Level of quality of option B+PMTCT service provision in public health facilities in Mekelle zone, northern Ethiopia: cross-sectional study

Ajemu, Kiros Fenta; Desta, Alem

doi:10.1186/s12913-020-05429-6

Cited by 6 publications

(11 citation statements)

References 27 publications

(52 reference statements)

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“…This could be due to the fact that ongoing supervision and monitoring improve services quality if it is done countinously. This study finding is similar with the study done in Northern Ethiopia, Tigray and Amhara Region [ 17 , 18 ].…”

Section: Discussionsupporting

confidence: 92%

“…According to the above study, the overall level of service quality of Option B + PMTCT service was rendered as good in one out of six(16.7%) of the studied health facilities. In particular, 33.3 percent of health institutions reported good input service quality, but only 25 percent of them also reported good process and output service quality [ 17 ]. The limited sample size in our study may have contributed to this discrepancy because only four hospitals were studied in our study to evaluate the quality of option B + PMTCT services.…”

Section: Discussionmentioning

confidence: 99%

“…In Ethiopia, there are some studies conducted on the quality of option B + prevention of mother-to-child transmission of HIV services however, all of them were conducted before the era of the COVID-19 pandemic [12,13,17,18]. Even though these studies used the Donovedian three-component (structure, process, and outcome) approaches to evaluate the quality of PMTCT services, they omitted several components in each category, i.e.…”

Section: Introductionmentioning

confidence: 99%

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Quality of option B + prevention of mother-to-child transmission of HIV services in public hospitals of Gamo zone, Southern Ethiopia, mixed approach

et al. 2023

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Background Prevention of mother-to-child transmission service is a comprehensive package of services planned to reduce the risk of mother-to-child transmission of HIV. It is very crucial to determine the level of quality of PMTCT services in this study area since other studies in our country omitted several variables in each category of the Donobedian model. Therefore, this study aimed to determine the level of quality of option B + PMTCT of HIV services. Methods An institution-based cross-sectional study design with both quantitative and qualitative data collection method was employed. Donabedian’s model was used to assess the level of quality of PMTCT service. A total of 422 pregnant women were used to assess the level of satisfaction of clients. An inventory of resources and direct observation was done to assess the quality of the input and output component of the Donobedian model respectively. In addition to satisfaction items, 12 output-related items were also used to assess quality in the output dimension. Finally, those hospitals that scored above 90% in each component of the Donovedian model were categorized as having good quality. Finally, twelve in-depth interviews were conducted to explore barriers to the quality of option B + PMTCT services. The qualitative data were analyzed using the thematic analysis method and finally, it was presented with the quantitative result through triangulation. Results No hospitals simultaneously met the requirements for good quality in all three dimensions of option B + PMTCT service quality. Only one hospital out of the four hospitals met the requirements for good quality of PMTCT service in the input dimension. Regarding the process and output dimension's quality of PMTCT services, two of the hospitals met the criteria for good quality. One hospital out of the total exhibited poor performance in all three dimensions of service quality for option B + PMTCT services. Conclusion According to this study no hospitals simultaneously met the requirements for good quality in all three dimensions of option B + PMTCT service quality. PMTCT unit performance must be continuously monitored, reviewed, and supervised. To obtain the minimum required resources primary hospitals must be supported.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Quality of option B + prevention of mother-to-child transmission of HIV services in public hospitals of Gamo zone, Southern Ethiopia, mixed approach

et al. 2023

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“… 25–27 Another qualitative study in northern Ethiopia showed about 33% of input, 25% of process, and output service quality. 28 Furthermore, a mixed-method study showed that the overall quality of PMTCT services was low (47%). 29 …”

Section: Introductionmentioning

confidence: 99%

Evaluation of Quality of Prevention of Mother to Child Transmission of HIV Service Provision and Its Determinants: The Case of Health Facility Readiness and Mothers’ Perspectives

Terefe,

Mekonnen,

Tamir

et al. 2024

JMDH

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Background Prevention of Mother-To-Child Transmission of HIV (PMTCT) is a comprehensive intervention aimed at reducing vertical transmission. More than 90% of pediatric AIDS cases are caused by MTCT. However, the quality of care has lagged in terms of service integration, client satisfaction, and facility readiness, although improvements have been observed. Evidence on the quality of PMTCT services is required by clinicians, and policymakers. Therefore, this study aimed to evaluate the effectiveness of PMTCT services provided by public health facilities in Northwest Ethiopia. Methods This cross-sectional study was conducted at nine public health facilities in Gondar city between June 1 and July 17, 2022. A total of 334 mothers were participated. The Structure-Process-Outcome components were used to evaluate service quality. About 135 counseling sessions were observed. The SPSS 26 software was used for statistical analyses. To identify mothers’ satisfaction with the service, P-values < 0.25, and < 0.05 were considered in the binary and multiple logistic regression analyses to identify significant variables, respectively. Results The overall performance of the health facilities was 74.09% (72.19–76.01 CI 95%). In 88.89% of cases, the output quality was higher and rated as good. However, the quality of the input and process services was 60.40% and 72.97%, respectively. Women’s satisfaction was 67.09%. Women aged 15–24 years (AOR= 0.31; 95% CI:0.06, 0.79), formally educated (AOR=0.59; 95% CI:0.35, 0.67), > one hour of arrival (AOR=0.71; 95% CI:0.55, 0.93), > 30 minutes waiting time (AOR=0.23; 95% CI:0.11, 0.37), sufficient time for counseling (AOR=2.83; 95% CI:1.72, 3.97), and opening hours (AOR=4.27; 95% CI:2.09, 6.67) were factors associated with satisfaction in women. Conclusion The quality of PMTCT service provision and mothers’ satisfaction were low. Reducing waiting time, punctuality of service providers, adequate counselling, and availability of basic resources can boost mothers’ satisfaction.

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“…Furthermore, the country has made strides at strengthening and expanding advanced neonatal care, neonatal intensive care unit (NICU), and Essential New-born Care (ENBC) services including services for low birth weight and preterm neonates [ 20 , 21 ]. On top of this, interventions such as introducing micronutrient supplementation as a maternal nutritional program [ 22 ], enhancing the quality of antenatal care [ 23 ], improving the management of sexually transmitted infections [ 24 ], and improving access to services aimed at preventing Mother to Child Transmission of HIV [ 25 ] and enhancing awareness on the utilization of insecticide-treated bed net during pregnancy [ 26 ] were taken as a specific measure to reduce the burden of stillbirth Ethiopia. Despite all these efforts, the reduction rate of perinatal mortality is not that satisfactory [ 27 ].…”

Section: Introductionmentioning

confidence: 99%

Timing of perinatal death; causes, circumstances, and regional variations among reviewed deaths in Ethiopia

et al. 2023

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Introduction Ethiopia is one of the countries facing a very high burden of perinatal death in the world. Despite taking several measures to reduce the burden of stillbirth, the pace of decline was not that satisfactory. Although limited perinatal mortality studies were conducted at a national level, none of the studies stressed the timing of perinatal death. Thus, this study is aimed at determining the magnitude and risk factors that are associated with the timing of perinatal death in Ethiopia. Methods National perinatal death surveillance data were used in the study. A total of 3814 reviewed perinatal deaths were included in the study. Multilevel multinomial analysis was employed to examine factors associated with the timing of perinatal death in Ethiopia. The final model was reported through the adjusted relative risk ratio with its 95% Confidence Interval, and variables with a p-value less than 0.05 were declared statistically significant predictors of the timing of perinatal death. Finally, a multi-group analysis was carried out to observe inter-regional variation among selected predictors. Result Among the reviewed perinatal deaths, 62.8% occurred during the neonatal period followed by intrapartum stillbirth, unknown time of stillbirth, and antepartum stillbirth, each contributing 17.5%,14.3%, and 5.4% of perinatal deaths, respectively. Maternal age, place of delivery, maternal health condition, antennal visit, maternal education, cause of death (infection and congenital and chromosomal abnormalities), and delay to decide to seek care were individual-level factors significantly associated with the timing of perinatal death. While delay reaching a health facility, delay to receive optimal care health facility, type of health facility and type region were provincial-level factors correlated with the timing of perinatal death. A statistically significant inter-regional variation was observed due to infection and congenital anomalies in determining the timing of perinatal death Conclusion Six out of ten perinatal deaths occurred during the neonatal period, and the timing of perinatal death was determined by neonatal, maternal, and facility factors. As a way forward, a concerted effort is needed to improve the community awareness of institutional delivery and ANC visit. Moreover, strengthening the facility level readiness in availing quality service through all paths of the continuum of care with special attention to the lower-level facilities and selected poor-performing regions is mandatory.

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Level of quality of option B+PMTCT service provision in public health facilities in Mekelle zone, northern Ethiopia: cross-sectional study

Cited by 6 publications

References 27 publications

Quality of option B + prevention of mother-to-child transmission of HIV services in public hospitals of Gamo zone, Southern Ethiopia, mixed approach

Quality of option B + prevention of mother-to-child transmission of HIV services in public hospitals of Gamo zone, Southern Ethiopia, mixed approach

Evaluation of Quality of Prevention of Mother to Child Transmission of HIV Service Provision and Its Determinants: The Case of Health Facility Readiness and Mothers’ Perspectives

Timing of perinatal death; causes, circumstances, and regional variations among reviewed deaths in Ethiopia

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