Evaluation of voluntary counseling and testing Service in prevention of mother-to-child Transmission of human immunodificency virus Program at shebe-sombo district,southwest Ethiopia

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.