%0 Journal Article %T Assessment of utilisation of PMTCT services at Nyanza Provincial Hospital, Kenya %A IA Moth %A ABCO Ayayo %A DO Kaseje %J SAHARA J (Journal of Social Aspects of HIV/AIDS Research Alliance) %D 2005 %I Taylor & Francis Group %X The main objective of the study was to assess the utilisation of prevention of mother-to-child transmission (PMTCT) services among mothers registered for services at Nyanza Provincial Hospital in Kenya. A crosssectional exploratory study was conducted, using both quantitative and qualitative approaches to collect primary and secondary data.The study 52.4% of clients received PMTCT information at the health facility without prior knowledge about intervention, 96% waited for more than 90 minutes, and 89% took less than 10 minutes for post-test counselling. Knowledge of MTCT and PMTCT was inadequate even after counselling, as participants could not recall the information divulged during counselling. In addition, 80% of clients did not present for follow-up counselling irrespective of HIV status, and 95% did not disclose positive HIV status to spouses/relatives for fear of stigma, discrimination and violence. Inadequate counselling services delivered to clients affected service utilisation, in that significant dropout occurred at the stages of HIV result (31.5%), enrollment (53.6%), and delivery (80.7%). Reasons for dropout included fear of positive HIV result, chronic illness, stigma and discrimination, unsupportive spouse and inability to pay for the services. Key Words:utilisation, PMTCT services, Nyanza Hospital, Kenya. R¨¦SUM¨¦ Le but principal de cette ¨¦tude fut d'¨¦valuer l'utilisation des services PMTCT parmi les m¨¦res inscrites aux services de l'h pital provincial Nyanza. Une ¨¦tude transversale et exploratoire a ¨¦t¨¦ faite durant laquelle les approches quantitatives et qualitatives furent utilis¨¦es afin de recueillir des donn¨¦es primaires et secondaires. La population d'¨¦tude furent 133 clients inscrits aux services PMTCT. Cette ¨¦tude a montr¨¦ que 52.4% de clients ont eu les informations sur le PMTCT au centre m¨¦dical m¨ºme sans avoir la connaissance pr¨¦alable de l'intervention, 96% ont attendu plus de 90 minutes et 89% ont subi la consultation apr¨¨s le d¨¦pistage qui a dur¨¦ moins que 10 minutes. La connaissance sur le MTCT et le PMTCT fut inad¨¦quate m¨ºme apr¨¨s la consultation, ¨¦tant donn¨¦ que les participants ne pouvaient plus se rappeler l'information qu'on leur a donn¨¦ lors de la consultation. Ceci a aussi d¨¦montr¨¦ 80% de manque de suivi apr¨¨s la consultation sans tenir compte du statut s¨¦rologique et 95% ne d¨¦voilent pas leur statut s¨¦rologique positif ¨¤ leur ¨¦poux(se)/membres de famille de peur de stigmatisation, de discrimination et de violence. Les services de consultation inad¨¦quats mis ¨¤ la disposition de clients ont un effet sur l'utilisation de services, parce que un grand nombre de clients laissent tomb¨¦ la consultation apr¨¨s les r¨¦sultats du d¨¦pistage (31.5%), les inscriptions (53.6%) et le service rendu (80.7%). Les raisons de laisser tomb¨¦ comprennent la peur de conna tre son statut s¨¦rologique, les maladies chroniques, la stigmatisation et la discrimination, un(e) ¨¦poux(se) qui n'offre pas de soutien et l'incapacit¨¦ de payer pour l %U http://www.ajol.info/index.php/saharaj/article/view/30084