全部 标题 作者
关键词 摘要


Quality of PMTCT Services in Gebretsadiq Shawo Memorial Hospital, Kafa Zone, South West Ethiopia: A Descriptive Study

DOI: 10.4236/oalib.1101499, PP. 1-12

Subject Areas: Public Health

Keywords: Quality, PMTCT, Kafa, Ethiopia

Full-Text   Cite this paper   Add to My Lib

Abstract

Background: Worldwide, an estimated 2.3 million children under the age of 15 are HIV positive. The main source of HIV infection in children is vertical transmission of HIV from mother-to-child during pregnancy, labor and delivery, or breastfeeding. Prevention of Mother-to-Child Transmission of HIV has been expanded 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 study aimed to assess the quality of Prevention of Mother-to-Child Transmission of HIV services in Gebretsadiq Shawo Memorial Hospital in Kafa Zone, Southwest Ethiopia. Methods: Facility based cross-sectional study involving both quantitative and qualitative methods was conducted in September 2012. A total of 311 pregnant mothers were interviewed and a one year (2011) record of PMTCT clients was reviewed and service provision processes were observed for 10 counseling sessions. Donabedian’s Structure-Process-Outcome model was used to conceptualize the study. Data were analyzed using SPSS for windows version 17 software. Descriptive statistics were computed to summarize the findings. Results: Almost all of the minimum required resources such as test kits, prophylactic drugs and other supplies were available in the hospital; counselors followed the national guideline in providing HIV counseling and testing services; and most (90%) of clients were satisfied or very satisfied by the PMTCT services they received. However, from 858 pregnant mothers who visited the ANC clinic in 2011, only 330(38.5%) were offered HIV pretest counseling, while 281 (33%) were tested. Conclusion: Although clients’ satisfaction by PMTCT service is very high, considerable proportion of pregnant mothers who utilize ANC services are not offered HIV counseling and testing services. Therefore, appropriate quality improvement interventions against the missed opportunities are highly recommended.

Cite this paper

Bayou, N. B. and Tsehay, Y. E. (2015). Quality of PMTCT Services in Gebretsadiq Shawo Memorial Hospital, Kafa Zone, South West Ethiopia: A Descriptive Study. Open Access Library Journal, 2, e1499. doi: http://dx.doi.org/10.4236/oalib.1101499.

References

[1]  UNAIDS (2014) Global Report on the Global AIDS Epidemic 2013.
www.unaids.org
[2]  UNAIDS (2012) UNAIDS Global Report on the Global AIDS Epidemic 2010.
www.unaids.org
[3]  Federal Democratic Republic of Ethiopia, Federal HIV/AIDS Prevention and Control Office (2014) Report on Progress towards Implementation of the UN Declaration of Commitment on HIV/AIDS 2010, March 2010.
http://data.unaids.org/pub/Report/2010/ethiopia_2010_country_progress_report_en.pdf
[4]  UNAIDS (2014) 2013 Progress Report on the Global Plan towards the Elimination of New HIV Infections among Children by 2015 and Keeping Their Mothers Alive, November 2013.
www.unaids.org/en
[5]  FHAPCO and FMOH (2014) Guidelines for Prevention of Mother-to-Child Transmission of HIV Ethiopia, August, 2011.
www.fmoh.gov.et
[6]  UNFPA (2012) Preventing HIV and Unintended Pregnancies: Strategic Framework (2011-2015).
http://www.unfpa.org
[7]  WHO, UNICEF (2014) Guidance on Global Scale-Up of the Prevention of Mother-to-Child Transmission of HIV. Towards Universal Access for Women, Infants and Young Children and Eliminating HIV and AIDS among Children. http://www.unicef.org/aids/files/PMTCT_enWEBNov26.pdf
[8]  WHO (2010) ANTIRETROVIRAL Drugs for Treating G Pregnant Women and Preventing HIV Infection in Infants Recommendations for a Public Health Approach 2010 Version.
[9]  FMOH (2014) 2012/13 Annual Performance Report.
www.moh.gov.et
[10]  FMOH (2013) The National Strategic Plan for Elimination of Mother to Child Transmission of HIV (e-MTCT of HIV).
[11]  WHO (2009) Implementing the WHO Policy on TB Infection Control: A Framework to Plan, Implement and Scale-Up TB Infection.
www.stoptb.org/.../tb.../TBICImplementationFramework1288971813
[12]  RPM Plus (2005) Pharmaceutical Management for Tuberculosis Assessment Manual. Management Sciences for Health, Arlington.
www.msh.org/projects/rpmplus/.../FINAL-PMTB
[13]  Manzi, M., Zachariah, R., Teck, R., Buhendwa, L., Kazima, J., Bakali, E., et al. (2005) High Acceptability of Voluntary Counselling and HIV-Testing but Unacceptable Loss to Follow up in a Prevention of Mother-to-Child HIV Transmission Programme in Rural Malawi: Scaling-Up Requires a Different Way of Acting. Tropical Medicine & International Health, 12, 1242-1250.
http://dx.doi.org/10.1111/j.1365-3156.2005.01526.x
[14]  Taye, T., Susanne, S. and Anders, R. (2011) Strategic Challenges of PMTCT Program Implementation in Oromya Region, Ethiopia. Journal of the International Association of Physicians in AIDS Care (JIAPAC), 10, 187-192.
http://dx.doi.org/10.1177/1545109710369935
[15]  Painter, T.M., Diaby, K.L., Matia, D.M., Lin, L.S., Sibailly, T.S., Kouassi, M.K., et al. (2004) Women’s Reasons for Not Participating in Follow-Up Visits before Starting Short-Course Antiretroviral Prophylaxis for Prevention of Mother-to-Child Transmission of HIV: Qualitative Interview Study. British Medical Journal, 329, 543.
http://dx.doi.org/10.1136/bmj.329.7465.543
[16]  Petrie, K.E., Schmidt, S.D., Schwarz, C.E., Koornhof, H.E. and Marais, D. (2007) Knowledge, Attitudes and Practices of Women Regarding the Prevention of Mother-to-Child Transmission (PMTCT) Programme at the Vanguard Community Health Centre, Western Cape—A Pilot Study. South African Journal Clinical Nutrition, 20, 71-75.
[17]  London, L., Orner, P.J. and Myer, L. (2008) Even If You’re Positive, You Still Have Rights Because You Are a Person: Human Rights and the Reproductive Choice of HIV-Positive Persons. Developing World Bioethics, 8, 11-22.
http://dx.doi.org/10.1111/j.1471-8847.2007.00223.x
[18]  Peltzer, K., Mosala, T., Shisana, O., Nqueko, A. and Mngqundaniso, N. (2007) Barriers to Prevention of HIV Transmission from Mother to Child (PMTCT) in a Resource-Poor Setting in the Eastern Cape, South Africa. African Journal of Reproductive Health, 11, 57-66.
http://dx.doi.org/10.2307/30032488
[19]  Gourlay, A., Birdthistle, I., Mburu, G., Iorpenda, K. and Wringe, A. (2013) Barriers and Facilitating Factors to the Uptake of Antiretroviral Drugs for Prevention of Mother-to-Child Transmission of HIV in Sub-Saharan Africa: A Systematic Review. Journal of the International AIDS Society, 16, Article ID: 18588.
http://dx.doi.org/10.7448/IAS.16.1.18588
[20]  WHO (2006) International Standards for Tuberculosis Care (ISTC). World Health Organization, Geneva.
[21]  Berwick, D.M., Calkins, D.R., McCannon, C.J. and Hackbarth, A.D. (2006) The 100,000 Lives Campaign: Setting a Goal and a Deadline for Improving Health Care Quality. JAMA, 295, 324-327.
http://dx.doi.org/10.1001/jama.295.3.324
[22]  Donabedian, A. (2003) An Introduction to Quality Assurance in Health Care. Oxford University Press, Oxford.
[23]  FMOH (2010) Health Sector Development Program IV 2010/11—2014/15. FDRE, Ministry of Health.
[24]  UNAIDS (2000) Tools for Evaluating HIV Voluntary Counseling and Testing. Geneva.
http://www.unaids.org
[25]  Family Health International (2003) Baseline Assessment Tools for Preventing Mother-to-Child Transmission (PMTCT) of HIV/AIDS.
[26]  Donabedian, A. (1988) The Quality of Care: How Can It Be Assessed? Journal of the American Medical Association, 260, 1743-1748.
http://dx.doi.org/10.1001/jama.1988.03410120089033
[27]  Bernhart, M.H., Wiadnyana, I.G., Wihardjo, H. and Pohan, I. (1999) Patient Satisfaction in Developing Countries. Social Science & Medicine, 48, 989-996.
http://dx.doi.org/10.1016/S0277-9536(98)00376-1
[28]  Cherinet, Y., Berihu, A., Bekele, A., Biadgilign, S., Taye, B. and Tsegaye, A. (2013) Trend of HIV Prevalence among Pregnant Women Attending Antenatal Care Unit of Bishoftu Hospital, Ethiopia. Ethiopian Medical Journal, 51, 169- 176.
[29]  Westaway, M.S., Rheeder, P., Van Zyl, D.G. and Seager, J.R. (2003) Interpersonal and Organizational Dimensions of Patient Satisfaction: The Moderating Effects of Health Status. International Journal for Quality in Health Care, 15, 337-344.
http://dx.doi.org/10.1093/intqhc/mzg042
[30]  Andaleeb, S.S. (2001) Service Quality Perceptions and Patient Satisfaction: A Study of Hospitals in Developing Countries. Social Science & Medicine, 52, 1359-1370.
http://dx.doi.org/10.1016/S0277-9536(00)00235-5
[31]  Huntington, D., Miller, K. and Mensch, B. (1996) The Reliability of the Situation Analysis Observation Guide. Studies in Family Planning, 27, 277-282.
http://dx.doi.org/10.2307/2137999
[32]  Rethan, J., Westin, S. and Hays, R. (1996) Methods for Quality Assessment General Practice. Family Practice, 13, 468-476.
http://dx.doi.org/10.1093/fampra/13.5.468
[33]  Balcha, T.T., Lecerof, S.S. and Jeppsson, A.R. (2011) Strategic Challenges of PMTCT Program Implementation in Ethiopia. Journal of the International Association of Physicians in AIDS Care (JIAPAC), 10, 187-192.
http://dx.doi.org/10.1177/1545109710369935

Full-Text


comments powered by Disqus