PT - JOURNAL ARTICLE AU - Hareru, Habtamu Endashaw AU - Ashuro, Zemachu AU - Debela, Berhanu G AU - Sisay, Daniel AU - Ashenafi, Eden AU - Abebe, Mesfin AU - Mamo, Tizalegn Tesfaye TI - 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 AID - 10.1136/bmjopen-2024-085169 DP - 2025 Feb 01 TA - BMJ Open PG - e085169 VI - 15 IP - 2 4099 - http://bmjopen.bmj.com/content/15/2/e085169.short 4100 - http://bmjopen.bmj.com/content/15/2/e085169.full SO - BMJ Open2025 Feb 01; 15 AB - Objective 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.Design Systematic review and meta-analysis.Data source PubMed, Scopus, Hinari, African journals online and Google Scholar were used to locate published studies.Eligibility criteria 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.Data extraction and synthesis 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 I2 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’s regression test at a 5% level of significance. A meta-regression analysis and a leave-one-out sensitivity analysis were also conducted.Results 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 (I2=98.0%; p<0.01). Addis Ababa city administration has the highest (83.9%; 95% CI: 79.9%, 87.9%) level of satisfaction and Southern Ethiopia has the lowest (64.5%; 95% CI: 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% CI: 0.72, 1.69) had no significant association with satisfaction with HIV/AIDS care and treatment services.Conclusions 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.PROSPERO registration number CRD42023438589.Data are available on reasonable request. All data relevant to the study are included in the article or uploaded as supplementary information. Extracted data are available on request to the corresponding author.