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


  • Smaïla Ouedraogo Department of Public Health, Health Sciences Training and Research Unit, Université Joseph Ki‑Zerbo, Ouagadougou
  • Ter Tiero Elias Dah Department of Public Health, University of Ouahigouya, Ouahigouya
  • Ismaël Diallo Department of Medicine and Medical Specialties, Université Joseph Ki‑Zerbo, Ouagadougou
  • Maurice Sarigda Department of Sociology, Human Sciences, Université Thomas Sankara, Ouagadougou
  • Lucien Désiré Dahourou Biomedical/Public Health Department, Health Sciences Research Institute, National Center for Scientific and Technologic Research, Ouagadougou
  • Issa Romba Permanant secretary office of the national council responding to HIV/AIDS and sexually transmitted diseases, Ouagadougou
  • Fatogoma Bertrand Sanon Department of Public Health, Health Sciences Training and Research Unit, Université Joseph Ki‑Zerbo, Ouagadougou
  • Pengdwendé Anne Lygie Kaboré Department of Public Health, Health Sciences Training and Research Unit, Université Joseph Ki‑Zerbo, Ouagadougou
  • Bapougouni Philippe Christian Yonli Permanant secretary office of the national council responding to HIV/AIDS and sexually transmitted diseases, Ouagadougou
  • Léon Gueswendé Blaise Savadogo Department of Public Health, INSSA, Université Nazi Boni, Bobo‑Dioulasso



Satisfaction, PLHIV, HIV/AIDS, care, Burkina Faso


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.

Download data is not yet available.


Conseil National de Lutte contre le Sida et les IST. Cadre Stratégique National de lutte contre le VIH, le SIDA, et les infections sexuellement transmissibles (CSN‑SIDA) 2021‑2025. Mars 2021.

Conseil National de lutte contre le Sida et les IST (CNLS‑IST). Rapport d'activité sur la riposte VIH au Burkina Faso. Mars 2019. BFA_2019_countryreport.pdf.

Institut de Recherche en Sciences de la Santé (IRSS). Etude biocomportementale sur le VIH et estimation des tailles des populations clés (HSH, TS, UD) au Burkina Faso en 2022. IBBS Key populations 2022. Rapport provisoire. Mars 2023.

Umeokonkwo CD, Aniebue PN, Onoka CA, Agu AP, Sufiyan MB and Ogbonnaya L: Patients' satisfaction with HIV and AIDS care in Anambra State, Nigeria. PLoS One 13: e0206499, 2018.

Wachira J, Naanyu V, Genberg B, Koech B, Akinyi J, Kamene R, Ndege S, Siika AM, Kimayo S and Braitstein P: Health facilit barriers to HIV linkage and retention in Western Kenya. BMC Health Serv Res 14: 646, 2014.

Bogart LM, Chetty S, Giddy J, Sypek A, Sticklor L, Walensky RP, Losina E, Katz JN and Bassett IV: Barriers to care among people living with HIV in South Africa: contrasts between patient and healthcare provider perspectives. AIDS Care 25: 843‑853, 2013.

Yeap AD, Hamilton R, Charalambous S, Dwadwa T, Churchyard GJ, Geissler PW and Grant AD: Factors influencing uptake of HIV care and treatment among children in South Africa‑a qualitative study of caregivers and clinic staff. AIDS Care 22: 1101‑1107, 2010.

Sitzia J and Wood N: Patient satisfaction: A review of issues and concepts. Soc Sci Med 45: 1829‑1843, 1997.

Carr‑Hill RA: The measurement of patient satisfaction. J Public Health Med 14: 236‑249, 1992.

Locker D and Dunt D: Theoretical and methodological issues in sociological studies of consumer satisfaction with medical care. Soc Sci Med (1967) 12: 283‑292, 1978.

Thompson AG and Suñol R: Expectations as determinants of patient satisfaction: Concepts, theory and evidence. Int J Qual Health Care 7: 127‑141, 1995.

Corbin J and Strauss A: Basics of Qualitative Research (3rd ed.): Techniques and Procedures for Developing Grounded Theory. SAGE Publications, Inc.; 2008.

Liamputtong P: Focus Group Methodology: Principles and practice. SAGE Publications Ltd; 2011.

The Focus Group Kit: SAGE Publications Inc. 2023.‑us/nam/the‑focus‑group‑kit/book6796. Accessed 3 Apr 2023.

Carey RG and Seibert JH: A patient survey system to measure quality improvement: Questionnaire reliability and validity. Med Care 31: 834‑845, 1993.

Cleary PD and McNeil BJ: Patient satisfaction as an indicator of quality care. Inquiry 25: 25‑36, 1988.

UNAIDS. 2025 AIDS Targets. 2020.

Haas AD, Zaniewski E, Anderegg N, Ford N, Fox MP, Vinikoor M, Dabis F, Nash D, Sinayobye JD, Niyongabo T, et al: Retention and mortality on antiretroviral therapy in sub‑Saharan Africa: Collaborative analyses of HIV treatment programmes. J Int AIDS Soc 21: e25084, 2018.

Tiendrebeogo T, Messou E, Arikawa S, Ekouevi DK, Tanon A, Kwaghe V, Balestre E, Zannou MD, Poda A, Dabis F, et al: Ten‑year attrition and antiretroviral therapy response among HIV‑positive adults: A sex‑based cohort analysis from eight West African countries. J Int AIDS Soc 24: e25723, 2021.

Ekouevi DK, Balestre E, Ba‑Gomis FO, Eholie SP, Maiga M, Amani‑Bosse C, Minga A, Messou E, Sow PS, Lewden C, et al: Low retention of HIV‑infected patients on antiretroviral therapy in 11 clinical centres in West Africa. Trop Med Int health 15 Suppl 1: 34‑42, 2010.

Mugglin C, Estill J, Wandeler G, Bender N, Egger M, Gsponer T and Keiser O; IeDEA Southern Africa: Loss to programme between HIV diagnosis and initiation of antiretroviral therapy in sub‑Saharan Africa: Systematic review and meta‑analysis. Trop Med Int Health 17: 1509‑1520, 2012.

van Liere GAFS, Lilian R, Dunlop J, Tait C, Rees K, Mabitsi M, Ranoto L, Struthers HE, McIntyre JA and Peters RPH: High rate of loss to follow‑up and virological non‑suppression in HIV‑infected children on antiretroviral therapy highlights the need to improve quality of care in South Africa. Epidemiol Infect 149: e88, 2021.

Dah TTE, Yaya I, Mensah E, Coulibaly A, Kouamé JBM, Traoré I, Mora M, Palvadeau P, Anoma C, K eita BD, et al: Rapid antiretroviral therapy initiation and its effect on treatment response in MSM in West Africa. AIDS 35: 2201‑2210, 2021.

Ibiloye O, Jwanle P, Masquillier C, Van Belle S, Jaachi E, Amoo O, Isah A, Omole T, Samuel JO, van Olmen J, et al: Long‑term retention and predictors of attrition for key populations receiving antiretroviral treatment through community‑based ART in Benue State Nigeria: A retrospective cohort study. PLoS One 16:e0260557, 2021.

Lancaster KE, Cernigliaro D, Zulliger R and Fleming PF: HIV care and treatment experiences among female sex workers living with HIV in sub‑Saharan Africa: A systematic review. Afr J AIDS Res 15: 377‑386, 2016.

Drabo KM, Hien H, Konfé S, Nana WMF and Ouedraogo TL: (Satisfaction of AIDS patients managed in Dafra district hospital: An overview). Santé Publique 27: 739‑747, 2015 (In French).

Programme Sectoriel Santé de Lutte Contre le SIDA et les IST. Normes et protocoles de prise en charge médicale des personnes vivant avec le VIH au Burkina Faso. Ministère de la Santé, Burkina Faso; 2021.

Olowookere SA, Fatiregun AA, Ladipo MM‑A and Akenova YA. Reducing waiting time at a Nigerian HIV treatment clinic: opinions from and the satisfaction of people living with HIV/AIDS. J Int Assoc Physicians AIDS Care (Chic) 11: 188‑191, 2012.

Somi N, Dear N, Reed D, Parikh A, Lwilla A, Bahemana E, Khamadi S, Iroezindu M, Kibuuka H, Maswai J, et al: Perceived satisfaction with HIV care and its association with adherence to antiretroviral therapy and viral suppression in the African Cohort Study. AIDS Res Ther 18: 89, 2021.

Maduka O: Investigating client satisfaction with antiretroviral treatment services in South‑South Nigeria. SAHARA J 16: 70‑76, 2019.

World Health Organization. Task shifting: Rational redistribution of tasks among health workforce teams: Global recommendations and guidelines. 2008.

Suzan‑Monti M, Blanche J, Boyer S, Kouanfack C, Delaporte E, Bonono RC, Carrieri PM, Protopopescu C, Laurent C and Spire B; Stratall ANRS 12110/ESTHER Study Group: Benefits of task‑shifting HIV care to nurses in terms of health‑related quality of life in patients initiating antiretroviral therapy in rural district hospitals in Cameroon [Stratall Agence Nationale de Recherche sur le SIDA (ANRS) 12110/ensemble pour une solidarite therapeutique hospitaliere en réseau (ESTHER) substudy]. HIV Med 16: 307‑318, 2015.

Boullé C, Kouanfack C, Laborde‑Balen G, Carrieri MP, Dontsop M, Boyer S, Aghokeng AF, Spire B, Koulla‑Shiro S, Delaporte E, et al: Task shifting HIV care in rural district hospitals in Cameroon: evidence of comparable antiretroviral treatment‑related outcomes between nurses and physicians in the Stratall ANRS/ESTHER trial. J Acquir Immune Defic Syndr 62: 569‑576, 2013.

World Health Organization. Updated guidelines on service delivery for the treatment and care of people living with HIV. Apr il 2021.

World Health Organization: Consolidated guidelines on HIV prevention, testing, treatment, service delivery and monitoring: recommendations for a public health approach. July 2021.

Camlin CS, Charlebois ED, Getahun M, Akatukwasa C, Atwine F, Itiakorit H, Bakanoma R, Maeri I, Owino L, Onyango A et al: Pathways for reduction of HIV‑related stigma: A model derived from longitudinal qualitative research in Kenya and Uganda. J Int AIDS Soc 23: e25647, 2020.

Jahun I, Said I, El‑Imam I, Ehoche A, Dalhatu I, Yakubu A, Greby S, Bronson M, Brown K, Bamidele M, et al: Optimizing community linkage to care and antiretroviral therapy Initiation: Lessons from the Nigeria HIV/AIDS Indicator and Impact Survey (NAIIS) and their adaptation in Nigeria ART Surge. PLoS One 16: e0257476, 2021.

Yakubovich AR, Sherr L, Cluver LD, Skeen S, Hensels IS, Macedo A and Tomlinson M: Community‑based organisations for vulnerable children in South Africa: Reach, psychosocial correlates, and potential mechanisms. Child Youth Serv Rev 62:58‑64, 2016.




How to Cite

Ouedraogo, S., Dah, T. T. E., Diallo, I., Sarigda, M., Dahourou, L. D., Romba, I., Sanon, F. B., Kaboré, P. A. L., Yonli, B. P. C., & Savadogo, L. G. B. (2023). Sub‑optimal satisfaction of people living with HIV and AIDS regarding their care in Burkina Faso, West Africa. Journal of Public Health in Africa, 14(9).



Original Articles