Skip to main content

Pre- and post-intervention assessment of a PMTCT-programme-strengthening initiative in a rural area of the Eastern Cape, South Africa

Buy Article:

$59.00 plus tax (Refund Policy)

The research assesses prevention-of-mother-to-child-transmission-of-HIV (PMTCT) services following implementation of programme-strengthening activities in a municipality in the Eastern Cape Province, South Africa. A pre-intervention and post-intervention design was used to conduct facility assessments and client exit interviews at baseline and after 28 months. For the facility assessments, unstructured interviews were conducted with the heads of maternity wards at each delivery facility (n = 4), nurses (n = 9) and lay counsellors (n = 18). District Health Information System (DHIS) records were used to assess changes on PMTCT-programme indicators. Observations were conducted at the fixed clinics and hospitals to determine compliance to the national criteria for PMTCT-services delivery. For the exit interviews with clients, the pre- and post-assessment samples, respectively, included women attending for antenatal care (n = 296; n = 239) as well as HIV-positive women attending for postnatal care (n = 70; n = 142). The personnel generally perceived the PMTCT services as having been strengthened as a result of the initiative and the DHIS records showed positive changes. Client exit interviews revealed significant increases in the numbers of women who: were aware of the PMTCT programme; were tested for HIV during their pregnancy; were aware of VCT before coming to the facility; knew their HIV-test result; and, had helpful pre-HIV-test and/or post-HIV-test counselling experiences. The long waiting periods at the facilities and the relatively short length of the counselling sessions remained a serious concern. Lessons learnt may help with designing strategies to expand the national programme in South Africa as well as PMTCT programmes elsewhere.
No Reference information available - sign in for access.
No Citation information available - sign in for access.
No Supplementary Data.
No Data/Media
No Metrics

Keywords: HIV/AIDS; antenatal care; health service delivery; maternal health services; postnatal care; programme evaluation; quantitative research; women

Document Type: Research Article

Affiliations: 1: Human Sciences Research Council, Social Aspects of HIV/AIDS Research Alliance, Port Elizabeth, South Africa,Nelson Mandela Metropolitan University, Office of the Deputy Vice Chancellor, Port Elizabeth, South Africa 2: Human Sciences Research Council (HSRC), Pretoria, South Africa 3: Human Sciences Research Council, Social Aspects of HIV/AIDS Research Alliance, Port Elizabeth, South Africa 4: Department of Psychology, University of Limpopo, Sovenga, South Africa

Publication date: 2011-04-01

More about this publication?
  • Co-Published by NISC and Routledge - Subscriber access available here
  • Access Key
  • Free content
  • Partial Free content
  • New content
  • Open access content
  • Partial Open access content
  • Subscribed content
  • Partial Subscribed content
  • Free trial content
Cookie Policy
Cookie Policy
Ingenta Connect website makes use of cookies so as to keep track of data that you have filled in. I am Happy with this Find out more