Process quality items | Number of facilities responded ‘yes’ | Percent (%) |
---|---|---|
Observation sessions at Anti-Natal Care service unit | ||
Waiting time is as a standard | 2 | 50 |
Greeting of clients with respect | 4 | 100 |
HCPs introduce themselves to clients | 4 | 100 |
HCP discuss the need and benefits of HIV testing | 3 | 75 |
HCP explain HIV testing procedure | 2 | 50 |
HCP explain the possible HIV test result | 2 | 50 |
HCP inform the client when the result will be ready and how and where to receive the result | 3 | 75 |
HCP explain procedures to safe guard confidentiality and the need for shared confidentiality | 2 | 50 |
HCP provide result clearly and simply | 3 | 75 |
HCP review meaning of the result, including window period for the negative tests | 2 | 50 |
HCP reinforce the need to consider the test result in reference to most recent risk exposure | 2 | 50 |
HCP use language that client can understand | 4 | 100 |
HCP reinforce prevention messages (A, B, C) so that patient can stay negative | 3 | 75 |
HCP remind the client that her result does not indicate partner’s HIV status and encourage to test if not | 3 | 75 |
HCP clearly explain the next appointment date and available services at the health facility | 3 | 75 |
HCP record all information related to service | 4 | 100 |
Observation sessions at PMTCT unit | ||
HCP greet client with respect | 4 | 100 |
HCP introduce him/ herself for client | 2 | 50 |
HCP call client by name | 2 | 50 |
HCP discuss current health status with client including overall health and current problems; the latest laboratory result including CD4 | 2 | 50 |
Conduct physical examination | 4 | 100 |
HCP review with client possible barriers to adherence; stigma, living situation, travel to clinic for refill of medication, side effect, depression etc | 2 | 50 |
HCP make screening for opportunistic infections | 3 | 75 |
HCP make screening for STI | 3 | 75 |
HCP make screening for cervical cancer | 3 | 75 |
HCP review understanding of the client including: asking client to describe her ARV regimen and how to take medications | 4 | 100 |
HCP discuss about the need of partner notification | 2 | 50 |
HCP introduce about safe sex practice | 2 | 50 |
Discuss about nutritional support | 2 | 50 |