Abstract:
ound: - Current Global estimates show that 33.3 million people infected with HIV, and
every day over 5700 persons die from Acquired immunodeficiency syndrome. Mother-to-Child
Transmission is by far the largest source of Human immunodeficiency virus infection in
children under the age of 15 years. In Shebe-Sombo District Prevention of Mother to Child
Transmission service consumption at Antenatal care was not satisfactory. Assessing the level
of service implementation helps for program improvement.
Objective of the evaluation: - To assess the level of implementation of voluntary counseling
and testing service in prevention of mother to child transmission of Human immunodeficiency
virus.
Evaluation methods: - The study was conducted at Shebe-Sombo District with a case study
design nested survey in it. The study focused on the process of the counseling and testing of
prevention of mother-to-child transmission of HIV service using formative approach. It was
conducted from January 28 −February 11/2011 involving different data collection technique
including 117 client exit interviews, A community survey with a sample of 418, 13 expert
interviews, and 12 observations. Qualitative data were analyzed manually by summarizing into
key thematic area and quantitative data were cleaned, edited, entered and analyzed using SPSS
version 16.0 Software.
Result. Availability of resource is found 60.4% which is fair according to the pre sated criteria
and judgments where as the accessibility dimension is scored 75.5% that is acceptable in
relation to the pre sated criteria and judgments. Acceptability dimension achieved the value of
91.9% and the accommodation dimension attain the value of 88.1% which is satisfactory for
both dimensions according to the pre sated criteria and judgments.
Conclusion and recommendations The overall level of program implementation is
acceptable. However, inadequate number of trained health workers on the program, few
number of health facilities which provides the service, lack of standard recording and reporting
formats, manuals, guidelines and distance of service site from the pregnant women residence
was affecting the program. All the issues found as constraints needs for immediate correction.
Key words: - Evaluation, Voluntary counseling and testing, Shebe-Sombo District, Availability
of resource, Accessibility, Acceptability and Accommodation of service.
