Pharmaceutical Care Service Delivery: Perspectives of Patients on Long Term Antiretroviral Therapy in a Nigerian Tertiary Healthcare Facility | ||||
| Journal of Advanced Pharmacy Research | ||||
| Article 1, Volume 9, Issue 3, July 2025, Page 110-119 PDF (441.01 K) | ||||
| Document Type: Research Article | ||||
| DOI: 10.21608/aprh.2025.363713.1308 | ||||
 View on SCiNiTO | ||||
| Author | ||||
Paul Otor Onah  
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| Department of clinical pharmacy and pharmacy administration, Faculty of Pharmacy. University of Maiduguri, Borno State, Nigeria | ||||
| Abstract | ||||
| Objectives: Pharmaceutical care is an integral component of antiretroviral therapy which involves value added services that involve provision of medication information, proper usage, storage, side effects, prevention of drug interactions, identify and resolve drug therapy problems and support adherence. These services provide valuable contributions to the achievement of better clinical outcomes, adherence and improve quality of life. Antiretroviral therapy comes with significant risk of side effects, potential drug interactions, adverse reactions and complications from comorbidities. So in long term therapies pharmacists have the responsibility to identify and resolve drug therapy problems as well as provide information and respond to patient concerns. It is therefore important to assess patient satisfaction as an indicator of the quality of pharmaceutical care. This study therefore aimed to assess satisfaction with pharmaceutical care among patients on long term antiretroviral therapy. Methods: The pharmaceutical care satisfaction questionnaire consist of twenty seven items was adopted from previous studieswith some modifications (Cronbach alpha = 0.855). The items are subdivided into three sections namely – therapy management (14 items), interpersonal relationship with pharmacists (9 items) and general satisfaction (4 items). The items which were rated on five point Likert scale and scored as poor (1), fair (2), good (3), very good (4) and excellent (5). The questionnaire was administered on patients selected by simple random sampling method. Mean item score was calculated and interpreted as 1.0 – 1.80 (poor), 1.81 – 2.60 (fair), 2.61 – 3.40 (good), 3.41 – 4.20 (very good) and 4.21 – 5.0 (excellent) satisfaction. An average score of 3.41 and above representing 80% on the scale was considered satisfaction. Chi square test was used to determine association between satisfaction and demographic factors. P value Results: Majority of respondents were females (54.7%) and most had either primary or secondary level education (77.3%). The mean age was 39.1 ± 10.7 years and has been on antiretroviral therapy for 4.7 ± 2.7 years. Satisfaction was found to be adequate in more than two thirds of patients with respect to therapy management (73%), interpersonal relationships (71.5%) and general services (76.2%). Satisfaction was significantly associated with gender (p < /em>=0.007), age (p < /em>=0.031) and marital status (p < /em>=0.005). Conclusion: There is need to improve pharmaceutical care service delivery as significant proportion of patients remain with suboptimal satisfaction. | ||||
| Keywords | ||||
| HIV/AIDS; pharmaceutical care; satisfaction; antiretroviral therapy; determinants | ||||
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