Cargando…
Does facility readiness promote high-quality of provider-initiated HIV testing and counseling to pregnant women? A national survey for improving policy of prevention of mother-to-child transmission of HIV in Tanzania
BACKGROUND: Provider-initiated HIV testing and counseling (PITC) is a recommended approach to screen for HIV to all pregnant women during antenatal care (ANC) visits, and all with HIV positive results have to be enrolled into prevention of mother-to-child transmission of HIV (PMTCT) program. However...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8254244/ https://www.ncbi.nlm.nih.gov/pubmed/34217319 http://dx.doi.org/10.1186/s12981-021-00362-y |
_version_ | 1783717689668141056 |
---|---|
author | Bintabara, Deogratius Lilungulu, Athanase Jumanne, Shakilu Nassoro, Mzee M. Mpondo, Bonaventura C. |
author_facet | Bintabara, Deogratius Lilungulu, Athanase Jumanne, Shakilu Nassoro, Mzee M. Mpondo, Bonaventura C. |
author_sort | Bintabara, Deogratius |
collection | PubMed |
description | BACKGROUND: Provider-initiated HIV testing and counseling (PITC) is a recommended approach to screen for HIV to all pregnant women during antenatal care (ANC) visits, and all with HIV positive results have to be enrolled into prevention of mother-to-child transmission of HIV (PMTCT) program. However, little is known about the relationship between facility readiness and the uptake of PITC to pregnant women attending ANC in Tanzania. Therefore, this study assessed whether the facility readiness promotes the uptake of PITC to the pregnant women attending ANC for the purpose of improving the PMTCT interventions in Tanzania. METHODS: This study analyzed data for health facilities obtained from the 2014–2015 Tanzania service provision assessment survey. The Primary outcome measure was a composite variable (with score of 0–5) in which its higher scores indicates provision of high-quality of PITC. Also, facilities scored higher in the PMTCT service readiness index were considered to have high readiness to provide PMTCT services. In Poisson regression analyses, a series of models were fitted to assess whether there is an association between provision of high-quality of PITC and facility readiness. In all statistical analysis, a P < 0.05 was considered significant. RESULTS: Out of 1853 included first-visit ANC consultations, only about one-third of pregnant women received all five components required for PITC. The mean percentage of PMTCT readiness score was moderate 63.96 [61.32–66.59]%. In adjusted model, we found that facility with high readiness to provide PMTCT services was significantly associated with the provision of high-quality of PITC (model 2: [β = 0.075, P = 0.00]). CONCLUSION: In order to increase high-quality of PITC services, efforts should be made to improve the PMTCT facility readiness by increasing availability of trained staffs, diagnostic tools, and ARTs among health facilities in Tanzania. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12981-021-00362-y. |
format | Online Article Text |
id | pubmed-8254244 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-82542442021-07-06 Does facility readiness promote high-quality of provider-initiated HIV testing and counseling to pregnant women? A national survey for improving policy of prevention of mother-to-child transmission of HIV in Tanzania Bintabara, Deogratius Lilungulu, Athanase Jumanne, Shakilu Nassoro, Mzee M. Mpondo, Bonaventura C. AIDS Res Ther Research BACKGROUND: Provider-initiated HIV testing and counseling (PITC) is a recommended approach to screen for HIV to all pregnant women during antenatal care (ANC) visits, and all with HIV positive results have to be enrolled into prevention of mother-to-child transmission of HIV (PMTCT) program. However, little is known about the relationship between facility readiness and the uptake of PITC to pregnant women attending ANC in Tanzania. Therefore, this study assessed whether the facility readiness promotes the uptake of PITC to the pregnant women attending ANC for the purpose of improving the PMTCT interventions in Tanzania. METHODS: This study analyzed data for health facilities obtained from the 2014–2015 Tanzania service provision assessment survey. The Primary outcome measure was a composite variable (with score of 0–5) in which its higher scores indicates provision of high-quality of PITC. Also, facilities scored higher in the PMTCT service readiness index were considered to have high readiness to provide PMTCT services. In Poisson regression analyses, a series of models were fitted to assess whether there is an association between provision of high-quality of PITC and facility readiness. In all statistical analysis, a P < 0.05 was considered significant. RESULTS: Out of 1853 included first-visit ANC consultations, only about one-third of pregnant women received all five components required for PITC. The mean percentage of PMTCT readiness score was moderate 63.96 [61.32–66.59]%. In adjusted model, we found that facility with high readiness to provide PMTCT services was significantly associated with the provision of high-quality of PITC (model 2: [β = 0.075, P = 0.00]). CONCLUSION: In order to increase high-quality of PITC services, efforts should be made to improve the PMTCT facility readiness by increasing availability of trained staffs, diagnostic tools, and ARTs among health facilities in Tanzania. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12981-021-00362-y. BioMed Central 2021-07-03 /pmc/articles/PMC8254244/ /pubmed/34217319 http://dx.doi.org/10.1186/s12981-021-00362-y Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Bintabara, Deogratius Lilungulu, Athanase Jumanne, Shakilu Nassoro, Mzee M. Mpondo, Bonaventura C. Does facility readiness promote high-quality of provider-initiated HIV testing and counseling to pregnant women? A national survey for improving policy of prevention of mother-to-child transmission of HIV in Tanzania |
title | Does facility readiness promote high-quality of provider-initiated HIV testing and counseling to pregnant women? A national survey for improving policy of prevention of mother-to-child transmission of HIV in Tanzania |
title_full | Does facility readiness promote high-quality of provider-initiated HIV testing and counseling to pregnant women? A national survey for improving policy of prevention of mother-to-child transmission of HIV in Tanzania |
title_fullStr | Does facility readiness promote high-quality of provider-initiated HIV testing and counseling to pregnant women? A national survey for improving policy of prevention of mother-to-child transmission of HIV in Tanzania |
title_full_unstemmed | Does facility readiness promote high-quality of provider-initiated HIV testing and counseling to pregnant women? A national survey for improving policy of prevention of mother-to-child transmission of HIV in Tanzania |
title_short | Does facility readiness promote high-quality of provider-initiated HIV testing and counseling to pregnant women? A national survey for improving policy of prevention of mother-to-child transmission of HIV in Tanzania |
title_sort | does facility readiness promote high-quality of provider-initiated hiv testing and counseling to pregnant women? a national survey for improving policy of prevention of mother-to-child transmission of hiv in tanzania |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8254244/ https://www.ncbi.nlm.nih.gov/pubmed/34217319 http://dx.doi.org/10.1186/s12981-021-00362-y |
work_keys_str_mv | AT bintabaradeogratius doesfacilityreadinesspromotehighqualityofproviderinitiatedhivtestingandcounselingtopregnantwomenanationalsurveyforimprovingpolicyofpreventionofmothertochildtransmissionofhivintanzania AT lilunguluathanase doesfacilityreadinesspromotehighqualityofproviderinitiatedhivtestingandcounselingtopregnantwomenanationalsurveyforimprovingpolicyofpreventionofmothertochildtransmissionofhivintanzania AT jumanneshakilu doesfacilityreadinesspromotehighqualityofproviderinitiatedhivtestingandcounselingtopregnantwomenanationalsurveyforimprovingpolicyofpreventionofmothertochildtransmissionofhivintanzania AT nassoromzeem doesfacilityreadinesspromotehighqualityofproviderinitiatedhivtestingandcounselingtopregnantwomenanationalsurveyforimprovingpolicyofpreventionofmothertochildtransmissionofhivintanzania AT mpondobonaventurac doesfacilityreadinesspromotehighqualityofproviderinitiatedhivtestingandcounselingtopregnantwomenanationalsurveyforimprovingpolicyofpreventionofmothertochildtransmissionofhivintanzania |