School of Pharmacy, College of Health Sciences, Mizan Tepi University, Mizan-Aman, Ethiopia.
School of Pharmacy, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.
Afr Health Sci. 2022 Sep;22(3):442-454. doi: 10.4314/ahs.v22i3.48.
HIV/AIDS is a major public health, social and economic problem in Ethiopia. However, little has been done on assessment of the quality of the services given to patients in this country.
To assess the quality of HIV/AIDS services in health centers of East Shoa Zone, Oromia region, Ethiopia.
Cross sectional survey was undertaken in selected health centers of East Shoa Zone between February and May, 2017. Data was collected using researcher administered structured questionnaire, logistics indicators assessment tool and observation check list. SPSS for windows version 20 was utilized in the analysis of the collected data.
The study facilities were providing various services to HIV/AIDS patients. All (100%) and 6(75%) facilities respectively had shortage of trained human power required to give ART and TB services. Regarding ARV medicines availability, majority of the study facilities, 5 (62.50%) reported that they had the stockout of AZT300/3TC150/NVP200 in six months prior to study while 4 (66.7%) of the facilities had the stockout of NVP 240ml (50mg/5ml) syrup on day of visit. Among anti-TB medicines, E100 was out of stock in three facilities (37.5%) on day of visit and INH100 had been out of stock in 4 (50%) of the facilities in six months prior to the study. From OIs medicines, Cotrimoxazole 960mg tablet stockedout in 4 (66.70%) on day of visit and in 5 (83.30%) health centers in six months prior to the study. Considerable number of study facilities, 4 (66.70%) had the stockout of tramadol 50mg tablet on day of visit and ibuprofen 400mg tablet in six months prior to the study, 5 (71.40%).
The studied facilities were challenged by different factors including, scarcity of human power, stockout of various HIV/AIDS related medicines and inability to make patients adhere to the services given by the facilities. The consequences of these factors can be dangerous to the patients as well as to the wider public and hence making available the appropriate human resource and HIV/AIDS related commodities including medicines should be the priority for the health facilities and the region to improve the quality of HIV/AIDS services in the study area.
艾滋病毒/艾滋病是埃塞俄比亚的一个主要公共卫生、社会和经济问题。然而，在评估该国向患者提供的服务质量方面，几乎没有任何工作。
评估东绍阿地区卫生中心的艾滋病毒/艾滋病服务质量。
2017 年 2 月至 5 月，在东绍阿地区选定的卫生中心进行了横断面调查。使用研究者管理的结构化问卷、后勤指标评估工具和观察检查表收集数据。使用 Windows 版 SPSS 20 对收集的数据进行分析。
研究设施为艾滋病毒/艾滋病患者提供各种服务。所有（100%）和 6 个（75%）设施分别缺乏提供抗逆转录病毒治疗和结核病服务所需的经过培训的人力。关于抗逆转录病毒药物的供应情况，大多数研究设施（62.50%）报告称，在研究前六个月，他们的 AZT300/3TC150/NVP200 库存短缺，而 4 个设施（66.7%）在研究当天，他们的 NVP 240ml（50mg/5ml）糖浆库存短缺。在抗结核药物中，三种设施（37.5%）在研究当天的库存中没有 E100，而在研究前六个月，有 4 个设施（50%）的 INH100 库存短缺。在机会性感染药物中，在研究当天，Cotrimoxazole 960mg 片剂有 4 个（66.70%）库存短缺，在研究前六个月，有 5 个（83.30%）卫生中心库存短缺。相当数量的研究设施在研究当天（66.70%）和在研究前六个月（83.30%）库存短缺曲马多 50mg 片剂和布洛芬 400mg 片剂。
研究设施面临着各种因素的挑战，包括人力资源短缺、各种艾滋病毒/艾滋病相关药物的短缺以及设施无法使患者坚持接受服务。这些因素的后果可能对患者以及更广泛的公众造成危险，因此，为了改善研究地区的艾滋病毒/艾滋病服务质量，卫生设施和该地区应优先提供适当的人力资源和艾滋病毒/艾滋病相关商品，包括药物。
