Effectiveness of Clinician Client Centered Counseling on Condom Use and Status Disclosure of Adult HIV Positive Patients Enrolled In Care in Yola, Nigeria: A Randomized Clinical Trial.

Background: Quality standards implementation in multispecialty hospitals provides insight on the structure and process related to outcome and serve as instrumental indicators to improve health care. As a consequence, it is important to evaluate quality system and implement ways of continuous quality improvement more efficiently in order to reduce the differences in the operational process and its outcome for preventing healthcare-associated infections (HAIs). Objectives: To study and evaluate the quality system implementation in multispecialty hospitals with respect to structure, process and outcome in hospital associated infections. Methodology: The study is based on patient centered standards and hospital infection control measures. Information was gathered from doctors, nurses and other technical staff in the hospitals through discussions and personal observations. A questionnaire was given to the patients to assess their satisfaction. Other data were collected by studying relevant records in the healthcare institution. Results: Study reveals that the structure, process and outcome measures, when assessed showed moderate results. Facility, manpower qualification and competency are met from 50-70% compliance. Process showed 70% of compliance to the standard. The outcome showed good results, i.e., patient satisfactory rate was 80% when analyzed with 100 patients. Conclusion: Quality care is a vital activity for all members of the interdisciplinary team in hospitals. It is important to implement the quality system which can be executed and monitored by using compliance measures in the routine process of the hospital in order to improve the standard of patient health care.