The effect of integrating HIV services on quality of postnatal care

Genitourinary medicine services are expected to modernize in order to meet the needs of the NHS in the 21st century. Although increased funding is essential, there is a need for services to look at new ways of delivering care in order to deal with the increasing rate of sexually transmitted infections (STIs) including HIV in the community. This must include a review of skill-mix and roles. Some changes may appear to lower the quality of service. There must be auditing of changes to ensure that standards are not lowered. A short-lived working group was put together at the request of the RCP joint speciality committee for GUM consisting of representatives from diverse GUM clinics which have all been involved in extensive modernization of their service in order to meet demand. This report does not hold all the answers but provides suggestions for clinics wishing to initiate change. Changes must be appropriate to the local population and access pressures. More extreme measures may only be appropriate in the most severely stretched clinics and with consideration of measuring outcomes.

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Quality of Prevention of Mother to Child Transmission (PMTCT) of HIV Services in Public Hospitals of Hadiya Zone, Southern Ethiopia

Health Systems and Policy Research ◽

10.21767/2254-9137.100092 ◽

2018 ◽

Vol 05 (02) ◽

Cited By ~ 2

Author(s):

Bahailu Balcha Bachore ◽

Fikru Tafese ◽

Feyera Gebissa ◽

Dejene Ermias Mekango

Keyword(s):

Public Hospitals ◽

Southern Ethiopia ◽

Mother To Child Transmission ◽

Child Transmission ◽

Hiv Services ◽

Mother To Child ◽

Hadiya Zone

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Coverage and Quality of Natal and Postnatal Care: Women's Perceptions, Saudi Arabia

Journal of Tropical Pediatrics ◽

10.1093/tropej/41.supplement_1.30 ◽

1995 ◽

Vol 41 (Supplement_1) ◽

pp. 30-37 ◽

Cited By ~ 6

Author(s):

Mohammed H. Baldo ◽

Yagob Y. Al-Mazrou ◽

Khawaja M. S. Aziz ◽

Mohamed K. Farag ◽

Soleiman N. Al-Shehri

Keyword(s):

Saudi Arabia ◽

Postnatal Care ◽

Women’S Perceptions

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Integration of HIV and reproductive health services in public sector facilities: analysis of client flow data over time in Kenya

BMJ Global Health ◽

10.1136/bmjgh-2018-000867 ◽

2018 ◽

Vol 3 (5) ◽

pp. e000867

Author(s):

Isolde J Birdthistle ◽

Justin Fenty ◽

Martine Collumbien ◽

Charlotte Warren ◽

James Kimani ◽

...

Keyword(s):

Public Sector ◽

Reproductive Health ◽

Antenatal Care ◽

Postnatal Care ◽

Service Integration ◽

Flow Data ◽

Reproductive Health Services ◽

Hiv Services ◽

Time Points ◽

Over Time

IntroductionIntegration of HIV/AIDS with reproductive health (RH) services can increase the uptake and efficiency of services, but gaps in knowledge remain about the practice of integration, particularly how provision can be expanded and performance enhanced. We assessed the extent and nature of service integration in public sector facilities in four districts in Kenya.MethodsBetween 2009 and 2012, client flow assessments were conducted at six time points in 24 government facilities, purposively selected as intervention or comparison sites. A total of 25 539 visits were tracked: 15 270 in districts where 6 of 12 facilities received an intervention to strengthen HIV service integration with family planning (FP); and 10 266 visits in districts where half the facilities received an HIV-postnatal care intervention in 2009–2010. We tracked the proportion of all visits in which: (1) an HIV service (testing, counselling or treatment) was received together with an RH service (FP counselling or provision, antenatal care, or postnatal care); (2) the client received HIV counselling.ResultsLevels of integrated HIV-RH services and HIV counselling were generally low across facilities and time points. An initial boost in integration was observed in most intervention sites, driven by integration of HIV services with FP counselling and provision, and declined after the first follow-up. Integration at most sites was driven by temporary rises in HIV counselling. The most consistent combination of HIV services was with antenatal care; the least common was with postnatal care.ConclusionsThese client flow data demonstrated a short-term boost in integration, after an initial intervention with FP services providing an opportunity to expand integration. Integration was not sustained over time highlighting the need for ongoing support. There are multiple opportunities for integrating service delivery, particularly within antenatal, FP and HIV counselling services, but a need for sustained systems and health worker support over time.Trial registration numberNCT01694862

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Coverage, quality of and barriers to postnatal care in rural Hebei, China: a mixed method study

BMC Pregnancy and Childbirth ◽

10.1186/1471-2393-14-31 ◽

2014 ◽

Vol 14 (1) ◽

Cited By ~ 14

Author(s):

Li Chen ◽

Wu Qiong ◽

Michelle Helena van Velthoven ◽

Zhang Yanfeng ◽

Zhang Shuyi ◽

...

Keyword(s):

Mixed Method ◽

Postnatal Care ◽

Mixed Method Study ◽

Coverage Quality

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Can Reproductive Health Voucher Programs Improve Quality of Postnatal Care? A Quasi-Experimental Evaluation of Kenya’s Safe Motherhood Voucher Scheme

PLoS ONE ◽

10.1371/journal.pone.0122828 ◽

2015 ◽

Vol 10 (4) ◽

pp. e0122828 ◽

Cited By ~ 16

Author(s):

Claire Watt ◽

Timothy Abuya ◽

Charlotte E. Warren ◽

Francis Obare ◽

Lucy Kanya ◽

...

Keyword(s):

Reproductive Health ◽

Experimental Evaluation ◽

Postnatal Care ◽

Safe Motherhood ◽

Improve Quality ◽

Voucher Scheme ◽

Quasi Experimental ◽

Voucher Programs

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Client Satisfaction with Quality of Prevention of Mother-To-Child Transmission (PMTCT) of HIV Services in The Oti Region Of Ghana: A Facility-Based Cross-Sectional Study

10.21203/rs.3.rs-675008/v1 ◽

2021 ◽

Author(s):

Michael Sam ◽

Emmanuel Manu ◽

Judith Anaman-Torgbor ◽

Elvis Enowbeyang Tarkang

Keyword(s):

Logistic Regression ◽

Client Satisfaction ◽

Categorical Variables ◽

Mother To Child Transmission ◽

Child Transmission ◽

Cross Sectional ◽

Hiv Services ◽

Multivariable Logistic Regression ◽

Mother To Child

Abstract Background: Client satisfaction with the quality of prevention of mother-to-child transmission (PMTCT) of the Human Immunodeficiency Virus (HIV) services is essential if continual utilisation of the services, leading to reduction in MTCT is to be achieved, especially in rural settings of Africa, including Ghana.Methods: A facility-based descriptive cross-sectional design was adopted, using a pretested semi-structured questionnaire to collect data from a systematic random sample of 567 pregnant women and postnatal mothers receiving PMTCT services from 44 health facilities. Data were analysed using STATA version 14.0 software. Simple frequency and percentages were used to present data on categorical variables. Chi- square was used to determine association between categorical and outcome variables and multivariable logistic regression analyses were conducted to determine the strength of the associations between categorical and outcome variables at a p- value <0.05 and a 95% confidence interval.Results: The overall satisfaction with PMTCT services among respondents was low (42.7%). After adjusting the multivariable logistic regression model for confounders, respondents who resided in urban areas [AOR=2.21(95% CI: 1.37-3.55); p<0.001] and those who experienced no language barrier [AOR=2.86(95% CI: 1.88-4.36); p<0.001] were more likely to be satisfied with PMTCT services respectively. Respondents who received services at health centers [AOR=0.33(95% CI: 0.18-0.60); p<0.001] and hospitals [AOR=0.41(95% CI: 0.23-0.72); p=0.002] and women who spend more than an hour in receiving PMTCT [AOR=0.41(95% CI: 0.21-0.75); p=0.004] and those who said they would not recommend the PMTCT services to others [AOR=0.25(95% CI: 0.22-0.90); p=0.019] were respectively less likely to be satisfied with PMTCT services.Conclusion: Improvement of PMTCT services in the Oti region should take into consideration the quality of services rendered in hospitals and health centres while striving to reduce the waiting time across all facilities to make clients recommend PMTCT services to others.

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Western Australian women's perceptions of the style and quality of midwifery postnatal care in hospital and at home

Women and Birth ◽

10.1016/j.wombi.2009.06.001 ◽

2010 ◽

Vol 23 (1) ◽

pp. 10-21 ◽

Cited By ~ 62

Author(s):

Jennifer Fenwick ◽

Janice Butt ◽

Satvinder Dhaliwal ◽

Yvonne Hauck ◽

Virginia Schmied

Keyword(s):

Postnatal Care ◽

Women’S Perceptions ◽

Western Australian ◽

At Home

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Effectiveness, Feasibility, and Acceptability of Dynamic Elastomeric Fabric Orthoses (DEFO) for Managing Pain, Functional Capacity, and Quality of Life during Prenatal and Postnatal Care: A Systematic Review

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph16132408 ◽

2019 ◽

Vol 16 (13) ◽

pp. 2408 ◽

Cited By ~ 1

Author(s):

Jaclyn M. Szkwara ◽

Nikki Milne ◽

Wayne Hing ◽

Rodney Pope

Keyword(s):

Systematic Review ◽

Functional Capacity ◽

Postnatal Care ◽

Postnatal Period ◽

Research Literature ◽

Eligibility Criteria ◽

Compression Garments ◽

Quality Life ◽

Research Findings

Conservative interventions for addressing prenatal and postnatal ailments have been described in the research literature. Research results indicated that maternity support belts assist with reducing pain and other symptoms in these phases; however, compliance in wearing maternity support belts is poor. To combat poor compliance, commercial manufacturers designed dynamic elastomeric fabric orthoses (DEFO)/compression garments that target prenatal and postnatal ailments. This systematic review aimed to identify, critically appraise, and synthesize key findings on the effectiveness, the feasibility, and the acceptability of using DEFO to manage ailments during pre-natal and postnatal phases of care. Electronic databases were systematically searched to identify relevant studies, resulting in 17 studies that met the eligibility criteria. There were variations in DEFO descriptors, including hosiery, support belts, abdominal binders and more, making it difficult to compare findings from the research articles regarding value of DEFO during prenatal and/or postnatal phases. A meta-synthesis of empirical research findings suggests wearing DEFOs during pregnancy has a significant desirable effect for managing pain and improving functional capacity. Further research is required to investigate the use of DEFOs for managing pain in the postnatal period and improving quality life during prenatal and postnatal care.

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