Background
Methods
Study design
Setting
The qualitative study
Quantitative study
Service users | Caregivers | |||
---|---|---|---|---|
Item | Item-test correlation | Average Item-item correlation | Item-test correlation | Average Item-item correlation |
The health worker treated me with courtesy | 0.55 | 0.29 | 0.50 | 0.23 |
The health worker listened to me carefully | 0.65 | 0.28 | 0.55 | 0.23 |
The health worker explained me things in a way I understood | 0.70 | 0.28 | 0.61 | 0.22 |
The health facility was clean | 0.45 | 0.30 | 0.52 | 0.23 |
The waiting room was clean | 0.53 | 0.29 | 0.54 | 0.23 |
The latrine was clean | 0.47 | 0.29 | 0.54 | 0.23 |
The waiting time was acceptable | 0.27 | 0.31 | 0.29 | 0.24 |
I have enough time to discuss with health worker | 0.58 | 0.29 | 0.53 | 0.23 |
I was give information in a way I understood | 0.80 | 0.27 | 0.70 | 0.22 |
I received helpful advice | 0.72 | 0.28 | 0.54 | 0.23 |
Administrative staff treated me with courtesy and respect | 0.50 | 0.29 | 0.51 | 0.23 |
The health worker involved my family helpfully | 0.69 | 0.28 | 0.67 | 0.22 |
My privacy is respected | 0.30 | 0.30 | 0.47 | 0.23 |
I have the opportunity for follow up with the same health worker | 0.60 | 0.29 | 0.48 | 0.23 |
My personal information is kept confidential | 0.49 | 0.29 | 0.38 | 0.24 |
Referral to specialist is possible | 0.47 | 0.29 | 0.41 | 0.23 |
The service is effective at decreasing symptoms | 0.63 | 0.28 | 0.53 | 0.23 |
The service is effective at decreasing relapses | 0.68 | 0.28 | 0.51 | 0.23 |
The service is effective at helping with economic problems | 0.63 | 0.28 | 0.49 | 0.23 |
It is possible to see the health worker when needed | 0.67 | 0.28 | 0.59 | 0.22 |
Ethics, consent and permission
Results
Qualitative study
Benefits of treatment
“The treatment is very important now. It is helping us much. Those who discontinued the treatment by their own are found being shabby in the squares and streets” (Service user, FGD 6)
“The government is offering us everything except milk of the mule. We need the organization to help us make some sorts of trades if it can” (Service user, FGD 6)
Content of communication
“it is advising me that reaches my heart” (Service user, FGD 6)
Quality of communication
“At least, if we do not meet them once in a month, we may forget what we are supposed to do. For example, if people are not using the road, grasses will grow on it”.(Service user, FGD 6)
Healthcare worker characteristics
“If a parent is rearing his/her child with courtesy and due respect, the child will be fruitful” (Service-user, FGD 6)
Clinical environment
“As patients come from far, they may get tired and need to take rest till their time comes” (Service-user, FGD 10).
Quantitative study
Item | Kappa (SE) |
---|---|
The health worker treated me with courtesy | −0.09 (0.118) |
The health worker listened to me carefully | 0.00 |
The health worker explained me things in a way I understood | 0.25 (0.106) |
The health facility was clean | −0.02 (0.060) |
The waiting room was clean | 0.21 (0.104) |
The latrine was clean | 0.14 (0.103) |
The waiting time was acceptable | 0.28 (0.130) |
I have enough time to discuss with health worker | −0.03 (0.076) |
I was give information in a way I understood | 0.40 (0.129) |
I received helpful advice | 0.31 (0.103) |
Administrative staff treated me with courtesy and respect | 0.41 (0.109) |
The health worker involved my family helpfully | 0.14 (0.108) |
My privacy is respected | 0.40 (0.123) |
I have the opportunity for follow up with the same health worker | 0.34 (0.128) |
My personal information is kept confidential | 0.00 |
Referral to specialist is possible | 0.49 (0.085) |
The service is effective at decreasing symptoms | 0.09 (0.102) |
The service is effective at decreasing relapses | 0.11 (0.102) |
The service is effective at helping with economic problems | 0.11 (0.115) |
It is possible to see the health worker when needed | 0.35 (0.110) |
Item | Service users (n = 150) | Caregiver (n = 150) | ||||||
---|---|---|---|---|---|---|---|---|
Strongly disagree
N (%) | Disagree
N (%) | Agree
N (%) | Strongly agree
N (%) | Strongly disagree
N (%) | Disagree
N (%) | Agree
N (%) | Strongly agree
N (%) | |
The health worker treated me with courtesy | 0 (0.0) | 5 (3.3) | 104 (69.3) | 41 (27.3) | 0 (0.0) | 5 (3.3) | 83 (55.3) | 62 (41.3) |
The health worker listened to me carefully | 0 (0.0) | 3 (2.0) | 110 (73.3) | 37 (24.7) | 0 (0.0) | 7 (4.7) | 90 (60.4) | 52 (34.9) |
The health worker explained me things in a way I understood | 1 (0.7) | 5 (3.4) | 115 (77.2) | 28 (18.8) | 0 (0.0) | 5 (3.3) | 112 (74.7) | 33 (22.0) |
The health facility was clean | 0 (0.0) | 5 (3.3) | 103 (68.7) | 42 (28.0) | 1 (0.7) | 1 (0.7) | 88 (58.7) | 60 (40.0) |
The waiting area was clean | 2 (1.3) | 12 (8.0) | 118 (78.7) | 18 (12.0) | 0 (0.0) | 13 (8.7) | 110 (73.3) | 27 (18.0) |
The latrine was clean [don’t use toilet SU n = 47 (31.3); CG n = 46 (30.7)] | 3 (2.0) | 12 (8.0) | 65 (43.3) | 23 (15.3) | 4 (2.7) | 10 (6.7) | 53 (35.3) | 37 (24.7) |
The waiting time was acceptable | 2 (1.3) | 27 (18.0) | 109 (72.7) | 12 (8.0) | 2 (1.3) | 25 (16.7) | 109 (72.7) | 14 (9.3) |
I have enough time to discuss with health worker | 0 (0.0) | 13 (8.7) | 117 (78.0) | 20 (13.3) | 3 (2.0) | 8 (5.3) | 110 (73.3) | 29 (19.3) |
I was give information in a way I understood | 1 (0.7) | 6 (4.0) | 124 (82.7) | 19 (12.7) | 1 (0.7) | 5 (3.3) | 115 (76.7) | 29 (19.3) |
I received helpful advice | 1 (0.7) | 12 (8.1) | 97 (65.1) | 39 (26.2) | 2 (1.3) | 4 (2.7) | 85 (56.7) | 59 (39.3) |
Administrative staff treated me with courtesy and respect | 2 (1.3) | 3 (2.0) | 124 (82.3) | 21 (14.0) | 1 (0.7) | 8 (5.4) | 111 (74.5) | 29 (19.5) |
The health worker involved my family helpfully | 1 (0.7) | 2 (1.3) | 124 (82.7) | 23 (15.3) | 0 (0.0) | 4 (2.7) | 122 (81.3) | 24 (16.0) |
My privacy is respected | 1 (0.7) | 6 (4.0) | 128 (85.3) | 15 (10.0) | 1 (0.7) | 14 (9.4) | 114 (76.5) | 20 (13.4) |
I have the opportunity for follow up with the same health worker | 1 (0.7) | 14 (9.3) | 123 (82.0) | 12 (8.0) | 1 (0.7) | 14 (9.4) | 118 (79.2) | 16 (10.7) |
My personal information is kept confidential | 1 (0.7) | 6 (4.0) | 98 (65.3) | 45 (30.0) | 0 (0.0) | 8 (5.3) | 84 (56.0) | 58 (38.7) |
Referral to specialist is possible | 2 (1.3) | 4 (2.7) | 101 (67.3) | 43 (28.7) | 0 (0.0) | 4 (2.7) | 96 (64.4) | 49 (32.9) |
The treatment reduced my symptoms | 0 (0.0) | 14 (9.4) | 79 (53.0) | 56 (47.6) | 0 (0.0) | 13 (8.7) | 65 (43.3) | 72 (48.0) |
The treatment reduced relapse of my illness | 2 (1.3) | 17 (11.3) | 77 (51.3) | 54 (36.0) | 1 (0.7) | 19 (12.7) | 60 (40.0) | 70 (46.7) |
The treatment helped me to improve my income | 2 (1.4) | 33 (22.3) | 71 (48.0) | 42 (28.4) | 6 (4.0) | 38 (25.3) | 56 (37.3) | 50 (33.3) |
I can get a health worker’s help any time I need | 1 (0.7) | 3 (2.0) | 123 (82.0) | 23 (15.3) | 0 (0.0) | 8 (5.3) | 113 (75.3) | 29 (19.3) |
It was easy to come to the hospital | 5 (3.3) | 22 (14.7) | 113 (75.3) | 10 (6.7) | 6 (4.0) | 19 (12.7) | 107 (71.3) | 18 (12.0) |
I had enough time to come to the hospital | 2 (1.3) | 36 (24.0) | 103 (68.7) | 9 (6.0) | 1 (0.7) | 27 (18.0) | 112 (74.7) | 10 (6.7) |
I had enough money to come and get treatment | 12 (8.0) | 63 (42.0) | 72 (48.0) | 3 (2.0) | 7 (4.7) | 58 (38.7) | 79 (52.7) | 6 (4.0) |
I would advise my family to come to the hospital | 2 (1.3) | 7 (4.7) | 89 (59.3) | 52 (34.7) | 4 (2.7) | 9 (6.0) | 69 (46.0) | 68 (45.3) |
Service-users | Care-givers | |
---|---|---|
% of variance explained by model | 38.9 | 28.5 |
Item | Factor 1 | Factor 1 |
The health worker treated me with courtesy | 0.58 | 0.61 |
The health worker listened to me carefully | 0.45 | 0.62 |
The health worker explained me things in a way I understood | 0.51 | 0.49 |
The health facility was clean | 0.60 | 0.77 |
The waiting area was clean | 0.45 | |
The latrine was clean | 0.38 | 0.37 |
The waiting time was acceptable | 0.35 | 0.35 |
I have enough time to discuss with health worker | 0.44 | 0.53 |
I was give information in a way I understood | 0.47 | 0.48 |
I received helpful advice | 0.70 | 0.66 |
Administrative staff treated me with courtesy and respect | 0.57 | 0.44 |
The health worker involved my family helpfully | 0.57 | 0.47 |
My privacy is respected | 0.44 | 0.55 |
I have the opportunity for follow up with the same health worker | 0.33 | 0.44 |
My personal information is kept confidential | 0.78 | 0.74 |
Referral to specialist is possible | 0.83 | 0.70 |
The treatment reduced my symptoms | 0.68 | 0.69 |
The treatment reduced relapse of my illness | 0.80 | 0.79 |
The treatment helped me to improve my income | 0.74 | 0.70 |
I can get a health worker’s help any time I need | 0.59 | 0.52 |
It was easy to come to the hospital | 0.41 | 0.50 |
I had enough time to come to the hospital | 0.53 | 0.47 |
I had enough money to come and get treatment | 0.36 | 0.36 |
I would advise my family to come to the hospital | 0.85 | 0.72 |
Service Users | Caregivers | |||
---|---|---|---|---|
Item | Item-test correlation | Average item-item correlation | Item-test correlation | Average item-item correlation |
The health worker treated me with courtesy | 0.59 | 0.31 | 0.62 | 0.31 |
The health worker listened to me carefully | 0.50 | 0.32 | 0.66 | 0.31 |
The health worker explained me things in a way I understood | 0.59 | 0.31 | 0.54 | 0.32 |
The health facility was clean | 0.59 | 0.31 | 0.76 | 0.30 |
The waiting area was clean | 0.32 | 0.31 | 0.51 | 0.32 |
The latrine was clean | 0.41 | 0.31 | 0.39 | 0.32 |
The waiting time was acceptable | 0.46 | 0.33 | 0.43 | 0.32 |
I have enough time to discuss with health worker | 0.55 | 0.32 | 0.58 | 0.31 |
I was give information in a way I understood | 0.58 | 0.31 | 0.54 | 0.32 |
I received helpful advice | 0.71 | 0.31 | 0.71 | 0.31 |
Administrative staff treated me with courtesy and respect | 0.62 | 0.31 | 0.52 | 0.32 |
The health worker involved my family helpfully | 0.66 | 0.31 | 0.56 | 0.31 |
My privacy is respected | 0.54 | 0.32 | 0.62 | 0.31 |
I have the opportunity for follow up with the same health worker | 0.41 | 0.32 | 0.50 | 0.32 |
My personal information is kept confidential | 0.75 | 0.31 | 0.72 | 0.31 |
Referral to specialist is possible | 0.78 | 0.30 | 0.67 | 0.31 |
The treatment reduced my symptoms | 0.64 | 0.31 | 0.66 | 0.31 |
The treatment reduced relapse of my illness | 0.75 | 0.30 | 0.75 | 0.30 |
The treatment helped me to improve my income | 0.69 | 0.31 | 0.64 | 0.30 |
I can get a health worker’s help any time I need | 0.66 | 0.31 | 0.54 | 0.31 |
It was easy to come to the hospital | 0.49 | 0.32 | 0.54 | 0.32 |
I had enough time to come to the hospital | 0.62 | 0.31 | 0.52 | 0.32 |
I had enough money to come and get treatment | 0.38 | 0.33 | 0.37 | 0.32 |
I would advise my family to come to the hospital | 0.78 | 0.30 | 0.68 | 0.31 |