Perceptions and Reasons for Dissatisfaction with PMTCT Services among Women Living with HIV during the PMTCT Scale-up in Akwa-Ibom, Nigeria
Abstract:
This study assessed perceptions and satisfaction with PMTCT services,
and reasons for dissatisfaction among women living with HIV who received PMTCT
services in Akwa Ibom State, Nigeria. Data for this cross-sectional study was
collected using a validated questionnaire from women living with HIV who were
at least two months post-partum between January – March 2023 and had received
PMTCT services during the PMTCT scale-up period (January 2022 – December 2022)
across 13 health facilities in Akwa Ibom, Nigeria. Client perception and
satisfaction were assessed based on the Mosadeghrad framework for quality of
care. Women with satisfaction scores ≥ the cut-off were classified as
“satisfied,” otherwise “not satisfied”. Logistic regression analysis determined
differences in satisfaction, at p-value ≤0.05. A total of 631 women living with
HIV participated: 435 (69%) were 25-34 years old, 524 (83%) were married, 59%
resided in rural areas and 414 (66%) received their first antenatal care at a
health facility. Participants had the lowest perception regarding their ability
to access PMTCT services at any day and time, with only 74% responding
affirmatively. Conversely, 99% of participants responded that their care
providers listened to their concerns and provided adequate information in a
friendly manner. Overall, 71.5% (450/629) of participants were satisfied with
the PMTCT services. The main reasons for dissatisfaction were the proximity of
services, staff attitude and professionalism and providers' knowledge and
skills. By addressing these, the PMTCT program can meet the needs of women
living with HIV, ultimately contributing to better health outcomes and a
reduction in mother-to-child transmission rates.
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