Policy makers and resource allocators in developing countries need to understand and respond to their clients’ needs to ensure that the best possible quality of services are provided, given their lack of resources. In resource constrained settings, where many people are without the means to access private health care, the need to use clients’ perceptions to identify system weaknesses and its responsiveness to their needs is essential to improve the performance of government services. The awareness of client rights to respect and autonomy in medical care and decision making has necessitated a responsive and effective health care system. On the contrary, visiting traditional medicine practitioner before formal HIV care was associated with 2.1% decrease in the RPS.Ĭlients’ satisfaction with the health services is a function of health systems, is impacted by perceived quality of care and the environments and how services are provided. In the multivariate analysis, a unit increase in the perceived quality of care, satisfaction with the services and financial fairness scores respectively resulted in 0.27% ( p < 0.001), 0.48% ( p < 0.001) and 0.48% ( p < 0.001) increase in the RPS. 10.4 and 6.9% of the responsiveness percent score (RPS) were in ‘Fail’ and Very Good categories respectively while the rest (82.7%) were in Good performance category. Respect (5.1%), confidentiality (7.6%) and communication (14.7%) showed low proportion in the Fail performance. On the other hand, ‘only respect (54.0%) domain had higher score in the ‘Very Good’ performance category while attention (3.1%), amenities (4.7%) and choice (12.4%) domains had very low scores. ![]() Communication (64.2%), amenities (61.4%), attention (51.4%) and confidentiality (50.1%) domains had higher scores in the ‘Good’ performance category. A range of response classifications was reported for each domain, with Fail performance being higher for choice (48.4%), attention (45.5%) and autonomy (22.7%) domains. 375 (83.0%) and 77 (17.0%) were on ART and pre-ART care respectively. Of the 452 (91.9%) participants, 205 (45.4%) and 247 (54.6%) were from health centers and a hospital respectively.
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