Abstract
BACKGROUND: Patient satisfaction is an indicator of healthcare quality and may affect treatment adherence. It is particularly relevant for military personnel living with human immunodeficiency virus (HIV) because of their increased risks to deployment. However, this phenomenon remains understudied. AIM: To assess satisfaction among military personnel at an antiretroviral clinic in Namibia. SETTING: Military's antiretroviral clinic in Namibia. METHODS: A descriptive cross-sectional online survey was conducted using a validated third-generation short version of the Patient Satisfaction Questionnaire (PSQ-18). Data were collected between June 2022 and August 2022 from 166 participants through convenience sampling. Bivariable and multivariable logistic regression analyses were performed to identify factors. Adjusted odds ratios (AORs) with a 95% confidence interval (CI) and a p-value of 0.05 were used to determine significance. RESULTS: One hundred and sixty-six participants participated in this study. Significant factors influencing satisfaction included sex, age, marital status and place of residence. Individuals aged 31-44 years were 40 times more likely to be satisfied (AOR: 40.64; 95% CI: 14.16-116.60), while females (AOR: 0.25; 95% CI: 0.16-0.40), divorced individuals (AOR: 0.05; 95% CI: 0.02-0.12) and those residing in urban areas (AOR: 0.33; 95% CI: 0.17-0.62) were less likely to report satisfaction. CONCLUSION: The study found a high overall level of patient satisfaction. Based on the results, the study recommends using the Namibia case study to develop and tailor initiatives that improve patient satisfaction with antiretroviral therapy (ART) services among military personnel in other settings. CONTRIBUTION: To add to the literature on patient satisfaction with antiretroviral therapy services among military individuals in Namibia.