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Background Globally, the rate of antiretroviral therapy coverage for pregnant women living with human immunodeficiency virus (HIV) increased by 38% between 2010 and 2015 but only by 2% between 2016 and 2020. Objectives We aimed to determine the prevalence of vertical transmission of HIV among infants from mothers living with HIV and associated factors in the Eastern Lake Zone and Southern Highland of Tanzania from January to December 2022. Methods This retrospective cross-sectional study extracted data from the Open Laboratory Data Repository database collected from January to December 2022 at 93 health facilities. A total of 1,411 infants exposed to HIV from the Mbeya (851), Songwe (304), and Mara regions (256) were enrolled. Results The prevalence for vertical transmission of HIV was 2.48% (35/1411). We observed a non-significant difference in the prevalence of vertical transmission in children whose first test was done below six weeks of life (1.89%) and other age groups (2.52-2.62%) (p

AbstractThis study addresses the challenges facing Conditional Cash Transfer Programs (CCT) by investigating whether recipients are satisfied with health services and how contextual factors affect the utilization of health services. The study used binary logistic regression to determine households’ satisfaction with health facility services and was guided by the theory of change and expectation disconfirmation theory, with independent variables being the contextual factors. Generally, 68.66% of health facility service recipients are satisfied, compared to 31.34% who are not. At 95% confidence interval, an increase in household head education and household members is likely to increase satisfaction with health facility services, while service delays and beliefs in traditional medications are likely to negatively affect satisfaction to around 30% or more. The study calls for constant and continual collaboration between CCT program designers and implementers and health facility service providers, who have a significant role to play in reducing service delays. Moreover, it emphasizes the necessity for contextual factors to be considered in promoting health utilization, which is at the heart of CCT program health conditionality compliance. The study’s outcome highlights the need for additional efforts to be focused on the design and implementation of the CCT program, particularly in improving contextual factors, which are often given less attention.