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Table 3 Process PMTCT service quality performance verification indicators in hospitals of Gamo zone, southern Ethiopia

From: Quality of option B + prevention of mother-to-child transmission of HIV services in public hospitals of Gamo zone, Southern Ethiopia, mixed approach

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