The Kualitas Pelayanan Berhubungan Dengan Kepuasan Peserta Jkn Di Fasilitas Kesehatan Tingkat Pertama Provinsi Daerah Istimewa Yogyakarta

BPJS Health targets participant satisfaction to reach 95%, but until 2017 participant satisfaction reaches 85%. Participants who received service at the primary health facilities based on observations averaged 70%. Based on observations at the primary health facility can be seen that participant satisfaction is 70%. The objective was to evaluate the correlation between the quality services and participant satisfaction on the national health insurance at primary health facilities in the province of Yogyakarta. The type of research was quantitative descriptive with cross sectional design. The research location was primary health facilities that cooperate with BPJS Kesehatan in the Province of Yogyakarta. The study was conducted in July 2018. The number of samples in this study was 850 by proportional random sampling. Data analysis was using the Kendall Tau test. Results showed that the quality of health services both in terms of tangible, reliability, responsiveness, assurance and empathy were related to the satisfaction of BPJS Kesehatan participants in the primary health facilities. The results of bivariate analysis for each variable had a Sig. (2-tailed) 0,000 with a strong relationship. The quality of health services was related to the satisfaction of patients participating in the BPJS Kesehatan in the primary health facilities of the Province of Yogyakarta. Primary health facilities in order to maintain the quality of its health services so that patients participating in the National Health Insurance program remain satisﬁ ed with the services that have been provided. Abstrak BPJS Kesehatan menargetkan kepuasan peserta mencapai 95%, akan tetapi sampai tahun 2017 ini kepuasan peserta mencapai 85%. Peserta yang mendapatkan pelayanan di fasilitas kesehatan tingkat pertama berdasarkan hasil observasi di puskesmas, dokter keluarga dan klinik pratama rata-rata 70%. Berdasarkan hasil observasi di fasilitas kesehatan tingkat pertama (FKTP) yang bekerja sama dengan BPJS Kesehatan dapat diketahui bahwa kepuasan peserta sebesar 70%. Penelitian bertujuan untuk membuktikan bahwa kualitas pelayanan berhubungan dengan kepuasan peserta Jaminan Kesehatan Nasional (JKN) di Fasilitas Kesehatan Tingkat Pertama Di Provinsi Daerah Istimewa Yogyakarta. Jenis penelitian adalah deskriptif kuantitatif dengan rancangan cross sectional. Lokasi penelitian adalah FKTP yang bekerjasama dengan BPJS Kesehatan di Provinsi Daerah Istimewa Yogyakarta. Penelitian dilakukan pada bulan Juli 2018. Jumlah sampel dalam penelitian ini adalah 850 secara proportional random sampling. Analisis data dilakukan dengan menggunakan uji Kendall Tau. Kualitas pelayanan kesehatan baik dari sudut tangible, reliability, responsiveness, assurance maupun empathy berhubungan dengan kepuasan pasien peserta BPJS Kesehatan di FKTP Provinsi Daerah Istimewa Yogyakarta. Hasil analisis bivariat setiap variabel mempunyai nilai Sig. (2-tailed) 0,000 dengan hubungan yang kuat. Kualitas pelayanan kesehatan (tangible, reliability, responsiveness, assurance dan empathy) berhubungan dengan kepuasan pasien peserta BPJS Kesehatan di FKTP Provinsi Daerah Istimewa Yogyakarta. FKTP di Provinsi Daerah Istimewa Yogyakarta supaya tetap mempertahankan kualitas pelayanan kesehatannya sehingga pasien peserta program Jaminan Kesehatan Nasional (JKN) tetap merasa puas terhadap pelayanan yang sudah diberikan.

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“…This facility has all that is Required for Safe Baby Delivery in Case of An Emergency There is a Theater…” Exploring Experiences and Perceptions of Quality of Maternity Care in a Rural Sub-County. A Qualitative Study

10.21203/rs.3.rs-21152/v1 ◽

2020 ◽

Author(s):

Jackline Akinyi Oluoch-Aridi ◽

Francis Wafula ◽

Gilbert O Kokwaro ◽

Mary B Adam

Keyword(s):

Quality Of Care ◽

Maternal Health ◽

Health Services ◽

Maternal Mortality ◽

Maternal Health Services ◽

Health Facilities ◽

Primary Health ◽

Delivery Services ◽

Primary Health Facilities

Abstract Background Maternal mortality still remains a big health system challenge in Kenya. Free maternity policy resulted in an increase in Facility-based delivery. However, this has not been accompanied with a reduction in maternal mortality. This research aims at establishing women’s experiences and perceptions with regard to the quality of maternal health services received at health facilities during delivery. This contextual knowledge will assist policy makers to better understand patterns of health system utilization critical for forging strategies for reducing inequities and providing high quality maternal care.Methods Women aged between 18 and 49 who had recently delivered and were attending six-week immunization clinics were purposively selected at six different health facilities and focus group discussions were conducted with the women. The data was analyzed using thematic content analysis. Verbatim excerpts from the women were provided to illustrate the themes identified. The WHO vision for quality of care was used to assess the themes on experiences of care described by the womenResults Six themes were identified as facilitators to access maternal health services 1) Perceived quality of delivery services 2) Financial access to delivery services 3) Referrals to public tertiary health facilities 4) Social influence 5) operation times at public primary health facilities 6) Distance to the health facility. A few barriers were identified under the perceived quality of services most prominent been the mistreatment of women by night-shift nurses and the operation time at the primary health facilitiesConclusion The findings suggest that the rural women tend to prefer tertiary maternity health facility and there are a number of factors related to quality of care based on their experiences that predispose their choices. Most prominent was the availability of equipment such as theatres for obstetric complications. Another emerging issue was respectful care during maternity services. Auxiliary costs still present a challenge despite the free maternity services. Future studies need to focus on ensuring in depth contextual understanding of women’s perceptions of the experience of care with regard to patient-centered care. Understanding these aspects will help in forging strategies to reduce inequities that are leading to high maternal mortality

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Quality of Health Services in the First Level Health Facilities and the Role of Quality and Cost Control Team in Lampung Province

Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) ◽

10.22146/rpcpe.54162 ◽

2020 ◽

Vol 3 (1) ◽

pp. 8

Author(s):

Asep Sukohar ◽

Arli Suryawinata ◽

Aulian Mediansyah

Keyword(s):

Health Care ◽

Primary Health Care ◽

Health Services ◽

Cost Control ◽

Health Facilities ◽

Care Providers ◽

Primary Health ◽

Control Team ◽

Quality Of Health Services

Background: The National Health Insurance/Jaminan Kesehatan Nasional (JKN) program is a public health protection guarantee held by the Social Securite Management Agency/Badan Penyelenggara Jaminan Sosial Kesehatan (BPJS) to ensure that all Indonesians receive comprehensive, fair, and equitable health care benefits. The health services are provided using a tiered service system with the first stage in the First Level Health Facilities/Fasilitas Kesehatan Tingkat Pertama (FKTP) acting as a gatekeeper. In conducting these duties, they must always be maintained with good cost-efficiency to be able to provide optimal health service quality. The audit function is imposed by the Quality and Cost Control Team/Tim Kendali Mutu Kendali Biaya (TKMKB) which partners with BPJS. Until now, various efforts to improve the quality of services continue to be developed, one of which is the capitation-based service commitment/Kapitasi Berbasis Komitmen Pelayanan (KBK) payment method. Quality of health services in FKTP can be seen through the high number of FKTP that are affected by the capitation-based service commitment (FKTP KBK-K) payment. Additionally, the high number of FKTP KBK-K can also be a measure of the success of the quality and cost control program implemented by the regional TKMKB. Objective: To assess the quality of health services in FKTP and the TKMKB performance of Lampung Province. Methods: This research was a descriptive-analytic study using data from the BPJS report of Lampung Province and TKMKB in the first and second quarters of 2019. Results: There was an increase in the number of FKTP KBK-K in Lampung Province in the second quarter of 2019, not achieving the minimum contact number, with a low ratio of Prolanis Routine Participants Visiting/Rasio Peserta Prolanis Rutin Berkunjung (RPPRB) especially at the FKTP non-Primary Health Care Centers (non-Puskesmas) in Lampung Province. Conclusion: An increase in the number of FKTP KBK-K that is not accompanied by an increase in the clinical ability of primary health care providers (such as family doctors/primary care doctors) can reflect suboptimal health services in FKTP. Also, this can further serve as a benchmark that the performance of the provincial TKMKB is not yet optimal.

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Effect of COVID-19 Pandemic on Provision of Sexual and Reproductive Health Services in Primary Health Facilities in Nigeria: a Cross-sectional Study

10.21203/rs.3.rs-526735/v1 ◽

2021 ◽

Author(s):

Babatunde Adelekan ◽

Erika Goldson ◽

Zubaida Abubakar ◽

Ulla Mueller ◽

Audu Alayande ◽

...

Keyword(s):

Health Care ◽

Reproductive Health ◽

Health Services ◽

Sexual And Reproductive Health ◽

Cross Sectional Study ◽

Health Facilities ◽

Sectional Study ◽

Cross Sectional ◽

Primary Health ◽

Primary Health Facilities

Abstract BackgroundNigeria, like many other countries, has been severely affected by the COVID-19 pandemic. While efforts have been devoted to curtailing the disease, a major concern has been its potential effects on the delivery and utilization of reproductive health care services in the country. The objective of the study was to investigate the extent to which the COVID-19 pandemic and related lockdowns had affected the provision of essential reproductive health, maternal and child health, and adolescent health services in primary health care facilities across the Nigerian States.MethodsThis was a cross-sectional study of 307 primary health facilities in 30 Local Government Areas in 10 States, representing the six geopolitical regions of the country. A semi-structured interviewer-administered questionnaire was used to obtain data on issues relating to access and service provision before, during and after COVID-19 lockdowns from the head nurses/midwives in the facilities. The questionnaire was entered into Open Data Kit mounted on smartphones. Data were analysed using non-parametric statistics.ResultsThe results show that a large proportion of the primary health facilities in the selected states opened for the provision of essential sexual and reproductive health and rights services during the COVID-19 pandemic lockdown. However, there was a significant reduction in clients’ utilization of services due to challenges experienced in service implementation such as stock-outs, and low demand for services by clients. Although the health facilities reported identifying cases of COVID-19, there was limited provision for primary protective equipment and other special offers that would motivate the health workers to optimize services for clients. ConclusionsWe conclude that efforts made to address these challenges by governments, non-governmental agencies, the private sector, and donor agencies working in low resource settings would reduce the health and social burden posed by COVID-19 in Nigeria.

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The structural quality of maternal health services in primary health care facilities in Tanzania: Findings from a baseline study

10.1101/699553 ◽

2019 ◽

Author(s):

Ntuli A. Kapologwe ◽

Albino Kalolo ◽

Naomi H. Isanzu ◽

Josephine Borghi ◽

Stephen M. Kibusi

Keyword(s):

Health Care ◽

Maternal Health ◽

Health Services ◽

Maternal Death ◽

Maternal Health Services ◽

Health Facilities ◽

Structural Quality ◽

Primary Health ◽

Primary Health Facilities

AbstractBackgroundStructural quality of maternal health services remains a key indicator of highly performing health care system. Evidence attest to the fact that introduction of the new interventions in the health care system does not necessarily lead into improvement of the target outcome, such as quality of health services delivered. This study aimed at assessing the structural quality of maternal health services prior to introduction of Direct Health Facility Financing (DHFF) program.MethodsThis was a cross-sectional study, conducted in 42 public primary health facilities between January and mid February 2018. Observational were used to collect the data from health facilities. The collected information was on privacy, hygiene and sanitation, obstetric emergences, sterilization, maternal death audit reviews and waste management. Collected data were analyzed by using SPSS.ResultsAll 42 (100%) primary health facilities that were assessed were public primary health facilities, of which 14 (33.3%) were health centers and 28 were dispensaries. The furthest primary health facilities from the district head office were 140 Kms and the nearest 2 Kms. Focusing on; - privacy, hygiene and sanitation, obstetric emergences, sterilization, maternal death audit reviews and waste management assessed eight areas of Structural qualities. Majority (68.9%) of Health Centers has less than 39 skilled staff while some of them they have up to 129 health service providers and majority (92.8%) of Dispensaries have less than 15 staff and some have 1 staff.By comparing Dispensary and Health center performances on structural quality indicated relatively low differences among the attributes assessed. Specifically, they did not show statistical significant differences except for obstetric emergencies (p < .005), sterilization (p=. 034) and overall structural quality (p=. 018). With regard to rural-urban performance on structural quality, there was no statistical significant difference on total performance. Similarly, there was no significant differences between rural and urban health facilities on other assessed attributes of structural quality (p >.05) except for sterilization in which urban facilities performed significantly higher than the rural facilities [M=41.2, SD=27.7, 61.3, SD=28.4, respectively (p= .028)]. On the other hand, marginal differences were observed on individual assessed attributes. For examples, rural facilities performed relatively higher than urban ones on privacy (41.2 and 32.0), maternal death reviews (31.4 and 30.7) and waste management (49.0 and 47.3) respectively.ConclusionGenerally facilities performed low on the structural quality indicators of maternal health services provision however; they had high performance on sterilization and emergence obstetric care.

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ANALISIS AKSESIBILITAS PEMILIHAN FASILITAS KESEHATAN TINGKAT PERTAMA PADA PESERTA JKN MANDIRI DI KABUPATEN BADUNG TAHUN 2016 MENGGUNAKAN SISTEM INFORMASI GEOGRAFIS

ARCHIVE OF COMMUNITY HEALTH ◽

10.24843/ach.2017.v04.i02.p06 ◽

2020 ◽

Vol 4 (2) ◽

pp. 46

Author(s):

Ni Putu Sri Widhi Andayani ◽

Ketut Hari Mulyawan ◽

I Ketut Tangking Widarsa

Keyword(s):

Health Insurance ◽

Random Sampling ◽

Average Distance ◽

Class Iii ◽

Cross Sectional ◽

Systematic Random Sampling ◽

Primary Health ◽

Selection For ◽

Primary Health Facilities ◽

The Ideal

ABSTRAKPeningkatan Fasilitas Kesehatan Tingkat Pertama (FKTP) di Kabupaten Badung belum diiringi dengan distribusi yang merata, dimana masih terdapat 48,39% (30) desa tidak memiliki FKTP pada wilayahnya. Penelitian ini bertujuan untuk menganalisis aksesibilitas pemilihan FKTP pada peserta Jaminan Kesehatan Nasional (JKN) mandiri di Kabupaten Badung menggunakan sistem informasi geografis. Penelitian deskriptif cross sectional dilakukan melibatkan 385 data peserta JKN mandiri di Kabupaten Badung dengan alamat berupa nama jalan dan nomor rumah yang diambil secara systematic random sampling. Analisis aksesibilitas dilakukan menggunakan SIG. Variabel yang diteliti adalah jarak tempuh, akses berdasarkan jenis FKTP dan akses berdasarkan kelas perawatan. Hasil penelitian menunjukkan bahwa 89,09% peserta JKN mandiri tidak memilih FKTP terdekat. Akan tetapi 54,52% FKTP pilihan peserta masih termasuk ke dalam kategori akses ideal dengan rata-rata jarak tempuh sebesar 4,71 km. Peserta dengan jenis FKTP klinik pratama (43,66%), praktik dokter (29,17%) dan puskesmas (33,96%) belum memiliki akses ideal ke FKTP pilihan. Berdasarkan kelas perawatan, peserta kelas I (45,08%), kelas II (32,82%) dan kelas III (30,00%) belum memiliki akses ideal ke FKTP pilihan. Dapat disimpulkan bahwa 40,52% peserta JKN mandiri belum memiliki akses yang ideal ke FKTP pilihan. Informasi terkait lokasi FKTP terdekat perlu diberikan kepada calon peserta JKN sebagai pertimbangan dalam pemilihan FKTP.Keywords: JKN Mandiri, FKTP, Jarak Tempuh, Aksesibilitas, Kelas Perawatan ABSTRACTImprovement of Primary Health Facilities (FKTP) in Badung Regency has not been accompanied by equitable distribution, where 48.39% (30) villages do not have yet FKTP in their area. This study aims to analyze the accessibility of FKTP selection for independent National Health Insurance (JKN) participants in Badung Regency. A cross-sectional descriptive study was conducted involving 385 independent JKN participants with street names and house numbers taken by systematic random sampling. Accessibility analysis is carried out using GIS. The variables studied were distance traveled, access by type of FKTP, and class of care. The results showed that 89.09% of JKN independent participants did not choose the closest FKTP. However, 54.52% of the selected FKTP participants are still in the ideal access category with an average distance of 4.71 km. Participants with the FKTP type pratama clinic (43.66%), general practice (29.17%) and puskesmas (33.96%) did not yet have ideal access. Similarly, participants in class I (45.08%), class II (32.82%) and class III (30.00%) did not have ideal access. In conclusion, 40.52% of samples do not have ideal access to FKTP. Information regarding the nearest FKTP location needs to be given to prospective JKN participants as consideration in the FKTP selection.Keywords : Health insurance, distance, accesbility

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Performance and Attitude of Dental Poly Officers with Patient Satisfaction on JKN Era in Panembahan Hospital Bantul Yogyakarta

Jurnal Kesehatan Gigi ◽

10.31983/jkg.v6i2.5492 ◽

2019 ◽

Vol 6 (2) ◽

pp. 141-146

Author(s):

Naufal Rachmanda ◽

Edi Sumarwanto ◽

Ayu Kristin Rakhmawati

Keyword(s):

Patient Satisfaction ◽

Health Insurance ◽

Health Services ◽

National Health Insurance ◽

National Health ◽

P Value ◽

Cross Sectional ◽

A Value ◽

Quality Of Health Services

Panembahan Senopati Hospital is a referral hospital. In the government program in the form of the National Health Insurance (JKN), most people who seek treatment at Panembahan Senopati District Hospital have health insurance. The ineffectiveness of the referral system in Indonesia has an impact on the accumulation of patients in advanced health facilities, resulting in a decline in the quality of health services provided. The main indicator of knowing hospital standards is patient satisfaction with services from the hospital. Various facts show that there are serious problems in the quality of health services in Indonesia. This is due to the absence of the best quality control system that can be applied. To determine the level of satisfaction of National Health Insurance (JKN) patients with the quality of health services provided by dental clinic officers at Panembahan Senopati Hospital. Descriptive analytic observational with a cross sectional study design. The population in this study were patients who received dental and oral health services. Samples were taken using 86 accidental sampling techniques. Data was collected using a questionnaire consisting of 14 structured question items based on the performance and attitude of dental clinicians. Data analysis using the Chi-Square test followed by logistic regression test. From the results of multivariate analysis, the P value of 0.035 performance is significant and has a greater chance of 10,588 times compared to performance that is not appropriate. P value of 0.023 attitude is significant and has a 4.315 times the opportunity compared to attitudes that do not include 3 components. Factors related to satisfaction include intelligence, skills. emotional stability, a person's characteristics include attitudes, personal traits, physical traits, desires and motivation. There is a relationship between the performance and attitude of dental clinicians that performance is a variable X which is more influential with a value of P = 0.035 compared with attitude with a value of P = 0.023 to the variable Y about patient satisfaction of dental dentists.

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Relationship between Quality of Health Services and Satisfaction of National Health Insurance Participant in the District Hospital of North Buton in 2018

MEDULA ◽

10.46496/medula.v6i3.9645 ◽

2019 ◽

Vol 6 (3) ◽

Author(s):

Asmarani Dian Pratiwi ◽

Nina Indriyani N ◽

Erik Astrada ◽

Rhenislawaty Rhenislawaty

Keyword(s):

Health Insurance ◽

Health Services ◽

National Health Insurance ◽

National Health ◽

District Hospital ◽

P Value ◽

Cross Sectional ◽

Spearman Rank ◽

Quality Of Health Services

ABSTRACTLatar Belakang: Kualitas layanan kesehatan merupakan upaya yang dilakukan oleh petugas kesehatan, dokter, perawat, dan paramedis lainnya dalam hal memenuhi kebutuhan dan keinginan pelanggan dan penyediaan pengiriman untuk mengimbangi harapan pelanggan. Kualitas layanan kesehatan yang diberikan terdiri dari aspek bukti fisik, keandalan, daya tanggap, jaminan danempati. Tujuan Penelitian: Tujuan penelitian ini adalah untuk mengetahui hubungan kualitas pelayanan kesehatan dengan kepuasan peserta Asuransi Kesehatan Nasional di RSUD Buton Utara. Metode Penelitian: Penelitian ini menggunakan metode analitik-observasional dengan pendekatan cross sectional. Populasi penelitian ini adalah pasien yang berpartisipasi dalam Asuransi Kesehatan Nasional di Rumah Sakit Kabupaten Buton Utara dari Agustus hingga September 2018 dengan populasi 64. Dengan sampel 55 sampel diambil menggunakan metode accidental sampling. Data tentang kualitas layanan dan kepuasan pasien diperoleh melalui kuesioner. Analisis data menggunakan metode uji korelasi Spearman rank dan dianggap signifikan jika p <0,05. Hasil Penelitian: Hasil penelitian menunjukkan bahwa ada hubungan yang signifikan antara kualitas layanan dan kepuasan pasien. Hal ini dapat dilihat dari dimensi reliabilitas, yaitu p -value 0,000 (<0,05), dari dimensi responsi yaitu p-value 0,000 (<0,05), dimensi jaminan adalah p-value 0,000 (<0,05)), dan dari dimensi empati itu adalah nilai p-value 0,000 (<0,05) sedangkan pada dimensi buktifisik yang diperoleh p-value adalah 0,000 (<0,05). Dalam penelitian ini diperoleh responden yang menyatakan puas dengan pelayanan kesehatan dengan persentase 80,0% sedangkan mereka yang menyatakan ketidakpuasannya dengan persentase 20,0%. Simpulan: simpulan dari penelitian ini, terdapat hubungan antara kualitas pelayanan dan kepuasan peserta Asuransi Kesehatan Nasional di RSUD Buton Utara. Kata Kunci: bukti fisik, jaminan, keandalan, kepuasan pasien, pasien JKN

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Health Status and Quality of Health Care Services of Congolese Refugees in Nakivale, Uganda

Journal of Food Research ◽

10.5539/jfr.v5n3p39 ◽

2016 ◽

Vol 5 (3) ◽

pp. 39

Author(s):

Amegovu K. Andrew

Keyword(s):

Health Status ◽

Health Services ◽

Resource Constraints ◽

Service Providers ◽

Geographic Origin ◽

Health Service Delivery ◽

Health Facilities ◽

Cross Sectional ◽

Adequate Food

Physical and emotional wellness, as well as access to healthcare, are foundations for successful resettlement. Without feeling healthy, it is difficult to work, to go school, or take care of a family. Many factors can affect refugee health, including geographic origin and refugee camp conditions. Refugees may face a wide variety of acute or chronic health issues (Office of Refugee Resettlement, ORR Annual Report to Congress 2014; http://www.acf.hhs.gov). Resettlement of refugees in Uganda is usually supported by concerted efforts of UNHCR, Governments through the Office of the Prime Minister, OPM with support from host communities, local and international Non-Governmental Organizations. Due to resource constraints and local factors, immigrants are often subjected to poor living conditions which coupled with inadequacy inessential medical supplies might significantly affects quality of care and health service delivery and hence, rendering refugees to poor health status. This study was conducted from 2013-2014 to assess the determinants of health status of Congolese refugees living in Nakivale refugee settlement, in Isingiro district- South Western Uganda. A cross-sectional study design was used involving mixed techniques of both qualitative and quantitative KAP survey. The study focussed on Congolese refugee population in Nakivale Refugee settlement. 2401 key informants’ interviews and 8 focus group discussions respectively were conducted targeting service providers and beneficiaries/Congolese refugees in this case. The data was analysed using SPSS ver.20, 2011. Although majority (97%) of respondents sought medical services from established health facilities, findings confirm a high level of ill health prevalence among Congolese refugees in Nakivale camp, however, the difference in health services and perceived health status in camp versus the one in DRcongo is insignificant ( p=0.000) with respondents perceiving their health status as worse than when they were their own Country before the resettlement. Identified key challenges affecting access & uptake of available health services includes: language barrier; inadequate drugs; and the long distances to access health facilities. The health status of refugees could be improved by addressing the challenges related to language, drug supplies in addition to humanising conditions of shelter, providing appropriate waste disposal facilities while proving adequate food rations and clean & safe drinking water.

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The Nutritional Status of Adult Antiretroviral Therapy Recipients with a Recent HIV Diagnosis; A Cross-Sectional Study in Primary Health Facilities in Gauteng, South Africa

Healthcare ◽

10.3390/healthcare8030290 ◽

2020 ◽

Vol 8 (3) ◽

pp. 290

Author(s):

Khabo Mahlangu ◽

Perpetua Modjadji ◽

Sphiwe Madiba

Keyword(s):

South Africa ◽

Antiretroviral Therapy ◽

Nutritional Status ◽

Health Facilities ◽

The Body ◽

Hiv Care ◽

Hiv Diagnosis ◽

Cross Sectional ◽

Primary Health ◽

Primary Health Facilities

The study determined the nutritional status of adult antiretroviral therapy (ART) recipients, and investigated the association between the duration on ART and the nutritional status. This study was based in primary health facilities in Gauteng, South Africa. The data collected included sociodemographic variables; the duration of the treatment; and the body mass index (BMI), classified as undernutrition (<18.5 kg/m2), normal (18.5–24.9 kg/m2), or overweight/obesity (≥25 kg/m2). ART recipients (n = 480) had a mean age of 35 (± 8.4SD) years. All had taken ART for six months or more (range 6–48 months). The data were analyzed using STATA 13.0. The overall prevalence of overweight/obesity was 39%, it was higher in females (46%) than in males (30%), 26% were overweight, and 13% were obese. Underweight was 13%, and was higher in males (18%) than females (9%). Being overweight was more likely in those aged ≥35 years and those in smaller households. Being obese was less likely in males, in the employed, and in those with a higher income, but was more likely in those with a longer duration on ART. Abdominal obesity was high, but less likely in males. Interventions to prevent overweight/obesity should be integrated into routine HIV care, while at the same time addressing the burden of undernutrition among ART recipients.

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