Implementation fidelity and client satisfaction in HIV testing and counseling services: perspectives from facilities and clients in Gondar city, Northwest Ethiopia.

IF 2.4 3区 医学 Q3 ENVIRONMENTAL SCIENCES Journal of Health, Population, and Nutrition Pub Date : 2024-12-19 DOI:10.1186/s41043-024-00718-w
Bewuketu Terefe, Masresha Asmare Techane, Nega Tezera Assimamaw, Adane Kebede
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Abstract

Background: Individuals can learn their HIV status through voluntary HIV counseling and testing (VCT), which also serves as a crucial access point for prevention, treatment, care, and support programs. VCT has grown in significance as a component of HIV prevention and care in Ethiopia because of its viability and convenience for the wider community, as well as its ability to provide access to care, treatment, and support for those in need. However, studies on this topic are limited, particularly because the fidelity of Ethiopia's VCT program has not been evaluated or measured. Therefore, this study aimed to assess the current implementation status of VCT services and client satisfaction in public health facilities in Gondar City.

Methods: This cross-sectional study was conducted out from June to July 2022. This study involved 130 counselors and 423 VCT users. Information on physical facilities, client satisfaction, and counselor impressions of the services was gathered using a standardized and pre-tested questionnaire, observation checklists, and resource inventory checklists developed from Ethiopian national VCT guidelines, the World Health Organization, United Nations AIDS, and previous literature. In the bivariate and multiple logistic regression models, variables with p values ≤ 0.2 and < 0.05 were chosen as candidate variables and associated variables, respectively.

Results: The overall implementation and facility readiness for VCT services was found to be 67%. The overall client satisfaction rate was 71% (95% CI: 69.7%, 72.7%). Age of participants from 25 to 30 years (AOR = 1.11, 95% CI, 1.02-1.21), 31-35 years (AOR = 2.03, 95% CI, 1.88-2.18), higher educational status (AOR = 1.18, 95% CI, 1.03-2.01), and comprehensive knowledge of HIV/AIDS (AOR = 2.42, 95% CI, 1.53,3.32) were positively associated with client satisfaction, whereas fear of confidentiality (AOR = 0.42, 95% CI, 0.20, 0.63) and longer waiting time (AOR = 0.09, 95% CI, 0.04, 0.15) were negatively associated with the outcome variable.

Conclusion: The implementation fidelity was evaluated to be low; however, client satisfaction was somewhat good. Based on the descriptive and analytical findings, providers' adherence to standards, strong communication with leaders, and the preservation of client confidentiality and privacy must be ensured by having VCT centers meet the necessary standards as outlined in the HTC guidelines to increase client uptake and satisfaction. To enhance the quality of the program, it is important to address clients' educational levels, improve participants' understanding of VCT, promote youth participation, and provide training to service providers.

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艾滋病毒检测和咨询服务的实施保真度和客户满意度:来自埃塞俄比亚西北部贡达尔市的设施和客户的观点。
背景:个人可以通过自愿艾滋病毒咨询和检测(VCT)了解自己的艾滋病毒状况,这也是预防、治疗、护理和支持计划的关键接入点。VCT作为埃塞俄比亚艾滋病毒预防和护理的一个组成部分,其重要性日益增强,因为它对更广泛的社区具有可行性和便利性,并且能够为有需要的人提供护理、治疗和支持。然而,关于这一主题的研究是有限的,特别是因为埃塞俄比亚的VCT计划的保真度尚未得到评估或测量。因此,本研究旨在评估贡达尔市公共卫生机构VCT服务的实施现状和客户满意度。方法:横断面研究于2022年6月至7月进行。这项研究涉及130名咨询师和423名VCT使用者。使用标准化和预先测试的问卷、观察清单和资源清单清单收集了有关物理设施、客户满意度和咨询师对服务的印象的信息,这些清单是根据埃塞俄比亚国家志愿ct指南、世界卫生组织、联合国艾滋病规划署和以前的文献编制的。在双变量和多元逻辑回归模型中,p值≤0.2的变量和结果:VCT服务的总体实施和设施准备度为67%。总体客户满意度为71% (95% CI: 69.7%, 72.7%)。25 ~ 30岁(AOR = 1.11, 95% CI, 1.02 ~ 1.21)、31 ~ 35岁(AOR = 2.03, 95% CI, 1.88 ~ 2.18)、高等教育程度(AOR = 1.18, 95% CI, 1.03 ~ 2.01)、对HIV/AIDS的全面了解(AOR = 2.42, 95% CI, 1.53,3.32)与客户满意度呈正相关,而害怕保密(AOR = 0.42, 95% CI, 0.20, 0.63)和较长的等待时间(AOR = 0.09, 95% CI, 0.04, 0.15)与结果变量呈负相关。结论:实施保真度较低;然而,客户满意度还是不错的。根据描述和分析结果,必须确保VCT中心符合HTC指南中概述的必要标准,以提高客户的接受度和满意度,从而确保供应商遵守标准,与领导进行强有力的沟通,并保护客户的机密性和隐私。为了提高项目的质量,重要的是要解决客户的教育水平,提高参与者对VCT的理解,促进青少年参与,并为服务提供者提供培训。
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来源期刊
Journal of Health, Population, and Nutrition
Journal of Health, Population, and Nutrition 医学-公共卫生、环境卫生与职业卫生
CiteScore
2.20
自引率
0.00%
发文量
49
审稿时长
6 months
期刊介绍: Journal of Health, Population and Nutrition brings together research on all aspects of issues related to population, nutrition and health. The journal publishes articles across a broad range of topics including global health, maternal and child health, nutrition, common illnesses and determinants of population health.
期刊最新文献
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