HIV/AIDS Care and Support Services Satisfaction for Orphan and Vulnerable Children in Northwest Ethiopia: Mixed Method Study

Abstract

Background: The provision of comprehensive care and support services to orphans and disadvantaged children that are individualized and tailored through the use of child- and family-centered information is critical but little if any information is available on satisfaction with HIV/AIDS care among orphans and vulnerable children in Gondar. Therefore, this study aimed to assess the satisfaction of HIV/AIDS care and support service delivered to caregivers of Orphans and Vulnerable Children, Gondar City, 2023. Methods: A facility-based cross-sectional study design with explanatory concurrent mixed methods was applied. A total of 424 Orphans and Vulnerable Children’s caregivers for interviewer-administered questionaries, 5 key informant interviews, and 385 Orphans and Vulnerable Children’s document reviews were conducted. The data were entered into the Kobo toolbox software and exported to STATA version 16 for analysis. A binary logistic regression analysis was performed to identify significant variables. The qualitative data were transcribed, translated, coded, and analyzed using thematic analysis. Results: In this study, the Orphans and Vulnerable Children’s/ caregivers satisfaction of HIV/AIDS C&S services was 68.20% with (95%CI=63.20%,71.10%). In multivariable logistic regression analysis, separate waiting rooms (AOR=0.05, 95% CI: 0.005, 0.52), materials for Orphans and Vulnerable Children to take home (AOR=1.76, 95%CI: 1.67, 7.59), and provisions of attractive and friendly services to Orphans and Vulnerable Children (AOR=2.24, 95%CI: 1.08, 4.64) were significant variables. Conclusion: Orphan and vulnerable children caregiver satisfaction to HIV/AIDS C&S service was 68.20% with (95%CI=63.20%,71.10%). Separate waiting rooms, attractive and friendly service, and materials to take home were factors that affected Orphans and Vulnerable Children’s caregiver satisfaction to the HIV/AIDS C&S service. Rigorous efforts to build systems that apply the policy and principles of HIV C&S services are recommended. Therefore, the government, partners, programmers, and implementers should give attention to improving the HIV C&S services.