Predictors of 'No problem' as the Health‑related quality of life status of people living with HIV on differentiated service delivery in a Nigerian state using the EQ-5D-5L

Differentiated service delivery (DSD) aims to improve the overall quality of care that is provided to people living with HIV (PLHIV). One critical measure of self-reported satisfaction with the level of care is quality of life. This study aimed to determine the predictors of ‘no problem’ as the Health‑related Quality of Life Status of PLHIV on DSD in a Nigerian State using the EQ-5D-5L. A cross-sectional study was conducted among PLHIV on DSD across Abia State, Nigeria. A sample size of 361 was estimated from the three DSD models in the state. A generic QoL tool (EQ-5D-5L) was used to obtain responses from all consenting PLHIV. Descriptive statistics were used to summarize the variables and variations in the QoL index value and the predictors of the QoL were determined using one-way ANOVA and binary logistics regression (no problem versus others), respectively. A total number of 312 questionnaires were completed (response rate = 86.4%). Female gender was indicated by 162(51.9%) respondents, while 114(36.5%) stated that they were married. For their QoL, 284(76.3%) PLHIV had no problems (self-care), and 11(3.5%) had severe problems (anxiety/depression). The index value for all the respondents was 0.837 ± 0.006. Characteristics that were predictive of no problems status were 16–20 years of diagnosis (β = 3.634, p = 0.025) [mobility]; female gender (β = 2.040, p = 0.014) [pain/discomfort]; and 31–40 years (β = 0.147, p = 0.005) [anxiety/depression]. The PLHIV accessing DSD at Abia State had a good quality of life. Their gender, level of education, employment status, and age were factors that were predictive of “no problems” among them.