Quality of prevention of mother-to-child transmission of hiv service at south wollo zone govermental hospitals, amhara region, Ethiopia, 2018.
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Date
2018-06
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Addis Ababa University
Abstract
Background: Worldwide, an estimated 2.1 million children under the age of 15 are living with
HIV. The main source of HIV infection in children is vertical transmission of HIV from motherto-
child during pregnancy, labor and delivery, or breastfeeding. Prevention of Mother-to-Child
Transmission of HIV expanded out in accelerated fashion throughout Ethiopia with all public
hospitals and health centers providing the services. However, published studies on the services’
provision in the country are generally limited. If at all, they did not comprehensively examine
quality of the services.
Objective: The aim of the study was to assess the quality of Prevention of Mother-to-Child
Transmission of HIV service at governmental Hospitals of South Wollo Zone, Amhara Region,
Ethiopia, 2018.
Methods: Convergent parallel mixed study was conducted at governmental hospitals of South
Wollo Zone from February 15 to march 15, 2018. A total of 202 health professionals’ were
assessed using structured questionnaires’ and 16 mothers were assessed by in-depth interview.
The quantitative data were cleaned manually coded and entered into Epi - info version 3.1 and
analyzed using SPSS version 20. Bivariate and Multivariate logistic regression, crude and
adjusted odds ratio with their 95% confidence interval and p-value <0.05 were used to identify
variables which had significant association with the dependant variable. The qualitative data
were analyzed by thematic analysis.
Result: The overall quality of service on PMTCT was poor (47%). Majority (13) of the clients
were satisfied by the service. Almost all respondents (15) were satisfied with PMTCT service
providers and majorities (13) of the client were not satisfied with the counseling room privacy.
Training in infant feeding counseling [AOR=6.422; 95% CI: (2.273,18.144)],training in family
planning[AOR=3.825; 95% CI: (1.438, 10.172)], lack of PMTCT guidelines[AOR= 0.381; 95%
CI: (0.170, 0.857)], provision of infant feeding counseling to all pregnant and breastfeeding
women[AOR=4.620; 95% CI: (2.226, 9.609)] and availability of physical infrastructure with
both auditory and visual privacy [AOR=3.076; 95% CI: (1.273, 7.431)] were associated with
quality of PMTCT service.
Conclusion and recommendation: The overall quality of PMTCT of HIV is poor. But majority
of the client were satisfied with the PMTCT service they got. There is a must for zonal health
management and PMTCT focal personnel to ensure availability and use of PMTCT guidelines
and sufficient supplies of recommended PMTCT commodities.
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Quality PMTCT service, South Wollo zone, Ethiopia, 2018.