Patient Satisfaction with Care and Its Predictors in a Secondary Hospital in Kaduna State, North-western Nigeria.

BACKGROUND: Satisfied patients adhere more to counselling, prescribed treatment and referrals. Few studies reveal the sub-scales of satisfaction and predictors of satisfaction in north-western Nigeria. OBJECTIVES: To determine patients' overall satisfaction with healthcare provision and their predictors at a secondary hospital in Kaduna metropolis, Kaduna State, North-Western Nigeria. METHODS: A descriptive, cross-sectional exit survey of 390 consenting patients selected by systematic sampling from outpatient clinics in June 2022. The data collection tool was a standardized, structured questionnaire electronically administered using the "Kobo Collect" app. Data were analysed using SPSS (version 23); the chi- square (x ) test was used for bivariate analysis (at P<0.05) and ordinal regression (using the generalized linear model method) was used to determine predictors of satisfaction. RESULTS: The general satisfaction among respondents was 60.5%; age, sex, highest education attained and employment status were significantly associated with general satisfaction (p<0.05). Positive predictors of satisfaction were financial aspects, time spent with doctors, communication as well as accessibility and convenience. CONCLUSION: Patients' overall satisfaction was above average. Predictors of satisfaction included financial aspects, time spent with doctors, communication, accessibility and convenience. Careful attention to these domains will enhance patient satisfaction with care in our secondary hospitals.

CONTEXTE: Les patients satisfaits adhèrent davantage aux conseils, aux traitements prescrits et aux recommandations. Peu d'études révèlent les sous-échelles de satisfaction et les prédicteurs de satisfaction dans le nord-ouest du Nigeria. OBJECTIFS: Déterminer la satisfaction globale des patients à l'égard de la prestation de soins de santé et leurs prédicteurs dans un hôpital secondaire de la métropole de Kaduna, dans l'État de Kaduna, au nord-ouest du Nigeria. MÉTHODES: Enquête de sortie descriptive et transversale menée auprès de 390 patients consentants sélectionnés par échantillonnage systématique dans des cliniques externes en juin 2022. L'outil de collecte de données était un questionnaire standardisé et structuré administré électroniquement à l'aide de l'application "Kobo Collect". Les données ont été analysées à l'aide du logiciel SPSS (version 23); le test du chi carré (χ2) a été utilisé pour l'analyse bivariée (à P<0.05) et la régression ordinale (en utilisant la méthode du modèle linéaire généralisé) a été utilisée pour déterminer les prédicteurs de satisfaction. RÉSULTATS: La satisfaction générale des répondants était de 60,5 %; l'âge, le sexe, le niveau d'éducation le plus élevé atteint et le statut d'emploi étaient significativement associés à la satisfaction générale (p<0,05). Les prédicteurs positifs de satisfaction étaient les aspects financiers, le temps passé avec les médecins, la communication ainsi que l'accessibilité et la commodité. CONCLUSION: La satisfaction globale des patients était au-dessus de la moyenne. Les prédicteurs de satisfaction comprenaient les aspects financiers, le temps passé avec les médecins, la communication, l'accessibilité et la commodité. Une attention particulière à ces domaines améliorera la satisfaction des patients à l'égard des soins dans nos hôpitaux secondaires. MOTS-CLÉS: Satisfaction des patients, Satisfaction à l'égard des soins, Prédicteurs, Temps passé avec les médecins.

Determinants of health-related quality of life among human immunodeficiency virus positive (HIV-positive) patients at Ahmadu Bello University teaching hospital, Zaria, Nigeria- 2015.

BACKGROUND: The advent of Highly Active Antiretroviral Therapy (HAART) is associated with improved clinical and laboratory outcomes resulting in prolonged life and well-being of people living with Human Immunodeficiency Virus (PLHIV). However, the needs for life-long therapy, medications' side effects and stigma have raised concerns about their quality of life (QOL). This study assessed the determinants of Health-related quality of life (HRQOL) among HIV-positive patients at Ahmadu Bello University Teaching Hospital (ABUTH) Zaria. METHODS: We conducted a cross-sectional study of 353 HIV-positive adults on HAART attending the HIV clinic of ABUTH, Zaria. The participants were recruited into the study using a systematic sampling technique. Data on socio-demographics, medical parameters, QOL and family functionality were collected using structured, interviewer-administered questionnaire. The World Health Organization (WHO) Quality of Life HIV short form instrument (WHOQOL-HIV BREF) item and Family APGAR tool were respectively used in assessing the QOL and family functionality of the participants. We performed univariate, bivariate and multivariate analysis. RESULTS: Mean age was 39.1(±10.9) years, 239 (67.7%) were females, 208 (58.9%) were Hausa-Fulani, 240 (68.2%) married and up to 210 (59.4%) had at least a secondary education. The overall mean scores on the scale of 4-20 for HRQOL were similar in three domains: environment domain 14.5(±2.8); social relationship 14.4(±3.1) and level of independence 14.4(±2.5). Lower scores were recorded in spirituality/religion/personal beliefs 12.3(±4.3). Identified determinants of HRQOL were spousal HIV- positive status (AOR = 3.37; CI; 1.46-7.74) and high family function (AOR = 2.57; CI: 1.51-4.39). CONCLUSION: Having highly functional family and having HIV-positive partner were the major determinants of HRQOL. Routine family counselling and strengthening the HIV social-support network should be incorporated into the routine patients' care in HIV treatment centers.

Epidemiological study of bovine brucellosis in three senatorial zones of Bauchi State, Nigeria.

AIM: To determine the seroepidemiological patterns of bovine brucellosis in three senatorial zones of Bauchi State, Nigeria. MATERIALS AND METHODS: Blood samples were aseptically collected from the anterior jugular vein of 336 slaughtered cattle, between September 2013 and March 2014 in three senatorial zones of Bauchi State, Nigeria. The sera obtained were screened for brucellosis using rose Bengal plate test (RBPT) and serum agglutination test (SAT) in parallel. The data generated was subjected to Chi-square and Fishers exact test analysis to establish whether there is a relationship between the breeds, sex, and location of the animals sampled. RESULTS: Of the 336 cattle screened, 18 (5.4%) and 13 (3.9%) were positive by RBPT and SAT, respectively. There was no statistically significant association (p>0.05) between the sex, age, and location of cattle with seropositivity of brucellosis in the state. It was concluded that brucellosis is prevalent in Bauchi State. Further study is recommended in other abattoirs and herds of cattle in Bauchi State for confirmation of the status of the disease among cattle slaughtered in the state. CONCLUSION: A high seroprevalence of brucellosis among the cattle in Bauchi state indicates that the disease is endemic and cattle are one of the animals that perpetuate and sustain the disease.