Assessment of utilisation of PMTCT services at Nyanza Provincial Hospital, Kenya

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 cross-sectional exploratory study was conducted, using both quantitative and qualitative approa...

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Main Authors: Iscah Akoth Moth, A.B.C.O. Ayayo, Dan Kaseje
Format: Article
Language:English
Published: Taylor & Francis Group 2005-07-01
Series:SAHARA-J
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/17290376.2005.9724847
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author Iscah Akoth Moth
A.B.C.O. Ayayo
Dan Kaseje
author_facet Iscah Akoth Moth
A.B.C.O. Ayayo
Dan Kaseje
author_sort Iscah Akoth Moth
collection DOAJ
description 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 cross-sectional exploratory study was conducted, using both quantitative and qualitative approaches to collect primary and secondary data. The study population was 133 clients registered for PMTCT services. The study revealed that 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.
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spelling doaj.art-0f7ad54f06ba42d3b1edf2b3b57311432022-12-22T02:20:59ZengTaylor & Francis GroupSAHARA-J1729-03761813-44242005-07-012224425010.1080/17290376.2005.9724847Assessment of utilisation of PMTCT services at Nyanza Provincial Hospital, KenyaIscah Akoth Moth0A.B.C.O. Ayayo1Dan Kaseje2Great Lakes University, Democratic Republic of CongoUniversity of NairobiTropical Institute of Community Health and Development (TICH), AfricaThe 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 cross-sectional exploratory study was conducted, using both quantitative and qualitative approaches to collect primary and secondary data. The study population was 133 clients registered for PMTCT services. The study revealed that 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.https://www.tandfonline.com/doi/10.1080/17290376.2005.9724847utilisationPMTCT servicesNyanza HospitalKenyautilisationservices PMTCT
spellingShingle Iscah Akoth Moth
A.B.C.O. Ayayo
Dan Kaseje
Assessment of utilisation of PMTCT services at Nyanza Provincial Hospital, Kenya
SAHARA-J
utilisation
PMTCT services
Nyanza Hospital
Kenya
utilisation
services PMTCT
title Assessment of utilisation of PMTCT services at Nyanza Provincial Hospital, Kenya
title_full Assessment of utilisation of PMTCT services at Nyanza Provincial Hospital, Kenya
title_fullStr Assessment of utilisation of PMTCT services at Nyanza Provincial Hospital, Kenya
title_full_unstemmed Assessment of utilisation of PMTCT services at Nyanza Provincial Hospital, Kenya
title_short Assessment of utilisation of PMTCT services at Nyanza Provincial Hospital, Kenya
title_sort assessment of utilisation of pmtct services at nyanza provincial hospital kenya
topic utilisation
PMTCT services
Nyanza Hospital
Kenya
utilisation
services PMTCT
url https://www.tandfonline.com/doi/10.1080/17290376.2005.9724847
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