Doctors’ services in urban and rural HIV treatment centres in Anambra State, Nigeria: Echoes of clients assessment

Abstract

This cross-sectional comparative study was designed to determine and compare clients’ satisfaction with doctors’ services at the urban and rural HIV treatment centers in Anambra State, Nigeria.The study population comprised clients accessing HIV care services at the four HIV treatment centres in the State. Multi stage sampling technique was used to select 1,100 respondents who participated in the study. A pre-tested, semi-structured, interviewer administered questionnaire was used to interview the clients. The data collected were analysed with the International Business Machines-Statistical package for the Social Sciences (IBM-SPSS; Version 20.0). Results showed that a higher proportion of the respondents who were satisfied with the doctors’ services were urban respondents
538(94.9%), compared to the rural respondents (29;5.1%) (p = 0.000). Urban respondents were also twice likely to be satisfied with doctors’ services than the rural respondents [OR: 2.376 (95% CI: 1.625-2.223)]. These findings suggest that clients in the urban HIV treatment centres were more satisfied with the doctors’ services than the clients in the rural HIV treatment centres. Thus, appropriate interventions should be instituted to increase the satisfaction of the clients with the doctors’ services especially in the rural centres.