dc.contributor.author | Naburi, Helga | en_US |
dc.contributor.author | Mujinja, Phares | en_US |
dc.contributor.author | Kilewo, Charles | en_US |
dc.contributor.author | Bärnighausen, Till | en_US |
dc.contributor.author | Orsini, Nicola | en_US |
dc.contributor.author | Manji, Karim | en_US |
dc.contributor.author | Biberfeld, Gunnel | en_US |
dc.contributor.author | Sando, David | en_US |
dc.contributor.author | Geldsetzer, Pascal | en_US |
dc.contributor.author | Chalamila, Guerino | en_US |
dc.contributor.author | Ekström, Anna Mia | en_US |
dc.date.accessioned | 2016-12-02T15:25:39Z | |
dc.date.issued | 2016 | en_US |
dc.identifier.citation | Naburi, H., P. Mujinja, C. Kilewo, T. Bärnighausen, N. Orsini, K. Manji, G. Biberfeld, et al. 2016. “Predictors of Patient Dissatisfaction with Services for Prevention of Mother-To-Child Transmission of HIV in Dar es Salaam, Tanzania.” PLoS ONE 11 (10): e0165121. doi:10.1371/journal.pone.0165121. http://dx.doi.org/10.1371/journal.pone.0165121. | en |
dc.identifier.issn | 1932-6203 | en |
dc.identifier.uri | http://nrs.harvard.edu/urn-3:HUL.InstRepos:29626171 | |
dc.description.abstract | Background: Mother-to-child transmission (MTCT) of HIV remains a major source of new HIV infections in children. Prevention of mother-to-child transmission of HIV (PMTCT) using lifelong antiretroviral treatment (ART) for all pregnant and breastfeeding women living with HIV (Option B+) is the major strategy for eliminating paediatric HIV. Ensuring that patients are satisfied with PMTCT services is important for optimizing uptake, adherence and retention in treatment. Methods: We conducted a facility based quantitative cross-sectional survey in Dar-es-Salaam, Tanzania, between March and April 2014, when the country was transitioning to the implementation of PMTCT Option B+. We interviewed 595 pregnant and breastfeeding women living with HIV, who received PMTCT care in 36 public health facilities. Predictors of overall dissatisfaction with PMTCT services were identified using a multiple logistic regression. Results: Overall 8% of the patients expressed dissatisfaction with PMTCT services. Patients who perceived health care workers (HCW) communication skills as poor, had a 5-fold (OR 4.9, 95% CI 1.8–13.4) increased risk of dissatisfaction and those who perceived HCW capacity to understand client concerns as poor, had a 6-fold (OR 5.7, 95% CI 2.3–14.0) increased risk. Having a total visit time longer than two hours was associated with a 2-fold increased risk of being dissatisfied (OR 2.3, 95% CI 1.1–4.7). Every 30-minute increment in total visit time was associated with a 10% higher (OR 1.1, 95% CI 1.0–1.2) risk of being dissatisfied. The probability of being dissatisfied ranged from 4% (95% CI 2% - 6%) in the presence of patient-perceived good communication, good understanding of patient concerns, and a total visit time below two hours, to 70% (95% CI 47% - 86%) if HCW failed in all of these aspects. Conclusion: Patient dissatisfaction with PMTCT services was generally low; reflecting that quality of care was maintained during Tanzania’s transition to Option B+ strategy aiming to increase the number of women initiating life-long ART in PMTCT clinics. Improved HCW communication with clients, their understanding of patient concerns and a reduction of the total visit time would further optimize women’s overall satisfaction with PMTCT services in Tanzania. | en |
dc.language.iso | en_US | en |
dc.publisher | Public Library of Science | en |
dc.relation.isversionof | doi:10.1371/journal.pone.0165121 | en |
dc.relation.hasversion | http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5074583/pdf/ | en |
dash.license | LAA | en_US |
dc.subject | Biology and Life Sciences | en |
dc.subject | Microbiology | en |
dc.subject | Medical Microbiology | en |
dc.subject | Microbial Pathogens | en |
dc.subject | Viral Pathogens | en |
dc.subject | Immunodeficiency Viruses | en |
dc.subject | HIV | en |
dc.subject | Medicine and Health Sciences | en |
dc.subject | Pathology and Laboratory Medicine | en |
dc.subject | Pathogens | en |
dc.subject | Organisms | en |
dc.subject | Viruses | en |
dc.subject | Biology and life sciences | en |
dc.subject | RNA viruses | en |
dc.subject | Retroviruses | en |
dc.subject | Lentivirus | en |
dc.subject | Women's Health | en |
dc.subject | Maternal Health | en |
dc.subject | Breast Feeding | en |
dc.subject | Pediatrics | en |
dc.subject | Neonatology | en |
dc.subject | Immunology | en |
dc.subject | Vaccination and Immunization | en |
dc.subject | Antiviral Therapy | en |
dc.subject | Antiretroviral Therapy | en |
dc.subject | Public and Occupational Health | en |
dc.subject | Preventive Medicine | en |
dc.subject | People and Places | en |
dc.subject | Geographical Locations | en |
dc.subject | Africa | en |
dc.subject | Tanzania | en |
dc.subject | Medicine and health sciences | en |
dc.subject | Diagnostic medicine | en |
dc.subject | HIV diagnosis and management | en |
dc.subject | Pregnancy | en |
dc.subject | Obstetrics and Gynecology | en |
dc.subject | Neuroscience | en |
dc.subject | Cognitive Science | en |
dc.subject | Cognitive Psychology | en |
dc.subject | Attention | en |
dc.subject | Psychology | en |
dc.subject | Social Sciences | en |
dc.subject | Public and occupational health | en |
dc.subject | Preventive medicine | en |
dc.subject | HIV prevention | en |
dc.title | Predictors of Patient Dissatisfaction with Services for Prevention of Mother-To-Child Transmission of HIV in Dar es Salaam, Tanzania | en |
dc.type | Journal Article | en_US |
dc.description.version | Version of Record | en |
dc.relation.journal | PLoS ONE | en |
dash.depositing.author | Sando, David | en_US |
dc.date.available | 2016-12-02T15:25:39Z | |
dc.identifier.doi | 10.1371/journal.pone.0165121 | * |
dash.authorsordered | false | |
dash.contributor.affiliated | Geldsetzer, Pascal | |
dash.contributor.affiliated | Sando, David | |