Investigating client perception and attitude to decentralization of HIV/AIDS treatment services to primary health centres in three Nigerian states

Health Expectations : an International Journal of Public Participation in Health Care and Health Policy
Obinna OnwujekweBenjamin Uzochukwu

Abstract

The opinions of consumers in decentralization provide insights into possible levels of improvement in access and uptake of services. The study examined clients' perception and attitude towards decentralization of antiretroviral treatment services from central hospitals to primary health centres (PHCs). A cross-sectional survey was undertaken in three states in Nigeria. A total of 1265 exit interviews were conducted with HIV/AIDS clients in nine health facilities. About a third of all the respondents were not comfortable with receiving ART services in a PHC facility close to where they live. The reasons given by 385 respondents who would not want their treatment centres near were as follows: fear of disclosure, 299 (80.4%); fear of being discriminated against, 278 (74.3%); and satisfaction with care received at current facility, 278 (74.3%). However, more than 90% of respondents in all three states felt that decentralization of ART services to PHCs would be beneficial in controlling HIV/AIDS in Nigeria; the difference in respondents' perception across the three state was found to be statistically significant (P < 0.001). The findings imply that scaling-up of treatment services to PHCs would be widely accepted, and probably resul...Continue Reading

References

Jan 15, 2010·Bulletin of the World Health Organization·Clare DickinsonNel Druce
May 21, 2010·BMC Health Services Research·Shannon L SibbaldDouglas K Martin
Jul 14, 2010·Tropical Medicine & International Health : TM & IH·Adrienne K ChanMonique van Lettow
Aug 4, 2010·Bulletin of the World Health Organization·Portia C MutevedziMarie-Louise Newell
Nov 28, 2013·Journal of the International AIDS Society·Cynthia I Grossman, Anne L Stangl
Nov 28, 2013·Journal of the International AIDS Society·Michel Sidibé, Eric P Goosby

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