Results on Client Satisfaction with Community Involvement

CHAPTER 5: DISCUSSIO OF RESEARCH FINDINGS, CONCLUSIO T AND RECOMMENDATIO S

3.6 Data Collection and Instrument

4.2.5 Results on Client Satisfaction with Community Involvement

Table 4.4 provides the results on community involvement in health services. The table depicts both the results on what the health workers do for the clients during clinic visits (item 1-4) and also on community involvement in the provision of health care (item 5-9). According to the Greeneich model for patient satisfaction (1993), which guided the present study these aspects fall under one tract.

Tab-.•~.- . . • _ •• _ ... _... · · · · V ... I I ' - . . ' II1II~a"1I oJ~11'1\..·'--"l V I ~1I.,l""••U(lanu '''''''''·dl'f;; 1 1 - f.

Stronely Aeree Al!ree Neutral Disaeree Stronely Disaeree

KH CH Total KH CH Total KH CH Total KH CH Total KH CH Total

1.lnformation 10 11 21 17 17 34 1 I (1.4%) 7 (20%) 6 13 2 2 (2.8%)

(28.6%) (30.6%) (29.6%) (48.6%) (47.2%) (47.9%) (2.9%) (16.7%) (18.3%) (5.6%)

2. Clarifying 7 13 20 16 13 29 11 8 19 1 2 3 (4.2%)

(20%) (36.1 %) (28.2%) (45.7%) (36.1 %) (40.8%) (31.4%) (22.2%) (26.8%) (2.9%) (5.6%)

3. Listening 13 22 35 15 11 26 6 3 9 I 1(1.4%)

(37.1%) (61.1%) (49.3%) (42.9%) (30.6%) (36.6%) (17.1%) (8.3%) (12.7%) (2.9%)

4.Explanation of 6 11 17 16 12 28 12 9 21 I 4 5

Proccdures (17.1%) (30.6%) (23.9%) (45.7%) (33.3%) (39.4%) (34.3%) (25%) (29.6%) (2.9%) (11.1%) (7%)

S. Planning I I 2 15 23 38 19 12 3\

(2.9%) (2.8%) (2.8%) (42.9%) (63.9%) (53.5%) (54.3%) (33.3%) (43.7%)

6. Dccision I 2 3 10 16 26 24 18 42

Making (2.9%) (5.6%) (4.2%) (28.6%) (44.4%) (36.6%) (68.6%) (50%) (59.2%)

7. Illlplelllcn 6 10 16 29 26 55

tat ion (17.\%) (27.8%) (22.5%) (82.9%) (72.2%) (77.5%)

8. Evaluation 9 14 23 26 22 48

(25.7%) (38.9%) (32.4%) (74.3%) (61.1%) (67.6%)

9. Coordination 4 7 11 24 14 38 I I 2 5 10 15 I 4 5

(11.4%) ( 19.4%) ( 15.5%) (68.6%) (38.9%) (53.5%) (2.9%) (2.8%) (2.8%) (14.3%) (27.8%) (21 1%) (2.9%) (11.1%) (7%) KH= Kawale Hcalth Ccntre (n=35)

CH = Chiwalllba Health Centre (n= 36)

4.2.5.1 Information

With regard to the statement "health workers give me adequate infoll11ation on my illness." 10respondents(28.6%) inKawale strongly agreed with the statement; 17 (48.6%) agreed; 1 (2.9%) was neutral and7 (20%)disagreed. In Chiwamba, on the same statement, II respondents(30.6%) strongly agreed; 17 (47.2%)agreed; 6 (16.7%) disagreed and 2 (5.6%) strongly disagreed. Overall, in the total sample the majority of the respondents agreed with the statement, in that21 (29.6%)strongly agreed, 34 (47.9%) agreed with the statement, thus, 77.5% of the clients agreed with the statement. One(1.4%) was neutral, 13 (18.3%)disagreed and 2 (2.8%) strongly disagreed to the statement(Table 4.4).

4.2.5.2 Clarifying

In reply to the statement, "health workers clarify medical terms to help me

understand," in Kawale, 7respondents (20%)strongly agreed; 16 (45.7%) agreed; 11 (31.4%) disagreed and I(2.9%)strongly disagreed. In Chiwamba, 13 respondents (36.1 %) strongly agreed; 13 (36.1 %)agreed; 8 (22.2%) disagreed and 2 (5.6%) strongly disagreed. In the total sample, the majority of the clients agreed with the statement in that 20 respondents(28.2%) strongly agreed, 29 (40.8%)agreed, thus 69%of the respondents agreed with the statement. Nineteen (26.8%) disagreed and 3 (4.2%) strongly disagreed (Table 4.4).

4.2.5.3 Listening

Responding to the statement "health workers listen to what I have to say," in Kawale the majority agreed with the statement, in that, 13 respondents (37.1 %)strongly agreed, 15 (42.9%)agreed, 6 (17.1 %)disagreed and I(2.9%) strongly disagreed. In

Chiwamba, 22 respondents (61.1 %) strongly agreed, 11 (30.6%) agreed and 3 (8.3%) disagreed. In the total sample, the majority of the respondents agreed to this in that 35 respondents (49.3%) strongly agreed, 26 (36.6%) agreed to the statement. Nine (12.7%) disagreed and I (1.4%) strongly disagreed to the statement (Table 4.4).

4.2.5.4. Explanation of Procedures

With regard to the statement "health workers explain reasons for procedures," in Kawale, 6 respondents (17.1 %) strongly agreed, 16 (45.7%) agreed, 12 (34.3%) disagreed and I (2.9%) strongly disagreed. In Chiwamba, 11 respondents (30.6%) strongly agreed, 12 (33.3%) agreed, 9 (25%) disagreed and 4 (I 1.1 %) strongly disagreed. In the total sample, the majority of the clients agreed with this statement in that 17 (23.9%) strongly agreed, 28 (39.4%) agreed, thus 63.3% agreed with it.

Twenty- one(29.6%) disagreed and 5 (7.0°;(1) strongly disagreed with it (Table 4.4).

4.2.5.5 Planning

In response to the statement "1 am involved in the planning for my health care," in Kawale, I respondent(2.9%) agreed, 15 (42.9%) disagreed and 19 (54.3%) strongly disagreed. With regard to the same statement, in Chiwamba, I respondent (2.8%) agreed, 23 (63.9%) disagreed and 12 (33.3%) strongly disagreed. In the total sample therefore, only2 respondents (2.8%) agreed with the statement, the majority disagreed with the statement, in that31 (43.7%) strongly disagreed with it, 38 (53.5%)

disagreed with the statement, implying that97.2% disagreed with the statement (Table 4.4).

4.2.5.6 Decision Making

Responding to the statement "[ am involved in the decision making concerning my health." inKawale, I respondent (2.9%) agreed, 10 (28.6%) disagreed and 24

(68.6%) strongly disagreed. In Chiwamba, 2 respondents (5.6%) agreed, 16 (44.4%) disagreed and 18 (50%) strongly disagreed. In the total sample, only 3 respondents (4.2%) agreed with the statement, the majority disagreed with the statement, in that, 42 (59.2%) strongly disagreed and 26 (36.6%) disagreed, thus 95.8% disagreed with the statement(Table 4.4).

4.2.5.7 Implementation of Health Programmes

In reply to the statement "] am involved in the implementation of health

programmes," all the respondents in Kawale disagreed in that 6 respondents (17. 1%) disagreed and 29 (82.9%) strongly disagreed. In Chiwamba as well, all the

respondents disagreed, in that 10 respondents (27.8%) disagreed and 26 (72.2%) strongly disagreed. In the total sample therefore, all the respondents disagreed with the statement in that 16 (22.5%) disagreed while 55 (77.5%) strongly disagreed with the statement(Table 4.4).

4.2.5.8 Evaluation

In reference to the statement "[ am involved in the evaluation of health programmes,"

all the respondents, 71 (100%), disagreed with the statement. [n Kawale, 9

respondents (25.7%) disagreed and 26 (74.3%) strongly disagreed. [n Chiwamba, 14 respondents (38.9%) disagreed and 22 (61.1 %) strongly disagreed. In the total sample then 23 (32.4%) disagreed while 48 (67.6%) strongly disagreed (Table 4.4).

4.2.5.9 Coordination

With regard to the statement that "Health workers work together with their clients,"

the majority of the clients appeared to agree with this. In Kawale, 4 respondents (11.4%) strongly agreed, 24 (68.6%) agreed, 1 (2.9%) was neutral, 5 (14.3%) disagreed and I (2.9%) strongly disagreed. In Chiwamba, 7respondents (19.4%) strongly agreed, 14 (38.9%) agreed, 1 (2.8%) was neutral, 10 (27.8%) disagreed and 4 (Il.l %) strongly disagreed. In the total sample then, 11 respondents (15.5%) strongly agreed and 38 (53.5%) agreed, that is 69% agreed with the statement. Two (2.8%) were neutral, 15 (2l.1 %) disagreed and 5 (7.0%) strongly disagreed with the statement (Table4.4).

4.2.5.10 Satisfaction with Involvement in Health Services

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Strongly Agree Agree

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Figure 4.9 Clients' Satisfaction with Involvement in Health Services in Kawale and Chiwamba Health Centre N= 71

In reference to the statement that "I am satisfied with my involvement in health care del ivery,' the majority of the respondents disagreed with the statement. In Kawale, 24 respondents(68.6%) strongly disagreed; 9 (25.7%) disagreed and 2 (5.7%)were neutral (Figure 4.9). 1nChiwamba, 14 respondents(38.9%) strongly disagreed; 19 (52.8%)disagreed and 3 (8.3%) were neutral (Figure 4.9). In the total samplethen, 28 respondents(39.4%)disagreed and 38 (53.5%)strongly disagreed thus92.9%

disagreed with the statement. Only 5(7.0%) were neutral about the statement.