title: Knowledge and attitude of women on the available PMTCT services at the antenatal clinic of the Coast Province General Hospital.
abstract: BACKGROUND
  Several high profile events of the last decade have served as catalysts for the now widely available prevention of mother-to-child transmission of HIV services. However, Kenya continues to face challenges in assuring that all women in need of PMTCT services receive the full package.
  
  
  METHODS
  A cross sectional survey was undertaken. Systematic sampling method was used for sample selection. Data was collected using pretested structured questionnaires. Data was analyzed in SPSS and Epi Info using bivariate and multivariate logistic regression.
  
  
  RESULTS
  Approximately 75% of participants were seeking PMTCT services in CPGH for the first time, 71% knew of their HIV status. About 95% of participants were satisfied with privacy during testing. Clients who had never delivered in CPGH had a significantly (p<0.001) higher odds compared to those who had previously delivered in CPGH and had their first PMTCT visit. participants who had never lost a pregnancy in CPGH and were in the hospital for the first time were 3 times likely to seek PMTCT services compared to those who had lost a pregnancy in CPGH. There was a significant association between family planning use before pregnancy and first PMTCT.
  
  
  CONCLUSIONS
  Participants seeking PMTCT services had poor HIV knowledge; but reported positive experiences and good provider-client relationship. However for a successful PMTCT program in CPGH attention needs to be paid in the patient experiences as they seek other reproductive services.
authors.affiliation: Institute of Tropical Medicine and Infectious Diseases, Jomo Kenyatta University of agriculture and Technology, Nairobi, Kenya.
authors.forename: Adam
authors.initials: A
authors.lastname: Kevin
authors.affiliation: Institute of Tropical Medicine and Infectious Diseases, Jomo Kenyatta University of agriculture and Technology, Nairobi, Kenya.
authors.forename: Marion
authors.initials: M
authors.lastname: Mutugi
authors.affiliation: Kenya Medical Research Institute, Nairobi, Kenya.
authors.forename: Peter
authors.initials: P
authors.lastname: Wanzala
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D015658:HIV Infections / Q000453:epidemiology / Q000517:prevention & control* / Q000635:transmission; D007722:Health Knowledge, Attitudes, Practice; D006297:Health Services Accessibility; D006769:Hospitals, General; D006801:Humans; D018445:Infectious Disease Transmission, Vertical / Q000517:prevention & control*; D007630:Kenya; D016015:Logistic Models; D015999:Multivariate Analysis; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000517:prevention & control*; D011295:Prenatal Care / Q000379:methods; D011795:Surveys and Questionnaires
keywords: Coast Provincial General Hospital; Human Immunodeficiency Virus; Prevention of Mother to Child Transmission; antenatal Care; antiretroviral