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Gap analysis between expectations and perceptions of pregnant women attending Prevention of Maternal to Child Transmission of HIV services in a private referral hospital in northern Tanzania: A cross-sectional descriptive study.
PLOS ONE ( IF 3.7 ) Pub Date : 2021-09-22 , DOI: 10.1371/journal.pone.0257771
Lugata John 1 , Nesister Odero 1 , Jackson Nziku 1 , Bernard Njau 2
Affiliation  

OBJECTIVE Pregnant women satisfaction with the Prevention of Mother-To-Child HIV Transmission services is an essential parameter in the determination of the quality of care and performance. This study aimed to measure the gap between pregnant women expectations of PMTCT services and perceptions of the actual PMTCT services and the relationship between their service gap scores and socio-demographic characteristics. METHODS A cross-sectional descriptive study design was conducted from August to September 2020 on a sample of 105 participants. A pre-tested SERVIQUAL questionnaire was used to collect data and paired sample t-test, independent one-sample t-test, and one-way ANOVA was used to compare mean service gap scores. A p-value of < 0.05 was considered statistically significant. RESULTS The overall mean gap score was (+ 0.31) indicating pregnant women perceived value of the quality of care of PMTCT services. The gap score in the 5 service dimensions was as follows: empathy (+0.49), tangibles (+0.43), assurance (+0.22), responsiveness (+0.20), and reliability (+0.19). Marital status (p-value 0.031) was the only social demographic characteristic associated with pregnant women service gap scores. CONCLUSION Overall, pregnant women perceptions of PMTCT services provided in the RCH clinic at KCMC were meet. Marital status was associated with the overall pregnant women service gap scores and perceived quality of care with PMTCT services. Pregnant women who were married had small service gap scores compared to either divorced or widowed or cohabiting women.

中文翻译:

在坦桑尼亚北部一家私人转诊医院参加预防 HIV 母婴传播服务的孕妇的期望和看法之间的差距分析:一项横断面描述性研究。

目标 孕妇对预防母婴 HIV 传播服务的满意度是确定护理质量和绩效的一个重要参数。本研究旨在衡量孕妇对 PMTCT 服务的期望与对实际 PMTCT 服务的看法之间的差距,以及她们的服务差距评分与社会人口特征之间的关系。方法 在 2020 年 8 月至 9 月期间对 105 名参与者的样本进行了横断面描述性研究设计。使用预先测试的 SERVIQUAL 问卷收集数据,并使用配对样本 t 检验、独立单样本 t 检验和单向方差分析来比较平均服务差距分数。< 0.05 的 p 值被认为具有统计学意义。结果 总体平均差距得分为 (+ 0. 31) 表明孕妇对 PMTCT 服务的护理质量的感知价值。5个服务维度的差距得分如下:同理心(+0.49)、有形(+0.43)、保证(+0.22)、响应性(+0.20)和可靠性(+0.19)。婚姻状况(p 值 0.031)是与孕妇服务差距评分相关的唯一社会人口统计特征。结论 总的来说,孕妇对 KCMC 的 RCH 诊所提供的 PMTCT 服务的看法是一致的。婚姻状况与总体孕妇服务差距评分和 PMTCT 服务的感知护理质量相关。与离婚、丧偶或同居妇女相比,已婚孕妇的服务差距分数很小。5个服务维度的差距得分如下:同理心(+0.49)、有形(+0.43)、保证(+0.22)、响应性(+0.20)和可靠性(+0.19)。婚姻状况(p 值 0.031)是与孕妇服务差距评分相关的唯一社会人口统计特征。结论 总的来说,孕妇对 KCMC 的 RCH 诊所提供的 PMTCT 服务的看法是一致的。婚姻状况与总体孕妇服务差距评分和 PMTCT 服务的感知护理质量相关。与离婚、丧偶或同居妇女相比,已婚孕妇的服务差距分数很小。5个服务维度的差距得分如下:同理心(+0.49)、有形(+0.43)、保证(+0.22)、响应性(+0.20)和可靠性(+0.19)。婚姻状况(p 值 0.031)是与孕妇服务差距评分相关的唯一社会人口统计特征。结论 总的来说,孕妇对 KCMC 的 RCH 诊所提供的 PMTCT 服务的看法是一致的。婚姻状况与总体孕妇服务差距评分和 PMTCT 服务的感知护理质量相关。与离婚、丧偶或同居妇女相比,已婚孕妇的服务差距分数很小。031) 是与孕妇服务差距评分相关的唯一社会人口统计特征。结论 总的来说,孕妇对 KCMC 的 RCH 诊所提供的 PMTCT 服务的看法是一致的。婚姻状况与总体孕妇服务差距评分和 PMTCT 服务的感知护理质量相关。与离婚、丧偶或同居妇女相比,已婚孕妇的服务差距分数很小。031) 是与孕妇服务差距评分相关的唯一社会人口统计特征。结论 总的来说,孕妇对 KCMC 的 RCH 诊所提供的 PMTCT 服务的看法是一致的。婚姻状况与总体孕妇服务差距评分和 PMTCT 服务的感知护理质量相关。与离婚、丧偶或同居妇女相比,已婚孕妇的服务差距分数很小。
更新日期:2021-09-22
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