TITLE:
Service Delivery Factors That Influence Utilization of HIV Integrated Primary Health Care Programme in Embu Referral Hospital, Kenya
AUTHORS:
Caroline N. Githae, Micah Matiang’i, Moses Muraya
KEYWORDS:
Service Related Factors, Integrated Services, Embu Teaching and Referral Hospital, HIV Patients, Primary Health Care Services
JOURNAL NAME:
Open Journal of Clinical Diagnostics,
Vol.9 No.3,
September
25,
2019
ABSTRACT: Globally, there are
approximately 36.7 million people living with HIV. Integration of HIV treatment
with primary care services improves effectiveness, efficiency and equity in service delivery. The study sought to establish
service delivery factors that influenced utilization of integrated HIV and
primary health care services in Embu Teaching and Referral hospital. A descriptive
cross-sectional survey design was used to collect data at a specific period and
point of time from a sample of 302 seropositive clients who were selected using
simple random method. Data collection tool was structured and semi-structured
questionnaire. The tool was reliable at Cronbach’s alpha of 0.817. SPSS version
23 was used to analyze the data. A binary logistic regression model was used to
predict the relationship between service delivery and utilization of integrated
services. Results: Majority of the respondents (59.6%) were aged over 35
years with majority being female (58.9%) and the married were 57.6% of the
total sample. On service delivery factors, majority (94.7%) felt that their
health status had improved. Action taken when clients developed side effects,
78.8% reported that the drugs were changed. Action taken following drug side
effects significantly affected utilization, χ2 = 1.305, p = 0.001, df = 1. The findings showed that waiting time significantly influenced
utilization, χ2 =
9.284, df = 1, p = 0.002. Source of
information on self care also significantly influenced utilization, χ2 = 10.689, df = 1, p = 0.001. Kind of treatment at the facility also significantly
influenced utilization, χ2 =
5.713, p = 0.048. Conclusion: significant factors that influenced utilization of integrated services were
source of health care information, secondly waiting time was another factor
which influenced utilization. Majority of the respondents were satisfied with duration
of time they take before they were served; they reported to take utmost 1 hour
to be attended to and action taken by health care provider following side
effects was another factor that influenced the utilization.