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Integration of HIV Care with Primary Health Care Services : Effect on Patient Satisfaction and Stigma in Rural Kenya
Joint Authors
Shade, Starley B.
Kioko, Jackson
Penner, Jeremy
Odeny, Thomas A.
Leslie, Hannah H.
Bukusi, Elizabeth A.
Adero, Walter
Lewis-Kulzer, Jayne
Cohen, Craig R.
Source
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-10, 10 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-05-07
Country of Publication
Egypt
No. of Pages
10
Main Subjects
Abstract EN
HIV departments within Kenyan health facilities are usually better staffed and equipped than departments offering non-HIV services.
Integration of HIV services into primary care may address this issue of skewed resource allocation.
Between 2008 and 2010, we piloted a system of integrating HIV services into primary care in rural Kenya.
Before integration, we conducted a survey among returning adults ≥18-year old attending the HIV clinic.
We then integrated HIV and primary care services.
Three and twelve months after integration, we administered the same questionnaires to a sample of returning adults attending the integrated clinic.
Changes in patient responses were assessed using truncated linear regression and logistic regression.
At 12 months after integration, respondents were more likely to be satisfied with reception services (adjusted odds ratio, aOR 2.71, 95% CI 1.32–5.56), HIV education (aOR 3.28, 95% CI 1.92–6.83), and wait time (aOR 1.97 95% CI 1.03–3.76).
Men's comfort with receiving care at an integrated clinic did not change (aOR = 0.46 95% CI 0.06–3.86).
Women were more likely to express discomfort after integration (aOR 3.37 95% CI 1.33–8.52).
Integration of HIV services into primary care services was associated with significant increases in patient satisfaction in certain domains, with no negative effect on satisfaction.
American Psychological Association (APA)
Odeny, Thomas A.& Penner, Jeremy& Lewis-Kulzer, Jayne& Leslie, Hannah H.& Shade, Starley B.& Adero, Walter…[et al.]. 2013. Integration of HIV Care with Primary Health Care Services : Effect on Patient Satisfaction and Stigma in Rural Kenya. AIDS Research and Treatment،Vol. 2013, no. 2013, pp.1-10.
https://search.emarefa.net/detail/BIM-475403
Modern Language Association (MLA)
Odeny, Thomas A.…[et al.]. Integration of HIV Care with Primary Health Care Services : Effect on Patient Satisfaction and Stigma in Rural Kenya. AIDS Research and Treatment No. 2013 (2013), pp.1-10.
https://search.emarefa.net/detail/BIM-475403
American Medical Association (AMA)
Odeny, Thomas A.& Penner, Jeremy& Lewis-Kulzer, Jayne& Leslie, Hannah H.& Shade, Starley B.& Adero, Walter…[et al.]. Integration of HIV Care with Primary Health Care Services : Effect on Patient Satisfaction and Stigma in Rural Kenya. AIDS Research and Treatment. 2013. Vol. 2013, no. 2013, pp.1-10.
https://search.emarefa.net/detail/BIM-475403
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-475403