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...
Main Authors: | , , |
---|---|
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 |
_version_ | 1828349586734841856 |
---|---|
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. |
first_indexed | 2024-04-14T01:12:46Z |
format | Article |
id | doaj.art-0f7ad54f06ba42d3b1edf2b3b5731143 |
institution | Directory Open Access Journal |
issn | 1729-0376 1813-4424 |
language | English |
last_indexed | 2024-04-14T01:12:46Z |
publishDate | 2005-07-01 |
publisher | Taylor & Francis Group |
record_format | Article |
series | SAHARA-J |
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 |
work_keys_str_mv | AT iscahakothmoth assessmentofutilisationofpmtctservicesatnyanzaprovincialhospitalkenya AT abcoayayo assessmentofutilisationofpmtctservicesatnyanzaprovincialhospitalkenya AT dankaseje assessmentofutilisationofpmtctservicesatnyanzaprovincialhospitalkenya |