Evolution of the Quality of HIV Pre-test Counselling to Prevent Mother-to-Child Transmission of HIV from 2007 to 2016 in Cotonou (Benin)

Method: Quality of pre-test counselling concerns the content and the communication model. We combined a survey to a qualitative study in 2007 and 2016. For the cross-sectional survey, pregnant women were recruited. The qualitative data were collected in semidirected interviews and through non-participant observation. Results: At the public sites, there are regular group counselling sessions, which provide the women with a considerable amount of information. The percentage of pregnant women who attended group counselling is nevertheless low at the private sites, where the quality of counselling is poor. Between 2007 and 2016, the quality improved in public health centers, unlike in private hospitals.