{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T13:19:57Z","timestamp":1785849597843,"version":"3.56.0"},"reference-count":92,"publisher":"BMJ","issue":"2","license":[{"start":{"date-parts":[[2025,2,19]],"date-time":"2025-02-19T00:00:00Z","timestamp":1739923200000},"content-version":"unspecified","delay-in-days":18,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100021788","name":"Dilla University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100021788","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2025,1,31]]},"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To make healthcare programmes more patient-centred and efficient in light of limited resources, it is crucial to ensure patient satisfaction. There is limited information on the overall level of satisfaction with Human Immunodeficiency Virus\/ Acquired Immune deficiency syndromes (HIV\/AIDS) treatment and care services in Ethiopia. This meta-analysis aimed to generate a nationwide pooled estimate of the level of satisfaction with HIV\/AIDS and associated factors by combining data from primary studies to provide a general overview of the effect across the country, aiming to informed policy decisions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Systematic review and meta-analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data source<\/jats:title>\n                    <jats:p>PubMed, Scopus, Hinari, African journals online and Google Scholar were used to locate published studies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Eligibility criteria<\/jats:title>\n                    <jats:p>Observational studies assessing the level of satisfaction with HIV\/AIDS care and treatment services and its associated factors among adult people living with HIV\/AIDS receiving antiretroviral therapy in Ethiopia were included.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data extraction and synthesis<\/jats:title>\n                    <jats:p>\n                      Two authors extracted the data using a pre-established data extraction format and exported it to Stata V.17 for analysis. The Cochran-Q and I\n                      <jats:sup>2<\/jats:sup>\n                      test statistics were used to measure the statistical heterogeneity among included studies. A random-effects meta-analysis model with the Der Simonian-Laird method was used to estimate the pooled effect size of satisfaction with HIV\/AIDS care and treatment services with its 95% CI. Small study effects were assessed using Egger\u2019s regression test at a 5% level of significance. A meta-regression analysis and a leave-one-out sensitivity analysis were also conducted.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      24 studies were included. The pooled level of satisfaction with HIV\/AIDS treatment and care services in Ethiopia was 69.7% (95% CI 63.8, 75.5%) with a significant level of heterogeneity (I\n                      <jats:sup>2<\/jats:sup>\n                      =98.0%; p&lt;0.01). Addis Ababa city administration has the highest (83.9%; 95%\u2009CI: 79.9%, 87.9%) level of satisfaction and Southern Ethiopia has the lowest (64.5%; 95%\u2009CI: 51.3%, 77.8%). Even though variables were measured differently across primary studies and challenged to pool the effect estimates, most of the reviewed studies revealed satisfaction with HIV\/AIDS care and treatment services was related to waiting times and the duration of receiving HIV\/AIDS care. Moreover, this meta-analysis found gender (OR=1.11, 95% CI: 0.73, 1.69) and residence (OR=1.10, 95%\u2009CI: 0.72, 1.69) had no significant association with satisfaction with HIV\/AIDS care and treatment services.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>More than two-thirds were satisfied with HIV\/AIDS treatment and care services in Ethiopia. The findings showed the presence of regional differences in satisfaction with HIV\/AIDS treatment and care services. The finding suggested that policy-makers and healthcare administrators should focus on empowering patients to make treatment decisions, pay attention to areas of service provision that affect HIV\/AIDS care and treatment services and make strategic plans for effective and better-quality services.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>PROSPERO registration number<\/jats:title>\n                    <jats:p>CRD42023438589.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2024-085169","type":"journal-article","created":{"date-parts":[[2025,2,19]],"date-time":"2025-02-19T20:05:24Z","timestamp":1739995524000},"page":"e085169","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Satisfaction with HIV\/AIDS treatment and care services and its associated factors among adult people receiving antiretroviral therapy in Ethiopia: a systematic review and meta-analysis"],"prefix":"10.1136","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0591-0893","authenticated-orcid":false,"given":"Habtamu Endashaw","family":"Hareru","sequence":"first","affiliation":[{"name":"School of Public Health, College of Health Sciences and Medicine, Dilla University, Dilla, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4098-940X","authenticated-orcid":false,"given":"Zemachu","family":"Ashuro","sequence":"additional","affiliation":[{"name":"Department of Environmental Health, College of Health Sciences and Medicine, Dilla University, Dilla, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1750-7356","authenticated-orcid":false,"given":"Berhanu G","family":"Debela","sequence":"additional","affiliation":[{"name":"School of Public Health, College of Health Sciences and Medicine, Dilla University, Dilla, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5734-3408","authenticated-orcid":false,"given":"Daniel","family":"Sisay","sequence":"additional","affiliation":[{"name":"School of Public Health, College of Health Sciences and Medicine, Dilla University, Dilla, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eden","family":"Ashenafi","sequence":"additional","affiliation":[{"name":"Department of Reproductive Health, College of Health Sciences and Medicine, Dilla University, Dilla, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9340-0091","authenticated-orcid":false,"given":"Mesfin","family":"Abebe","sequence":"additional","affiliation":[{"name":"Department of Midwifery, College of Health Sciences and Medicine, Dilla University, Dilla, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tizalegn Tesfaye","family":"Mamo","sequence":"additional","affiliation":[{"name":"School of Public Health, College of Health Sciences and Medicine, Dilla University, Dilla, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2025,2,19]]},"reference":[{"key":"2025121514034032000_15.2.e085169.1","unstructured":"World Health Organization . 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