Skip to content
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Integration of HIV care with primary health care services: Effect on patient satisfaction and stigma in Rural Kenya
AIDS Research and Treatment, Volume 2013, Article 485715, Year 2013
Notification
URL copied to clipboard!
Description
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. © 2013 Thomas A. Odeny et al.
Authors & Co-Authors
Odeny, Thomas A.
Kenya, Nairobi
Family Aids Care and Education Services
Kenya, Nairobi
Kenya Medical Research Institute
United States, Seattle
University of Washington
Penner, Jeremy A.
Kenya, Nairobi
Family Aids Care and Education Services
Canada, Vancouver
The University of British Columbia
Lewis-Kulzer, Jayne
Kenya, Nairobi
Family Aids Care and Education Services
United States, San Francisco
University of California, San Francisco
Leslie, Hannah H.
United States, San Francisco
Ucsf Center for Aids Prevention Studies
Shade, Starley B.
United States, San Francisco
Ucsf Center for Aids Prevention Studies
Adero, Walter
Kenya, Nairobi
Family Aids Care and Education Services
Kioko, Jackson K.
Kenya, Nairobi
Ministry of Public Health and Sanitation
Cohen, Craig R.
Kenya, Nairobi
Family Aids Care and Education Services
United States, San Francisco
University of California, San Francisco
Bukusi, Elizabeth Anne
Kenya, Nairobi
Family Aids Care and Education Services
Kenya, Nairobi
Kenya Medical Research Institute
United States, San Francisco
University of California, San Francisco
Statistics
Citations: 9
Authors: 9
Affiliations: 7
Identifiers
Doi:
10.1155/2013/485715
e-ISSN:
20901259
Research Areas
Health System And Policy
Infectious Diseases
Study Design
Cross Sectional Study
Case-Control Study
Study Approach
Quantitative
Study Locations
Kenya
Participants Gender
Male
Female