USING LAY COUNSELLORS TO PROMOTE COMMUNITY-BASED VOLUNTARY COUNSELLING AND HIV TESTING IN RURAL NORTHERN GHANA: A BASELINE SURVEY ON COMMUNITY ACCEPTANCE AND STIGMA
Identifieur interne : 000052 ( Istex/Curation ); précédent : 000051; suivant : 000053USING LAY COUNSELLORS TO PROMOTE COMMUNITY-BASED VOLUNTARY COUNSELLING AND HIV TESTING IN RURAL NORTHERN GHANA: A BASELINE SURVEY ON COMMUNITY ACCEPTANCE AND STIGMA
Auteurs : F. Baiden [Ghana] ; G. Akanlu [Ghana] ; A. Hodgson [Ghana] ; P. Akweongo [Ghana] ; C. Debpuur [Ghana] ; F. Binka [Ghana]Source :
- Journal of Biosocial Science [ 0021-9320 ] ; 2007.
Abstract
Access to voluntary counselling and HIV testing (VCT) remains limited in most parts of Ghana with rural populations being the least served. Services remain facility-based and employ the use of an ever-dwindling number of health workers as counsellors. This study assessed approval for the use of lay counsellors to promote community-based voluntary counselling and testing for HIV and the extent of HIV/AIDS-related stigma in the Kassena-Nankana district of rural northern Ghana. A cross-sectional questionnaire survey was conducted. Logistic regression was used to identify predictors of the tendency to stigmatize people living with HIV/AIDS (PLWHAs). Focus group discussions were held and analytical coding of the data performed. The majority (91·1%) of the 403 respondents indicated a desire to know their HIV status. Most (88·1%) respondents considered locations outside of the health facility as preferred places for VCT. The majority (98·7%) of respondents approved the use of lay counsellors. About a quarter (24%) of respondents believed that it was possible to acquire HIV through sharing a drinking cup with a PLWHA. About half (52·1%) of the respondents considered that a teacher with HIV/AIDS should not be allowed to teach, while 77·2% would not buy vegetables from a PLWHA. Respondents who believed that sharing a drinking cup with a PLWHA could transmit HIV infection (OR 2·50, 95%CI 1·52–4·11) and respondents without formal education (OR 2·94, 95%CI 1·38–6·27) were more likely to stigmatize PLWHAs. In contrast, respondents with knowledge of the availability of antiretroviral (ARV) drugs were less likely to do so (OR 0·40, 95%CI 0·22–0·73). Findings from the thirteen focus group discussions reinforced approval for community-based VCT and lay counsellors but revealed concerns about stigma and confidentiality. In conclusion, community-based VCT and the use of lay counsellors may be acceptable options for promoting access. Interventional studies are required to assess feasibility and cost-effectiveness.
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DOI: 10.1017/S0021932006001829
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Akanlu</name><affiliation wicri:level="1"><mods:affiliation>Navrongo Health Research Center, Ghana Health Service, Navrongo, UER, Ghana</mods:affiliation><country xml:lang="fr">Ghana</country><wicri:regionArea>Navrongo Health Research Center, Ghana Health Service, Navrongo, UER</wicri:regionArea></affiliation></author><author><name sortKey="Hodgson, A" sort="Hodgson, A" uniqKey="Hodgson A" first="A." last="Hodgson">A. Hodgson</name><affiliation wicri:level="1"><mods:affiliation>Navrongo Health Research Center, Ghana Health Service, Navrongo, UER, Ghana</mods:affiliation><country xml:lang="fr">Ghana</country><wicri:regionArea>Navrongo Health Research Center, Ghana Health Service, Navrongo, UER</wicri:regionArea></affiliation></author><author><name sortKey="Akweongo, P" sort="Akweongo, P" uniqKey="Akweongo P" first="P." last="Akweongo">P. 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Hodgson</name><affiliation wicri:level="1"><mods:affiliation>Navrongo Health Research Center, Ghana Health Service, Navrongo, UER, Ghana</mods:affiliation><country xml:lang="fr">Ghana</country><wicri:regionArea>Navrongo Health Research Center, Ghana Health Service, Navrongo, UER</wicri:regionArea></affiliation></author><author><name sortKey="Akweongo, P" sort="Akweongo, P" uniqKey="Akweongo P" first="P." last="Akweongo">P. Akweongo</name><affiliation wicri:level="1"><mods:affiliation>Navrongo Health Research Center, Ghana Health Service, Navrongo, UER, Ghana</mods:affiliation><country xml:lang="fr">Ghana</country><wicri:regionArea>Navrongo Health Research Center, Ghana Health Service, Navrongo, UER</wicri:regionArea></affiliation></author><author><name sortKey="Debpuur, C" sort="Debpuur, C" uniqKey="Debpuur C" first="C." last="Debpuur">C. 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This study assessed approval for the use of lay counsellors to promote community-based voluntary counselling and testing for HIV and the extent of HIV/AIDS-related stigma in the Kassena-Nankana district of rural northern Ghana. A cross-sectional questionnaire survey was conducted. Logistic regression was used to identify predictors of the tendency to stigmatize people living with HIV/AIDS (PLWHAs). Focus group discussions were held and analytical coding of the data performed. The majority (91·1%) of the 403 respondents indicated a desire to know their HIV status. Most (88·1%) respondents considered locations outside of the health facility as preferred places for VCT. The majority (98·7%) of respondents approved the use of lay counsellors. About a quarter (24%) of respondents believed that it was possible to acquire HIV through sharing a drinking cup with a PLWHA. About half (52·1%) of the respondents considered that a teacher with HIV/AIDS should not be allowed to teach, while 77·2% would not buy vegetables from a PLWHA. Respondents who believed that sharing a drinking cup with a PLWHA could transmit HIV infection (OR 2·50, 95%CI 1·52–4·11) and respondents without formal education (OR 2·94, 95%CI 1·38–6·27) were more likely to stigmatize PLWHAs. In contrast, respondents with knowledge of the availability of antiretroviral (ARV) drugs were less likely to do so (OR 0·40, 95%CI 0·22–0·73). Findings from the thirteen focus group discussions reinforced approval for community-based VCT and lay counsellors but revealed concerns about stigma and confidentiality. In conclusion, community-based VCT and the use of lay counsellors may be acceptable options for promoting access. Interventional studies are required to assess feasibility and cost-effectiveness.</div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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