ABSTRACT
Introduction: People Living with HIV (PLHIV) are facing increasing challenges pertaining to the disease as life expectancy is gradually rising. This study was conducted to assess the quality of life (QOL) in vari-ous domains among PLHIV and to find out its’ associated factors. Methods: A descriptive, cross-sectional study was conducted in Facility Integrated Antiretroviral Thera-py (FIART) clinic of Bankura Sammilani Medical College & Hospital (BSMCH) among 99 PLHIV from 01/07/2019 to 30/06/2020. Data were collected by interviewing PLHIV aged within 18-60 years using pre-designed, pre-tested, and semi-structured questionnaire incorporating WHO Quality of Life for HIV (WHOQOL-HIV) - BREF version to assess the QOL of the study subjects in various domains.Results: 44% participants rated their QOL as good, 79% satisfied with their health. Among all other do-mains, QOL score (median- 17.0, IQR- 4) was found highest in physical domain, while it was lowest (me-dian- 14.0, IQR- 2) in spiritual domain. Overall QOL was significantly higher in males, rural residents, joint family and higher socio-economic class. Multiple linear regression revealed statistically significant relation of overall QOL with residence, family type and socio-economic status. Conclusion: Psychological and spiritual well-being of PLHIVs is an area of concern and requires clinical attention.
ABSTRACT
Context/Background: Queuing, a major problem faced by beneficiaries availing services in public health care system, may also have influence on the level of satisfaction among beneficiaries. Aims/Objectives: To describe the queuing dynamics in the OPD, to explore different factors influencing the level of satisfaction among the beneficiaries and their perception regarding possible ways to improve the queuing situation. Methodology: A hospital-based analytical study was conducted in an OPD of Bankura Sammilani Medi-cal College and Hospital, West Bengal, among 202 beneficiaries. Data were collected from subjects, se-lected from random queue in total 30 shifts (30 minutes each) on different working days, using prede-signed, pretested, questionnaire.Results: Queuing dynamics revealed utilization factor of 75%, while 25% probability of the system be-ing idle. Only 39.1% of the subjects were satisfied with the service in Paediatric OPD, in context of wait-ing in queue. MLR revealed subjects waiting in queue for a duration ≤ 1 hour and those with > 4 minutes consultation time were found to be more satisfied. Conclusions: Considering variable consultation time, arrival and service rates at the OPDs and re-sources, a well-planned system can minimize the waiting time and thus improve the level of satisfaction among the beneficiaries.