Sebsbie, Girum (Assistant Professor, PhD Fellow)Goshiye, Debrnesh2018-11-022023-11-052018-11-022023-11-052018-06http://etd.aau.edu.et/handle/123456789/13645Background: 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.en-USQuality PMTCT service, South Wollo zone, Ethiopia, 2018.Thesis