Client Satisfaction with Prevention of Mother to Child Transmission of HIV Services in Public Hospitals of Hadiya Zone, Southern Ethiopia

Bahailu Balcha

doi:10.7176/jhmn/89-02

Abstract

Background: Prevention of mother-to-child transmission is a term used to describe a comprehensive package of services intended to reduce the risk of mother-to-child transmission of HIV. The vertical virus transmission from mother to child accounts for more than 90% of pediatric Acquired Immunodeficiency Syndrome. Published studies on the client satisfaction with PMTCT services’ provision in Ethiopia are generally limited. Even fewer studies do examine client satisfaction with the PMTCT services. Therefore, this study is aimed to assess the client satisfaction with Prevention of Mother-to-Child Transmission of HIV services in public hospitals of Hadiya zone, southern Ethiopia 2017. Methods: Institution based cross-sectional study design using quantitative data collection method was conducted in public hospitals from March 01 to April 10, 2017. A total of 423 pregnant women were consecutively interviewed until the required sample was obtained. The data was entered in to Epi-data and analyzed using SPSS. Bivariate and multivariable logistic regression analyses were computed to see the predictors for satisfaction of clients on PMTCT service. Result : About 89.8% clients were satisfied with PMTCT services provided at public hospitals. The client satisfaction with PMTCT services was associated with waiting time [AOR =4.648, 95% CI = (2.183, 9.897)], counseling time [AOR =3.748, 95% CI = (1.645, 8.537)] and counseling given by same counselor before and after HIV test [AOR =0.193, 95%CI: (0.090, 0.412)]. Conclusion : Clients’ satisfaction by PMTCT service is very high. Keywords: HIV, prevention, women, PMTCT. DOI: 10.7176/JHMN/89-02 Publication date: May 31 st 2021

Highlights

PMTCT has four components: 1) primary prevention of HIV infection, 2) prevention of unintended pregnancies among HIV-positive women, 3) prevention of HIV transmission from women infected to their infants through treatment and care and 4) support to women infected with HIV, their infants and their families(4)
Almost 80% of women were satisfied with the privacy of counseling rooms, which is similar to a study in Addis Ababa(12) and slightly higher than a study in Tanzania (11)
Overall satisfaction with PMTCT service was 89.8%, which is similar to Kafa Zone(6) and Dessie City Administration(16) and higher than studies in Nigeria, www.iiste.org

Summary

Introduction

Mother-to-child transmission (MTCT) of human immunodeficiency virus (HIV) entails transmission of HIV from an infected mother to her child. The vertical virus transmission from mother to child accounts for more than 90% of pediatric Acquired Immunodeficiency Syndrome. Even fewer studies do examine client satisfaction with the PMTCT services. This study is aimed to assess the client satisfaction with Prevention of Mother-to-Child Transmission of HIV services in public hospitals of Hadiya zone, southern Ethiopia 2017. Result: About 89.8% clients were satisfied with PMTCT services provided at public hospitals. The client satisfaction with PMTCT services was associated with waiting time [AOR =4.648, 95% CI = (2.183, 9.897)], counseling time [AOR =3.748, 95% CI = (1.645, 8.537)] and counseling given by same counselor before and after HIV test [AOR =0.193, 95%CI: (0.090, 0.412)].

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Results

Conclusion