HIV client’s satisfaction with home delivery of antiretrovirals in Abuja, Federal Capital Territory, Nigeria: A pilot study

Abstract

Background: Human immunodeficiency virus (HIV)-infected patients are faced with the challenge of the frequent visit to an already congested Nigerian hospital for antiretroviral (ARV) refills. Although various decentralization strategies have been adopted to reduce frequent visits to the hospital for antiretroviral (ARV) refills, none has analyzed client satisfaction with the home delivery in Nigeria. Objective: This study aims to develop and validate a questionnaire for assessing HIV-infected patients’ satisfaction with Home Delivery of antiretrovirals in Nigeria. Method: The study is a cross-sectional pilot study carried among people living with HIV that are virally suppressed in Abuja Nigeria, between October 2020 to December 2020. Two hundred and ten self-administered questionnaires were distributed conveniently during the regular antiretroviral home refill by the home delivery personnel. Data were analyzed using SPSS version 25. Descriptive statistics were conducted for the demographics. The variables were categorized into domains and analyzed into groups. Cross tabulation was used to show the relationship between variables and among the demographics. Differences in means were analyzed with T-Test and analysis of variance, a p-value of <0.05 was considered to be significant. Result: All distributed questionnaires were filled and retrieved. All the items in the satisfaction with the home delivery questionnaire showed an internal consistency of ≥ 0.7. Most of the clients were generally satisfied with the antiretroviral delivery model. Conclusion: The clients that received their antiretroviral refill at home are generally satisfied with the delivery model.