O-101 Patient experiences with primary health care services in Grenada: a national cross-sectional study
Author(s):
P Smith , L Orlando , S Valiveti , C Thadani , A Herry
Year of Presentation:
2026
Objective: To assess patient experiences with primary
health care (PHC) services in Grenada and examine how
perceptions vary by gender, education level, and geographic
district.
Methods: A national cross-sectional survey was conducted between May 2024 and April 2025 among adult users of public PHC facilities across Grenada. Guided by the Donabedian model, the survey measured structural factors (accessibility, physical environment), process factors (patient–provider interactions), and outcome indicators (satisfaction and barriers to utilization). Descriptive statistics and one-way ANOVA analyses were performed.
Results: A total of 1,023 respondents participated. Waiting time, emergency access, and opening hours were the lowest-rated aspects of care. Interpersonal communication with providers was rated more positively. Educational level and district were significant factors associated with patient perceptions across most domains, while gender differences were statistically significant but small. Waiting time, limited service availability, and opening hours were the most frequently reported barriers.
Conclusion: Although patients report positive interactions with PHC providers in Grenada, persistent structural and organizational constraints undermine equitable access and satisfaction. Addressing these gaps is essential for strengthening PHC performance and advancing universal health coverage.