Evolution of the Quality of HIV Pre-test Counselling to Prevent Mother-to-Child Transmission of HIV from 2007 to 2016 in Cotonou (Benin)
Date
2016
Authors
Kedote, Marius N.
Jerome, Charles Sossa
Brousselle, Astrid
Champagne, François
Journal Title
Journal ISSN
Volume Title
Publisher
Quality in Primary Care
Abstract
Background: Data from Benin’s PMTCT program
indicate that 15% to 30% of women who have undergone
prenatal consultation were not screened between 2005 and
2016. The testing rate varies greatly from one site to the other.
Furthermore, the quality of the counselling during screening
may vary significantly which is a concern.
Objective: This is to assess the quality of pre-test counselling
between 2007 and 2016 within various organisational contexts
in Benin.
Hence, we sought to compare what has been achieved in
maternity units to the program model.
Method: Quality of pre-test counselling concerns the content and
the communication model. We combined a survey to a qualitative
study in 2007 and 2016. For the cross-sectional survey, pregnant
women were recruited. The qualitative data were collected in semidirected interviews and through non-participant observation.
Results: At the public sites, there are regular group
counselling sessions, which provide the women with a
considerable amount of information. The percentage of pregnant
women who attended group counselling is nevertheless low
at the private sites, where the quality of counselling is poor.
Between 2007 and 2016, the quality improved in public health
centers, unlike in private hospitals.
Conclusion: It is crucial that women understand the
issues related to screening before acceptance, since there
is considerable stigmatization attached to infection in lowand middle-income countries. However, it is deplorable that
counselling is so limited in terms of information provided to
women and the forms of pre-test counselling at the private
sites.
Description
Keywords
Evaluation, Quality, Counselling, PMTCT, HIV/AIDS, Benin
Citation
Kedote, M. N., Jerome, C. S., Brousselle, A., & Champagne, F. (2016). Evolution of the Quality of HIV Pre-test Counselling to Prevent Mother-to-Child Transmission of HIV from 2007 to 2016 in Cotonou (Benin). Quality in Primary Care, 24(6), 240-245. https://primarycare.imedpub.com/evolution-of-the-quality-of-hiv-pretestcounselling-toprevent- mothertochildtransmission-of-hiv-from-2007-to-2016-incotonou-benin.pdf.