Clients' Satisfaction With Services for Prevention of Mother-to-Child Transmission of HIV in Dodoma Rural District
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East African Public Health Association
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Objective: The study was conducted to assess clients' satisfaction
with PMTCT services on privacy, waiting time and counselling in PMTCT
of HIV /AIDS in Dodoma Rural district. Methods: A cross sectional
study was conducted to 208 women assessing Reproductive Child Health
(RCH) and PMTCT of HIV services. Data collection method involved both
client exit interviews and focus group discussions (FGD) with women
attending RCH services. Systematic random sampling technique was used
to obtain the required sample of 208 clients for the exit interviews. A
total of five FGDs were conducted each with eight to ten people. The
data obtained were analysed using Epi Info Settings: Dodoma Rural
district, central Tanzania Results: Of 113 clients' who accessed
PMTCT services, 75.2% were satisfied with the counselling provided. A
significant difference (P = 0.02) was observed between clients with no
formal education as compared to those with primary level of education
and above. Nearly a quarter of the clients who accessed PMTCT of HIV
services were not satisfied with the privacy in the settings providing
the service. It was also found that 71.7% of clients accessing PMTCT of
HIV service was satisfied with the waiting time spent for the service;
however a difference was observed (P = 0.001) between clients who
accessed services at health centre (77.6%) and hospital (33.3%).
Conclusion: A quarter of the clients were not satisfied either with
the counselling they received on PMTCT of HIV, privacy or waiting time
they spent while accessing services. Some of the reasons contributing
to dissatisfaction included inadequacy in individual counselling,
inadequate on site test supplies and equipment and cost incurred when
travelling to seek for PMTCT service from a referral or satellite
health facility.
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