Patients’ Perspectives of the Quality of Tuberculosis Treatment Services in South Ethiopia

Belay Mergya Eticha; Alemayehu Atomsa; Birtukan Tsehaineh; Tezera Moshago Berheto

doi:doi:10.11648/j.ajns.20140304.12

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Patients’ Perspectives of the Quality of Tuberculosis Treatment Services in South Ethiopia

Belay Mergya Eticha, Alemayehu Atomsa, Birtukan Tsehaineh, Tezera Moshago Berheto

Published in American Journal of Nursing Science (Volume 3, Issue 4)

Received: 23 June 2014 Accepted: 8 July 2014 Published: 30 July 2014

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Abstract

Background: Observing quality from the patient’s perspective is of paramount importance for making the service more responsive to patients. However, little is known about the quality of tuberculosis treatment service from the patient’s perspective in Ethiopia. This study was carried out to assess the quality of tuberculosis treatment services from the patient’s perspective in South Ethiopia’s public health facilities. Methods: A facility-based, cross-sectional study design was employed, and data were collected from February to March, 2012. A QUOTE-TB tool validated for East African countries was used to collect data from a sample of 370 tuberculosis patients receiving treatments at public health facilities. The study participants were allocated proportionally to the number of client receives the service, and the relative importance of the aspects and perception of the quality of their received care was scored. Combining the relative importance and actual performance scores derived a measure of service quality. Analyses were performed using SPSS and statistical significance was set at a p-value less than 0.05. Results: The accommodation aspects of the facilities, patient-provider interactions, health information and communication, and availability of care had low quality impact scores. The highest service quality scores were for TB-HIV integration and cost of treatment. Shorter waiting times (ß=-1.85), routine observation, and checking the daily TB drug intake (ß=-1.26) and treatment by the same health provider (ß=1.13) independently predicted overall patient satisfaction. Conclusion: There were notable differences between TB patients ‘expectations and what they actually received in terms of accommodation, availability, patient-provider interactions, health information, and communication, which were identified as being of inadequate quality. Significant effort is needed to improve the quality of TB care with respect to these particular aspects from the perspectives of patients. Individuals caring for patients with TB in the health service should address these areas of care in order to enhance TB treatment services and satisfy patients.

Published in	American Journal of Nursing Science (Volume 3, Issue 4)
DOI	10.11648/j.ajns.20140304.12
Page(s)	48-55
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Tuberculosis, Quality of Treatment Service, Satisfaction

References

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[18]	Girma A, H/Mariam D, Deribe K: Quality of tuberculosis care in six health facilities of Afar Region, Ethiopia. Ethiop Med J 2010, 48(3):195-202.
[19]	Kamel MI, Rashed S, Foda N, Mohie A, Loutfy M: Gender differences in health care utilization and outcome of respiratory tuberculosis in Alexandria Eastern Mediterranean Health Journal 2003, 9(4).
[20]	Aditi N: Factors affecting patient satisfaction and healthcare quality. International Journal of Health Care Quality Assurance 2009, 22(4):366-381.
[21]	Edward NA: Determinants of Consumer Satisfaction of Health Care in Ghana: Does Choice of Health Care Provider Matter? Global journal of health science 2009, 1(2).

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APA Style

Belay Mergya Eticha, Alemayehu Atomsa, Birtukan Tsehaineh, Tezera Moshago Berheto. (2014). Patients’ Perspectives of the Quality of Tuberculosis Treatment Services in South Ethiopia. American Journal of Nursing Science, 3(4), 48-55. https://doi.org/10.11648/j.ajns.20140304.12

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ACS Style

Belay Mergya Eticha; Alemayehu Atomsa; Birtukan Tsehaineh; Tezera Moshago Berheto. Patients’ Perspectives of the Quality of Tuberculosis Treatment Services in South Ethiopia. Am. J. Nurs. Sci. 2014, 3(4), 48-55. doi: 10.11648/j.ajns.20140304.12

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AMA Style

Belay Mergya Eticha, Alemayehu Atomsa, Birtukan Tsehaineh, Tezera Moshago Berheto. Patients’ Perspectives of the Quality of Tuberculosis Treatment Services in South Ethiopia. Am J Nurs Sci. 2014;3(4):48-55. doi: 10.11648/j.ajns.20140304.12

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@article{10.11648/j.ajns.20140304.12,
  author = {Belay Mergya Eticha and Alemayehu Atomsa and Birtukan Tsehaineh and Tezera Moshago Berheto},
  title = {Patients’ Perspectives of the Quality of Tuberculosis Treatment Services in South Ethiopia},
  journal = {American Journal of Nursing Science},
  volume = {3},
  number = {4},
  pages = {48-55},
  doi = {10.11648/j.ajns.20140304.12},
  url = {https://doi.org/10.11648/j.ajns.20140304.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20140304.12},
  abstract = {Background: Observing quality from the patient’s perspective is of paramount importance for making the service more responsive to patients. However, little is known about the quality of tuberculosis treatment service from the patient’s perspective in Ethiopia. This study was carried out to assess the quality of tuberculosis treatment services from the patient’s perspective in South Ethiopia’s public health facilities. Methods: A facility-based, cross-sectional study design was employed, and data were collected from February to March, 2012. A QUOTE-TB tool validated for East African countries was used to collect data from a sample of 370 tuberculosis patients receiving treatments at public health facilities. The study participants were allocated proportionally to the number of client receives the service, and the relative importance of the aspects and perception of the quality of their received care was scored. Combining the relative importance and actual performance scores derived a measure of service quality. Analyses were performed using SPSS and statistical significance was set at a p-value less than 0.05. Results: The accommodation aspects of the facilities, patient-provider interactions, health information and communication, and availability of care had low quality impact scores. The highest service quality scores were for TB-HIV integration and cost of treatment. Shorter waiting times (ß=-1.85), routine observation, and checking the daily TB drug intake (ß=-1.26) and treatment by the same health provider (ß=1.13) independently predicted overall patient satisfaction. Conclusion: There were notable differences between TB patients ‘expectations and what they actually received in terms of accommodation, availability, patient-provider interactions, health information, and communication, which were identified as being of inadequate quality. Significant effort is needed to improve the quality of TB care with respect to these particular aspects from the perspectives of patients. Individuals caring for patients with TB in the health service should address these areas of care in order to enhance TB treatment services and satisfy patients.},
 year = {2014}
}

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TY - JOUR
T1 - Patients’ Perspectives of the Quality of Tuberculosis Treatment Services in South Ethiopia
AU - Belay Mergya Eticha
AU - Alemayehu Atomsa
AU - Birtukan Tsehaineh
AU - Tezera Moshago Berheto
Y1 - 2014/07/30
PY - 2014
N1 - https://doi.org/10.11648/j.ajns.20140304.12
DO - 10.11648/j.ajns.20140304.12
T2 - American Journal of Nursing Science
JF - American Journal of Nursing Science
JO - American Journal of Nursing Science
SP - 48
EP - 55
PB - Science Publishing Group
SN - 2328-5753
UR - https://doi.org/10.11648/j.ajns.20140304.12
AB - Background: Observing quality from the patient’s perspective is of paramount importance for making the service more responsive to patients. However, little is known about the quality of tuberculosis treatment service from the patient’s perspective in Ethiopia. This study was carried out to assess the quality of tuberculosis treatment services from the patient’s perspective in South Ethiopia’s public health facilities. Methods: A facility-based, cross-sectional study design was employed, and data were collected from February to March, 2012. A QUOTE-TB tool validated for East African countries was used to collect data from a sample of 370 tuberculosis patients receiving treatments at public health facilities. The study participants were allocated proportionally to the number of client receives the service, and the relative importance of the aspects and perception of the quality of their received care was scored. Combining the relative importance and actual performance scores derived a measure of service quality. Analyses were performed using SPSS and statistical significance was set at a p-value less than 0.05. Results: The accommodation aspects of the facilities, patient-provider interactions, health information and communication, and availability of care had low quality impact scores. The highest service quality scores were for TB-HIV integration and cost of treatment. Shorter waiting times (ß=-1.85), routine observation, and checking the daily TB drug intake (ß=-1.26) and treatment by the same health provider (ß=1.13) independently predicted overall patient satisfaction. Conclusion: There were notable differences between TB patients ‘expectations and what they actually received in terms of accommodation, availability, patient-provider interactions, health information, and communication, which were identified as being of inadequate quality. Significant effort is needed to improve the quality of TB care with respect to these particular aspects from the perspectives of patients. Individuals caring for patients with TB in the health service should address these areas of care in order to enhance TB treatment services and satisfy patients.
VL - 3
IS - 4
ER -

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Author Information

Belay Mergya Eticha

Disease Prevention and Control Coordinator, Hadiya Zone Health Department, Hosanna, Ethiopia
Alemayehu Atomsa

Department of Epidemiology, Jimma University, Jimma, Ethiopia
Birtukan Tsehaineh

Department of Epidemiology, Jimma University, Jimma, Ethiopia
Tezera Moshago Berheto

Department of Public Health, Mizan College of Health Sciences, Mizan, Ethiopia

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APA Style

Belay Mergya Eticha, Alemayehu Atomsa, Birtukan Tsehaineh, Tezera Moshago Berheto. (2014). Patients’ Perspectives of the Quality of Tuberculosis Treatment Services in South Ethiopia. American Journal of Nursing Science, 3(4), 48-55. https://doi.org/10.11648/j.ajns.20140304.12

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ACS Style

Belay Mergya Eticha; Alemayehu Atomsa; Birtukan Tsehaineh; Tezera Moshago Berheto. Patients’ Perspectives of the Quality of Tuberculosis Treatment Services in South Ethiopia. Am. J. Nurs. Sci. 2014, 3(4), 48-55. doi: 10.11648/j.ajns.20140304.12

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AMA Style

Belay Mergya Eticha, Alemayehu Atomsa, Birtukan Tsehaineh, Tezera Moshago Berheto. Patients’ Perspectives of the Quality of Tuberculosis Treatment Services in South Ethiopia. Am J Nurs Sci. 2014;3(4):48-55. doi: 10.11648/j.ajns.20140304.12

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@article{10.11648/j.ajns.20140304.12,
  author = {Belay Mergya Eticha and Alemayehu Atomsa and Birtukan Tsehaineh and Tezera Moshago Berheto},
  title = {Patients’ Perspectives of the Quality of Tuberculosis Treatment Services in South Ethiopia},
  journal = {American Journal of Nursing Science},
  volume = {3},
  number = {4},
  pages = {48-55},
  doi = {10.11648/j.ajns.20140304.12},
  url = {https://doi.org/10.11648/j.ajns.20140304.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20140304.12},
  abstract = {Background: Observing quality from the patient’s perspective is of paramount importance for making the service more responsive to patients. However, little is known about the quality of tuberculosis treatment service from the patient’s perspective in Ethiopia. This study was carried out to assess the quality of tuberculosis treatment services from the patient’s perspective in South Ethiopia’s public health facilities. Methods: A facility-based, cross-sectional study design was employed, and data were collected from February to March, 2012. A QUOTE-TB tool validated for East African countries was used to collect data from a sample of 370 tuberculosis patients receiving treatments at public health facilities. The study participants were allocated proportionally to the number of client receives the service, and the relative importance of the aspects and perception of the quality of their received care was scored. Combining the relative importance and actual performance scores derived a measure of service quality. Analyses were performed using SPSS and statistical significance was set at a p-value less than 0.05. Results: The accommodation aspects of the facilities, patient-provider interactions, health information and communication, and availability of care had low quality impact scores. The highest service quality scores were for TB-HIV integration and cost of treatment. Shorter waiting times (ß=-1.85), routine observation, and checking the daily TB drug intake (ß=-1.26) and treatment by the same health provider (ß=1.13) independently predicted overall patient satisfaction. Conclusion: There were notable differences between TB patients ‘expectations and what they actually received in terms of accommodation, availability, patient-provider interactions, health information, and communication, which were identified as being of inadequate quality. Significant effort is needed to improve the quality of TB care with respect to these particular aspects from the perspectives of patients. Individuals caring for patients with TB in the health service should address these areas of care in order to enhance TB treatment services and satisfy patients.},
 year = {2014}
}

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