HIV/AIDS: Research and Palliative Care (Oct 2020)
Clients’ Satisfaction with Services for Prevention of Mother-to-Child Transmission of HIV in Public Health Facilities in Diredawa City, Eastern Ethiopia
Abstract
Kinfe Abayneh,1 Bizatu Mengistie,2 Lemessa Oljira,3 Getahun Tiruye4 1Department of Management and Health Policy, Sofi Health Center, Harar, Ethiopia; 2Department of Environmental Health, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia; 3School of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia; 4Department of Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, EthiopiaCorrespondence: Getahun Tiruye Email [email protected]: Ethiopia has a very high burden of HIV infection among children, contracted from their mothers, and nearly two-thirds of pregnant women do not receive prevention of mother-to-child transmission (PMTCT) services. Ensuring clients’ satisfaction with PMTCT services is one of the bases to scale up service utilization and mitigate MTCT of HIV. However, in Ethiopia, particularly in the study area, evidence related to clients’ satisfaction with PMTCT services is scanty.Methods: A facility-based cross-sectional study was conducted among women attending antenatal care in Diredawa city. Systematic random sampling was used to select 517 study participants. Interviewer-administered structured and pretested questionnaires were used to collect data. Statistical significance was regarded as P≤ 0.05 with a 95% CI.Results: Client satisfaction with PMTCT services was 82.2% (95% CI 66.4%– 94.3). Receiving the service from a hospital (AOR 2.34; 95% CI 1.5, 3.98), no formal education (AOR 2.53, 95% CI 1.52– 4.2), primary education (AOR 2.17 95% CI 1.17– 4.04), receiving pre- and post-HIV test counseling from the same provider (AOR 4.93, 95% CI 2.98– 7.17), gestational age above first trimester (AOR 1.74, 95% CI 1.12– 2.71), and waiting time ≤ 15 minutes (AOR 2.31, 95% CI 1.28– 4.16) were positively associated with client satisfaction with PMTCT services.Conclusion: Client satisfaction with PMTCT services is relatively high. Receiving the service from a hospital, no formal education or only primary education, gestational age above first trimester, getting pre- and post-HIV test counseling from the same provider, and waiting time ≤ 15 minutes to receive services were factors associated with client satisfaction. A greater number of skilled PMTCT-service providers would improve service quality and hasten its delivery. Furthermore, providing mentoring and supportive supervision of health centers with PMTCT programs and keeping the same provider in posttest counseling is also mandatory.Keywords: ANC, HIV, counselors
