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dc.contributor.authorNaburi, Helgaen_US
dc.contributor.authorMujinja, Pharesen_US
dc.contributor.authorKilewo, Charlesen_US
dc.contributor.authorBärnighausen, Tillen_US
dc.contributor.authorOrsini, Nicolaen_US
dc.contributor.authorManji, Karimen_US
dc.contributor.authorBiberfeld, Gunnelen_US
dc.contributor.authorSando, Daviden_US
dc.contributor.authorGeldsetzer, Pascalen_US
dc.contributor.authorChalamila, Guerinoen_US
dc.contributor.authorEkström, Anna Miaen_US
dc.date.accessioned2016-12-02T15:25:39Z
dc.date.issued2016en_US
dc.identifier.citationNaburi, 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.issn1932-6203en
dc.identifier.urihttp://nrs.harvard.edu/urn-3:HUL.InstRepos:29626171
dc.description.abstractBackground: 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.isoen_USen
dc.publisherPublic Library of Scienceen
dc.relation.isversionofdoi:10.1371/journal.pone.0165121en
dc.relation.hasversionhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC5074583/pdf/en
dash.licenseLAAen_US
dc.subjectBiology and Life Sciencesen
dc.subjectMicrobiologyen
dc.subjectMedical Microbiologyen
dc.subjectMicrobial Pathogensen
dc.subjectViral Pathogensen
dc.subjectImmunodeficiency Virusesen
dc.subjectHIVen
dc.subjectMedicine and Health Sciencesen
dc.subjectPathology and Laboratory Medicineen
dc.subjectPathogensen
dc.subjectOrganismsen
dc.subjectVirusesen
dc.subjectBiology and life sciencesen
dc.subjectRNA virusesen
dc.subjectRetrovirusesen
dc.subjectLentivirusen
dc.subjectWomen's Healthen
dc.subjectMaternal Healthen
dc.subjectBreast Feedingen
dc.subjectPediatricsen
dc.subjectNeonatologyen
dc.subjectImmunologyen
dc.subjectVaccination and Immunizationen
dc.subjectAntiviral Therapyen
dc.subjectAntiretroviral Therapyen
dc.subjectPublic and Occupational Healthen
dc.subjectPreventive Medicineen
dc.subjectPeople and Placesen
dc.subjectGeographical Locationsen
dc.subjectAfricaen
dc.subjectTanzaniaen
dc.subjectMedicine and health sciencesen
dc.subjectDiagnostic medicineen
dc.subjectHIV diagnosis and managementen
dc.subjectPregnancyen
dc.subjectObstetrics and Gynecologyen
dc.subjectNeuroscienceen
dc.subjectCognitive Scienceen
dc.subjectCognitive Psychologyen
dc.subjectAttentionen
dc.subjectPsychologyen
dc.subjectSocial Sciencesen
dc.subjectPublic and occupational healthen
dc.subjectPreventive medicineen
dc.subjectHIV preventionen
dc.titlePredictors of Patient Dissatisfaction with Services for Prevention of Mother-To-Child Transmission of HIV in Dar es Salaam, Tanzaniaen
dc.typeJournal Articleen_US
dc.description.versionVersion of Recorden
dc.relation.journalPLoS ONEen
dash.depositing.authorSando, Daviden_US
dc.date.available2016-12-02T15:25:39Z
dc.identifier.doi10.1371/journal.pone.0165121*
dash.authorsorderedfalse
dash.contributor.affiliatedGeldsetzer, Pascal
dash.contributor.affiliatedSando, David


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