogoma B. Sanon, Pengdwendé A.L. Kaboré, Bapougouni P.C. Yonli, Léon G.B. Savadogo | This work is licensed under CC Attribution 4.0
Submitted: 03 April 2024 | Published: 30 September 2023

About the author(s)

Smaïla Ouédraogo, Department of Public Health, Health Sciences Training and Research Unit, Université Joseph Ki-Zerbo, Ouagadougou, Burkina Faso
Ter T.E. Dah, Department of Public Health, University of Ouahigouya, Ouahigouya, Burkina Faso
Ismaël Diallo, Department of Medicine and Medical Specialties, Université Joseph Ki-Zerbo, Ouagadougou, Burkina Faso
Maurice Sarigda, Department of Sociology, Human Sciences, Universié Thomas Sankara, Ouagadougou, Burkina Faso
Désiré L. Dahourou, Biomedical/Public Health Department, Health Sciences Research Institute, National Center for Scientific and Technologic Research, Ouagadougou, Burkina Faso
Issa Romba, Permanant Secretary Office of the National Council responding to HIV/AIDS and Sexually Transmitted Diseases, Ouagadougou, Burkina Faso
Fatogoma B. Sanon, Department of Public Health, Health Sciences Training and Research Unit, Université Joseph Ki-Zerbo, Ouagadougou, Burkina Faso
Pengdwendé A.L. Kaboré, Department of Public Health, Health Sciences Training and Research Unit, Université Joseph Ki-Zerbo, Ouagadougou, Burkina Faso
Bapougouni P.C. Yonli, Permanant Secretary Office of the National Council responding to HIV/AIDS and Sexually Transmitted Diseases, Ouagadougou, Burkina Faso
Léon G.B. Savadogo, Department of Public Health, INSSA, Université Nazi Boni, Bobo-Dioulasso, Burkina Faso

Abstract

People living with HIV (PLHIV) satisfaction regarding to care could play an important role in the elimination of HIV epidemic by 2030. We assessed Burkina Faso PLHIV satisfaction regarding to their care, and identified its associated factors. A representative nationwide cross‑sectional study was performed in 2021‑2022 in 30 HIV/AIDS care sites. PLHIV aged at least 18 years, receiving ART for six months or plus were included. Individual and structural data were collected using a questionnaire administered by trained investigators. Satisfaction with HIV/AIDS care was explored using six components (reception, waiting time to medical visit, care environment, sharing updated information on HIV AIDS, answering to PLHIV questions, and providing tailored care and advice to PLHIV needs). Factors associated with satisfaction were identified using logistic regressions. 448 PLHIV were considered in this analysis. Median age was 46 years. Overall satisfaction regarding to care was 40,8% (95% confidence interval 95% CI 36.2‑45.6). Specifically, it was 90.6, 54.9, 85.3, 75.7, 90.8, and 93.3% regarding to reception, waiting time, care environment, sharing updated information, answering to PLHIV questions, and providing tailored care and advice to PLHIV needs, respectively. Attending to medical visits in community‑based organization (CBO) and private clinics (adjusted odds ratio aOR 1.82, 95% CI 1.14‑2.93, P<0.001), as well as in tertiary hospitals (aOR 2.37, 95% CI 1.45‑3.87, P=0.001) were positively associated with PLHIV satisfaction. Burkina Faso PLHIV are generally unsatisfied with care. HIV national authorities should promote HIV care in CBO clinics model in the delivery of HIV services in others public sites.


Keywords

satisfaction; PLHIV; HIV/AIDS; care; Burkina Faso

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