Introduction: Mother-to-Child-Transmission (MTCT) of HIV is a global health problem.
Recent advances in the Prevention of Mother-to-Child Transmission (PMTCT) program
have provided the means to drastically reduce infant mortality associated with HIV/AIDS.
Quality HIV testing and counselling (HTC) is an important gateway to PMTCT services and
concerted effort has been made by the National AIDS/STI Control Program (NACP) to scale
up the provision of antenatal HTC in Ghana. Some concerns have been raised about the
quality of HTC provided in antenatal clinics especially in the context of rapid scale-up
programs. Greater Accra was one of three regions that recorded an increase in ANC HIV in
2013. Ayawaso, a densely populated sub-metro in Accra has the highest concentration of
private health facilities, however, the quality of HTC in antenatal clinics in private health
facilities within the sub-metro is unknown.
Objectives: The general objective of this study was to assess the quality of HTC services
offered in antenatal clinics in private health facilities in Ayawaso in relation to national
guidelines. The specific objectives were: to analyse the institutional capacity of private
health facilities to offer quality HTC; to assess the patient‟s perceptions of quality of care
rendered in the HTC process in private health facilities and to describe the provider‟s
perception of quality of HTC services and constraints.
Methods: The study is a descriptive cross sectional, mixed methods research carried out in
two purposively selected private health facilities in Ayawaso, namely: Salvation Army
Urban Aid Health Centre and Hajia Damata Maternity home. Quantitative data were
collected using a health facility assessment tool and client exit questionnaires; qualitative
data were collected using observations and interviews with key HTC staff.
Findings: The study found that there were inadequate structures in place for the provision of
quality HTC. While some aspects of the HTC process were adhered to, principles of
informed consent and confidentiality were breached. Both healthcare workers and clients
expressed satisfaction with quality of HTC.
Conclusion: Private health facilities have weak structures for the provision of quality HTC.
Private health facilities adhere in part to the National Policy guidelines with deviations in
obtaining informed consent and communicating confidentiality to the clients. In the
perception of the clients and healthcare workers, quality of HTC was good.
CDR, C (2021). ASSESSMENT OF THE QUALITY OF HIV TESTING AND COUNSELLING IN ANTENATAL CLINICS IN SELECTED PRIVATE HEALTH FACILITIES IN AYAWASO SUB-METRO, ACCRA. Afribary.com: Retrieved April 11, 2021, from https://afribary.com/works/assessment-of-the-quality-of-hiv-testing-and-counselling-in-antenatal-clinics-in-selected-private-health-facilities-in-ayawaso-sub-metro-accra
Coalition, CDR. "ASSESSMENT OF THE QUALITY OF HIV TESTING AND COUNSELLING IN ANTENATAL CLINICS IN SELECTED PRIVATE HEALTH FACILITIES IN AYAWASO SUB-METRO, ACCRA" Afribary.com. Afribary.com, 02 Apr. 2021, https://afribary.com/works/assessment-of-the-quality-of-hiv-testing-and-counselling-in-antenatal-clinics-in-selected-private-health-facilities-in-ayawaso-sub-metro-accra . Accessed 11 Apr. 2021.
Coalition, CDR. "ASSESSMENT OF THE QUALITY OF HIV TESTING AND COUNSELLING IN ANTENATAL CLINICS IN SELECTED PRIVATE HEALTH FACILITIES IN AYAWASO SUB-METRO, ACCRA". Afribary.com, Afribary.com, 02 Apr. 2021. Web. 11 Apr. 2021. < https://afribary.com/works/assessment-of-the-quality-of-hiv-testing-and-counselling-in-antenatal-clinics-in-selected-private-health-facilities-in-ayawaso-sub-metro-accra >.
Coalition, CDR. "ASSESSMENT OF THE QUALITY OF HIV TESTING AND COUNSELLING IN ANTENATAL CLINICS IN SELECTED PRIVATE HEALTH FACILITIES IN AYAWASO SUB-METRO, ACCRA" Afribary.com (2021). Accessed April 11, 2021. https://afribary.com/works/assessment-of-the-quality-of-hiv-testing-and-counselling-in-antenatal-clinics-in-selected-private-health-facilities-in-ayawaso-sub-metro-accra