Dimensions, social and healthcare setting determinants of client satisfaction for HIV/AIDS services: a systematic review

Introduction Quality HIV/AIDS care affects clients’ health-seeking behaviour and adherence to services, which can be evaluated through the patient’s satisfaction with the services. There was an information gap on the status and contributors to HIV/AIDS clients satisfaction, which supports comprehending universal health coverage. This review presented dimensions and comprehensive determinants of HIV/AIDS clients satisfaction. Methods We conducted a systematic review based on articles from Web of Science, EMBASE, PubMed, Google Scholar, and grey literature sources. Studies that have reported satisfaction of people living with HIV or at least one determinant and are written in English with full-text available were included. Findings from each study were described in a narrative description. Results There was a heterogeneous level of HIV/AIDS clients’ satisfaction in different settings and countries. Accessibility of services, confidentiality, waiting time to receive care, technical competency, knowledge, and attitude of health care workers were frequently reported determinants. Educational and employment status were common modifiable social factors. Conclusions Public health programmes should follow a multi-pronged approach to fulfil people living with HIV clients’ healthcare needs. It is vital to improve HIV care integration with primary healthcare, improve financing of HIV care, digitalise healthcare settings, invest in pre-service education and in-service training, provide culturally sensitive services, strengthen social works and behavioural change communication services. ### Competing Interest Statement The authors have declared no competing interest. ### Funding Statement No ### Author Declarations I confirm all relevant ethical guidelines have been followed, and any necessary IRB and/or ethics committee approvals have been obtained. Yes The details of the IRB/oversight body that provided approval or exemption for the research described are given below: This research does not require ethical approval because it was conducted based on publicly available literature. I confirm that all necessary patient/participant consent has been obtained and the appropriate institutional forms have been archived, and that any patient/participant/sample identifiers included were not known to anyone (e.g., hospital staff, patients or participants themselves) outside the research group so cannot be used to identify individuals. Yes I understand that all clinical trials and any other prospective interventional studies must be registered with an ICMJE-approved registry, such as ClinicalTrials.gov. I confirm that any such study reported in the manuscript has been registered and the trial registration ID is provided (note: if posting a prospective study registered retrospectively, please provide a statement in the trial ID field explaining why the study was not registered in advance). Yes I have followed all appropriate research reporting guidelines, such as any relevant EQUATOR Network research reporting checklist(s) and other pertinent material, if applicable. Yes All relevant data are within the manuscript and its Supporting Information files.