HIV/AIDS patient satisfaction with a food assistance programme in Sofala province, Mozambique

Abstract

Food insecurity is one of the main factors affecting access and adherence to antiretroviral treatment (ART) in middle- and low-income countries. To mitigate this problem, food assistance interventions are being integrated in ART programmes. As evidence of effectiveness of these interventions has been mixed, evaluating their implementation is important. We measured the satisfaction of HIV/AIDS patients with a food assistance programme in Sofala province in Mozambique. This was an observational study that used a combination of qualitative and quantitative methods. HIV/AIDS patients receiving food assistance took part in focus group discussions (FDGs) and completed a semi-structured questionnaire about their opinions about the programme. Data were analysed using content and factor analysis, percentages of the maximum attainable scores (PMAS) and regression. Patients were satisfied with food assistance and rated it well above 60% of PMAS. Four factors were identified as underlying factors of satisfaction with food assistance. From these factors, patients were satisfied with 2, product availability and the distribution process, and rated these above 60%. They were dissatisfied with the other 2, quantity of products and the enrolment period, and rated these below 60%. From the four factors, only the distribution process was significantly associated with satisfaction with food assistance (p = 0.001). Satisfaction and the helpfulness of food assistance in adherence to ART, as perceived by patients, were significantly associated (p < 0.001). Patients were satisfied with food assistance. Programme managers should focus on the distribution process, quantity of products and enrolment period to further improve satisfaction of patients receiving food assistance.