Vo Baotran N, Cohen Craig R, Smith Rachel M, Bukusi Elizabeth A, Onono Maricianah A, Schwartz Katie, Washington Sierra, Turan Janet M
Department of Family and Community Medicine, University of California, Davis, CA, USA.
AIDS Care. 2012;24(11):1442-7. doi: 10.1080/09540121.2011.652357. Epub 2012 Feb 1.
A cluster randomized controlled trial was initiated in Kenya to determine if full integration (FI) of HIV care, including HAART, into antenatal care (ANC) clinics improves health outcomes among HIV-infected women and exposed infants, compared to a non-integrated (NI) model. This article examines ANC clients' satisfaction with and preferences regarding HIV-integrated services. In this cross-sectional study, pregnant women attending five FI clinics (n=185) and four NI clinics (n=141) completed an interviewer-administered questionnaire following an ANC visit. By self-report, 55 women (17%) were HIV(+), 230 (71%) were HIV(-), and 40 (12%) did not know their HIV status. Among HIV-infected women, 79% attending FI clinics were very satisfied with their clinic visit compared to 54% of women attending NI clinics (P=0.044); no such difference was found among HIV-uninfected women. In multivariate analysis, overall satisfaction was also independently associated with satisfaction with administrative staff, satisfaction with health care providers, positive evaluation of wait time, and having encountered a receptionist. Full integration of HIV care into antenatal clinics can significantly increase overall satisfaction with care for HIV-infected women, with no significant decrease in satisfaction for HIV-uninfected women served in the same clinics.
在肯尼亚开展了一项整群随机对照试验，以确定与非整合（NI）模式相比，将包括高效抗逆转录病毒治疗（HAART）在内的艾滋病护理全面整合（FI）到产前护理（ANC）诊所是否能改善感染艾滋病病毒的妇女及其受影响婴儿的健康结局。本文探讨了产前护理服务对象对艾滋病整合服务的满意度和偏好。在这项横断面研究中，在五家全面整合诊所（n = 185）和四家非整合诊所（n = 141）就诊的孕妇在一次产前检查后完成了一份由访谈员填写的问卷。自我报告显示，55名妇女（17%）为艾滋病病毒阳性，230名（71%）为阴性，40名（12%）不知道自己的艾滋病病毒感染状况。在感染艾滋病病毒的妇女中，在全面整合诊所就诊的妇女中有79%对诊所就诊非常满意，而在非整合诊所就诊的妇女中这一比例为54%（P = 0.044）；在未感染艾滋病病毒的妇女中未发现此类差异。在多变量分析中，总体满意度还与对行政人员的满意度、对医护人员的满意度、对等待时间的积极评价以及是否遇到接待员独立相关。将艾滋病护理全面整合到产前诊所可显著提高感染艾滋病病毒妇女对护理的总体满意度，而在同一诊所就诊的未感染艾滋病病毒妇女的满意度没有显著下降。
