Clients’ Satisfaction with Services for Prevention of MotherTo-Child Transmission of HIV in Sagamu Local Government Area, Ogun State

Abstract

This study evaluated client satisfaction with prevention of mother-to-child transmission (PMTCT) of HIV services in Sagamu Local Government Area, Ogun State, Nigeria. A cross-sectional descriptive design was employed among 280 female clients, including pregnant women, breastfeeding mothers, and their infants who accessed PMTCT services at Olabisi Onabanjo University Teaching Hospital (OOUTH). Participants were selected using simple random sampling across antenatal, delivery, and postnatal service points. Sample size was determined using the Kish-Leslie formula, and data were analyzed using SPSS version 26. Ethical standards were upheld through informed consent and confidentiality measures. Findings revealed that all respondents (100%) were satisfied with access to care, doctors’ care, and nurses’ care. High satisfaction levels were also reported for laboratory staff (92.2%), confidentiality (84.4%), pharmacy services (84.4%), adherence counseling (84.4%), and hospital environment (76.7%). However, dissatisfaction was recorded with waiting times, as 76.7% of respondents expressed concern in this regard. Overall, the results highlight strong satisfaction with PMTCT service delivery, although waiting times remain a critical gap in client experience. The study concludes that quality of PMTCT services is generally high, but urgent interventions are required to reduce waiting times and improve service efficiency. Recommendations include revising the service delivery system, increasing healthcare providers, adopting improved appointment scheduling, enhancing staff training in respectful communication, and organizing periodic health education workshops. Strengthening confidentiality and client-centered care will foster greater trust and utilization of PMTCT services in Nigeria.