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...

Descripción completa

Detalles Bibliográficos
Autores principales: Bintabara, Deogratius, Lilungulu, Athanase, Jumanne, Shakilu, Nassoro, Mzee M., Mpondo, Bonaventura C.
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