Patient satisfaction with integrated HIV and antenatal care services in rural Kenya

AIDS Care. 2012;24(11):1442-7. doi: 10.1080/09540121.2011.652357. Epub 2012 Feb 1.


A cluster randomized controlled trial was initiated in Kenya to determine if full integration (FI) of HIV care, including HAART, into antenatal care (ANC) clinics improves health outcomes among HIV-infected women and exposed infants, compared to a non-integrated (NI) model. This article examines ANC clients' satisfaction with and preferences regarding HIV-integrated services. In this cross-sectional study, pregnant women attending five FI clinics (n=185) and four NI clinics (n=141) completed an interviewer-administered questionnaire following an ANC visit. By self-report, 55 women (17%) were HIV(+), 230 (71%) were HIV(-), and 40 (12%) did not know their HIV status. Among HIV-infected women, 79% attending FI clinics were very satisfied with their clinic visit compared to 54% of women attending NI clinics (P=0.044); no such difference was found among HIV-uninfected women. In multivariate analysis, overall satisfaction was also independently associated with satisfaction with administrative staff, satisfaction with health care providers, positive evaluation of wait time, and having encountered a receptionist. Full integration of HIV care into antenatal clinics can significantly increase overall satisfaction with care for HIV-infected women, with no significant decrease in satisfaction for HIV-uninfected women served in the same clinics.

Publication types

  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Anti-HIV Agents / therapeutic use
  • Attitude of Health Personnel
  • Cross-Sectional Studies
  • Delivery of Health Care, Integrated / organization & administration*
  • Female
  • HIV Infections* / diagnosis
  • HIV Infections* / drug therapy
  • HIV Infections* / prevention & control
  • Humans
  • Infectious Disease Transmission, Vertical / prevention & control
  • Interviews as Topic
  • Kenya
  • Logistic Models
  • Maternal Health Services / organization & administration*
  • Multivariate Analysis
  • Patient Satisfaction*
  • Pregnancy
  • Pregnancy Complications, Infectious / diagnosis
  • Pregnancy Complications, Infectious / drug therapy
  • Pregnancy Complications, Infectious / prevention & control
  • Prenatal Care / methods*
  • Program Evaluation
  • Rural Health Services / organization & administration*
  • Rural Population
  • Socioeconomic Factors
  • Surveys and Questionnaires
  • Young Adult


  • Anti-HIV Agents