Clients’ satisfaction with prevention of mother-to-child transmission of HIV services received at health facilities in the Volta Region of Ghana

Abstract

ABSTRACT The risk of mother-to-child transmission (MTCT) of HIV can be reduced through the provision of prevention of MTCT (PMTCT) of HIV services. This study assessed clients’ satisfaction with PMTCT of HIV services received at health facilities in the Volta Region, Ghana. A cross-sectional design was employed to collect data from a sample of 405 pregnant women receiving antenatal care (ANC) services and 80 mothers attending postnatal care clinics (PNCs). Logistic regression was performed at the 0.05 significance level. About 77.1% were satisfied with PMTCT of HIV services. Respondents with no formal education (Adjusted Odds Ratio [AOR] = 0.05; CI: 0.01 to 0.52; p = 0.012), Farmers (AOR = 0.18; CI: 0.07 to 0.43; p < 0.001), the Guans (AOR = 0.04; CI: 0.04 to 0.35; p = 0.003) and the Konkombas (AOR = 0.05; CI: 0.01 to 0.50; p = 0.011) were less likely to be satisfied with the PMTCT services. Clients in the rural areas (AOR = 15.00; CI: 4.45 to 56.74; p < 0.001), those in semi-urban areas (AOR = 2.13; CI: 1.12 to 1.47; p = 0.021), mothers with one child (AOR = 3.39; C.I: 1.07 to 10.66; p = 0.037) and two children (AOR = 8.70; CI: 2.36 to 31.66; p < 0.001) were more likely to be satisfied with the PMTCT services. Clients who received information from health workers (AOR = 7.03; CI: 1.81 to 27.36; p = 0.005), those who received HIV testing (AOR = 8.83; CI: 2.18 to 35.86; p = 0.002) and infant feeding (AOR = 3.15; CI: 1.05 to 9.43; p = 0.041) services were more likely to be satisfied with the PMTCT services. Health promotion interventions should target those without any formal education, farmers, those residing in urban settings and those without children.