ART access-related barriers faced by HIV-positive persons linked to care in southern Ghana: a mixed method study
Identifieur interne : 000239 ( Main/Exploration ); précédent : 000238; suivant : 000240ART access-related barriers faced by HIV-positive persons linked to care in southern Ghana: a mixed method study
Auteurs : Augustine Ankomah [Ghana] ; John Kuumuori Ganle [Ghana] ; Margaret Yaa Lartey [Ghana] ; Awewura Kwara [États-Unis] ; Priscilla Awo Nortey [Ghana] ; Michael Perry Kweku Okyerefo [Ghana] ; Amos Kankponang Laar [Ghana]Source :
- BMC Infectious Diseases [ 1471-2334 ] ; 2016.
Descripteurs français
- KwdFr :
- Accessibilité des services de santé, Adolescent, Adulte, Adulte d'âge moyen, Agents antiVIH (usage thérapeutique), Entretiens comme sujet, Femelle, Ghana (épidémiologie), Humains, Infections à VIH (psychologie), Infections à VIH (traitement médicamenteux), Infections à VIH (épidémiologie), Jeune adulte, Motivation, Mâle, Personnel de santé, Stigmate social, Sujet âgé, Études transversales.
- MESH :
- psychologie : Infections à VIH.
- traitement médicamenteux : Infections à VIH.
- usage thérapeutique : Agents antiVIH.
- épidémiologie : Ghana, Infections à VIH.
- Accessibilité des services de santé, Adolescent, Adulte, Adulte d'âge moyen, Entretiens comme sujet, Femelle, Humains, Jeune adulte, Motivation, Mâle, Personnel de santé, Stigmate social, Sujet âgé, Études transversales.
English descriptors
- KwdEn :
- Adolescent, Adult, Aged, Anti-HIV Agents (therapeutic use), Cross-Sectional Studies, Female, Ghana (epidemiology), HIV Infections (drug therapy), HIV Infections (epidemiology), HIV Infections (psychology), Health Personnel, Health Services Accessibility, Humans, Interviews as Topic, Male, Middle Aged, Motivation, Social Stigma, Young Adult.
- MESH :
- chemical , therapeutic use : Anti-HIV Agents.
- drug therapy : HIV Infections.
- epidemiology : Ghana, HIV Infections.
- psychology : HIV Infections.
- Adolescent, Adult, Aged, Cross-Sectional Studies, Female, Health Personnel, Health Services Accessibility, Humans, Interviews as Topic, Male, Middle Aged, Motivation, Social Stigma, Young Adult.
Abstract
Timely and enduring access to antiretroviral therapy (ART) by HIV-infected individuals has been shown to substantially reduce HIV transmission risk, HIV-related morbidity and mortality. However, there is evidence that in addition to limited supply of antiretrovirals (ARVs) and linkage to ART in many low-income countries, HIV+ persons often encounter barriers in accessing ART-related services even in contexts where these services are freely available. In Ghana, limited research evidence exists regarding the barriers HIV+ persons already linked to ART face. This paper explores ART access–related barriers that HIV+ persons linked to care in southern Ghana face.
A mixed method study design, involving a cross-sectional survey and qualitative in-depth interviews, was conducted to collect data from four healthcare providers and a total of 540 adult HIV+ persons receiving ART at four treatment centres in Ghana. We used univariate analysis to generate descriptive tabulations for key variables from the survey. Data from qualitative in-depth interviews were thematically analysed. Results from the survey and in-depth interviews were brought together to illuminate the challenges of the HIV+ persons.
All (100%) the HIV+ persons interviewed were ARV-exposed and linked to ART. Reasons for taking ARVs ranged from beliefs that they will suppress the HIV virus, desire to maintain good health and prolong life, and desire to prevent infection in unborn children, desire both to avoid death and to become good therapeutic citizens (abide by doctors’ advice). Despite this, more than half of the study participants (63.3%) reported seven major factors as barriers hindering access to ART. These were high financial costs associated with accessing and receiving ART (26%), delays associated with receiving care from treatment centres (24%), shortage of drugs and other commodities (23%), stigma (8.8%), fear of side effects of taking ARVs (7.9%), job insecurity arising from regular leave of absence to receive ART (5.3%), and long distance to treatment centres (4.9%).
The results in this study suggest that efforts to provide and scale-up ART to all HIV+ persons must be accompanied by interventions that address structural and individual level access barriers.
The online version of this article (doi:10.1186/s12879-016-2075-0) contains supplementary material, which is available to authorized users.
Url:
DOI: 10.1186/s12879-016-2075-0
PubMed: 27927183
PubMed Central: 5142337
Affiliations:
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Le document en format XML
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qualifier="drug therapy" xml:lang="en"><term>HIV Infections</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Ghana</term><term>HIV Infections</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Infections à VIH</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>HIV Infections</term></keywords><keywords scheme="MESH" qualifier="traitement médicamenteux" xml:lang="fr"><term>Infections à VIH</term></keywords><keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Agents antiVIH</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Ghana</term><term>Infections à VIH</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Cross-Sectional Studies</term><term>Female</term><term>Health Personnel</term><term>Health Services Accessibility</term><term>Humans</term><term>Interviews as Topic</term><term>Male</term><term>Middle Aged</term><term>Motivation</term><term>Social Stigma</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Accessibilité des services de santé</term><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Entretiens comme sujet</term><term>Femelle</term><term>Humains</term><term>Jeune adulte</term><term>Motivation</term><term>Mâle</term><term>Personnel de santé</term><term>Stigmate social</term><term>Sujet âgé</term><term>Études transversales</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Timely and enduring access to antiretroviral therapy (ART) by HIV-infected individuals has been shown to substantially reduce HIV transmission risk, HIV-related morbidity and mortality. However, there is evidence that in addition to limited supply of antiretrovirals (ARVs) and linkage to ART in many low-income countries, HIV+ persons often encounter barriers in accessing ART-related services even in contexts where these services are freely available. In Ghana, limited research evidence exists regarding the barriers HIV+ persons already linked to ART face. This paper explores ART access–related barriers that HIV+ persons linked to care in southern Ghana face.</p></sec><sec><title>Methods</title><p>A mixed method study design, involving a cross-sectional survey and qualitative in-depth interviews, was conducted to collect data from four healthcare providers and a total of 540 adult HIV+ persons receiving ART at four treatment centres in Ghana. We used univariate analysis to generate descriptive tabulations for key variables from the survey. Data from qualitative in-depth interviews were thematically analysed. Results from the survey and in-depth interviews were brought together to illuminate the challenges of the HIV+ persons.</p></sec><sec><title>Results</title><p>All (100%) the HIV+ persons interviewed were ARV-exposed and linked to ART. Reasons for taking ARVs ranged from beliefs that they will suppress the HIV virus, desire to maintain good health and prolong life, and desire to prevent infection in unborn children, desire both to avoid death and to become good therapeutic citizens (abide by doctors’ advice). Despite this, more than half of the study participants (63.3%) reported seven major factors as barriers hindering access to ART. These were high financial costs associated with accessing and receiving ART (26%), delays associated with receiving care from treatment centres (24%), shortage of drugs and other commodities (23%), stigma (8.8%), fear of side effects of taking ARVs (7.9%), job insecurity arising from regular leave of absence to receive ART (5.3%), and long distance to treatment centres (4.9%).</p></sec><sec><title>Conclusions</title><p>The results in this study suggest that efforts to provide and scale-up ART to all HIV+ persons must be accompanied by interventions that address structural and individual level access barriers.</p></sec><sec><title>Electronic supplementary material</title><p>The online version of this article (doi:10.1186/s12879-016-2075-0) contains supplementary material, which is available to authorized users.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Keiser, O" uniqKey="Keiser O">O Keiser</name></author><author><name 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sortKey="Barnhart, M" uniqKey="Barnhart M">M Barnhart</name></author><author><name sortKey="Shelton, Jd" uniqKey="Shelton J">JD Shelton</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ohene, S" uniqKey="Ohene S">S Ohene</name></author><author><name sortKey="Forson, E" uniqKey="Forson E">E Forson</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Ampofo, Kw" uniqKey="Ampofo K">KW Ampofo</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rasschaert, F" uniqKey="Rasschaert F">F Rasschaert</name></author><author><name sortKey="Van Leemput, L" uniqKey="Van Leemput L">L van Leemput</name></author><author><name sortKey="Assefa, Y" uniqKey="Assefa Y">Y Assefa</name></author><author><name sortKey="Schouten, E" uniqKey="Schouten E">E Schouten</name></author><author><name sortKey="Van Damme, W" uniqKey="Van Damme W">W van Damme</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Harries, Ad" uniqKey="Harries A">AD Harries</name></author><author><name sortKey="Zachariah, R" uniqKey="Zachariah R">R Zachariah</name></author><author><name sortKey="Lawn, Sd" uniqKey="Lawn S">SD Lawn</name></author><author><name sortKey="Rosen, S" uniqKey="Rosen S">S Rosen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Seeling, S" uniqKey="Seeling S">S Seeling</name></author><author><name sortKey="Mavhunga, F" uniqKey="Mavhunga F">F Mavhunga</name></author><author><name sortKey="Thomas, A" uniqKey="Thomas A">A Thomas</name></author><author><name sortKey="Adelberger, B" uniqKey="Adelberger B">B Adelberger</name></author><author><name sortKey="Ulrichs, T" uniqKey="Ulrichs T">T Ulrichs</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Denison, Ja" uniqKey="Denison J">JA Denison</name></author><author><name sortKey="Koole, O" uniqKey="Koole O">O Koole</name></author><author><name sortKey="Tsui, S" uniqKey="Tsui S">S Tsui</name></author><author><name sortKey="Menten, J" uniqKey="Menten J">J Menten</name></author><author><name sortKey="Torpey, K" uniqKey="Torpey K">K Torpey</name></author><author><name sortKey="Van Praag, E" uniqKey="Van Praag E">E van Praag</name></author><author><name sortKey="Bangsberg, Dr" uniqKey="Bangsberg D">DR Bangsberg</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Meyers, T" uniqKey="Meyers T">T Meyers</name></author><author><name sortKey="Moultrie, H" uniqKey="Moultrie H">H Moultrie</name></author><author><name sortKey="Naidoo, K" uniqKey="Naidoo K">K Naidoo</name></author><author><name sortKey="Cotton, M" uniqKey="Cotton M">M Cotton</name></author><author><name sortKey="Eley, B" uniqKey="Eley B">B Eley</name></author><author><name sortKey="Sherman, G" uniqKey="Sherman G">G Sherman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rao, D" uniqKey="Rao D">D Rao</name></author><author><name sortKey="Kekwaletswe, Tc" uniqKey="Kekwaletswe T">TC Kekwaletswe</name></author><author><name sortKey="Hosek, S" uniqKey="Hosek S">S Hosek</name></author><author><name sortKey="Martinez, J" uniqKey="Martinez J">J Martinez</name></author><author><name sortKey="Rodriguez, F" uniqKey="Rodriguez F">F Rodriguez</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hardon, Ap" uniqKey="Hardon A">AP Hardon</name></author><author><name sortKey="Akurut, D" uniqKey="Akurut D">D Akurut</name></author><author><name sortKey="Comoro, C" uniqKey="Comoro C">C Comoro</name></author><author><name sortKey="Ekezie, C" uniqKey="Ekezie C">C Ekezie</name></author><author><name sortKey="Irunde, Hf" uniqKey="Irunde H">HF Irunde</name></author><author><name sortKey="Gerrits, T" uniqKey="Gerrits T">T Gerrits</name></author><author><name sortKey="Laing, R" uniqKey="Laing R">R Laing</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Schackman, Br" uniqKey="Schackman B">BR Schackman</name></author><author><name sortKey="Gebo, Ka" uniqKey="Gebo K">KA Gebo</name></author><author><name sortKey="Walensky, Rp" uniqKey="Walensky R">RP Walensky</name></author><author><name sortKey="Losina, E" uniqKey="Losina E">E Losina</name></author><author><name sortKey="Muccio, T" uniqKey="Muccio T">T Muccio</name></author><author><name sortKey="Sax, Pe" uniqKey="Sax P">PE Sax</name></author><author><name sortKey="Freedberg, Ka" uniqKey="Freedberg K">KA Freedberg</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Max, B" uniqKey="Max B">B Max</name></author><author><name sortKey="Sherer, R" uniqKey="Sherer R">R Sherer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sayles, Jn" uniqKey="Sayles J">JN Sayles</name></author><author><name sortKey="Wong, Md" uniqKey="Wong M">MD Wong</name></author><author><name sortKey="Kinsler, Jj" uniqKey="Kinsler J">JJ Kinsler</name></author><author><name sortKey="Martins, D" uniqKey="Martins D">D Martins</name></author><author><name sortKey="Cunningham, We" uniqKey="Cunningham W">WE Cunningham</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Blackstock, O" uniqKey="Blackstock O">O Blackstock</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="De Waal, A" uniqKey="De Waal A">A de Waal</name></author><author><name sortKey="Whiteside, A" uniqKey="Whiteside A">A Whiteside</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gray, Rh" uniqKey="Gray R">RH Gray</name></author><author><name sortKey="Wawer, Mj" uniqKey="Wawer M">MJ Wawer</name></author><author><name sortKey="Brookmeyer, R" uniqKey="Brookmeyer R">R Brookmeyer</name></author><author><name sortKey="Sewankambo, Nk" uniqKey="Sewankambo N">NK Sewankambo</name></author><author><name sortKey="Serwadda, D" uniqKey="Serwadda D">D Serwadda</name></author><author><name sortKey="Wabwire Mangen, F" uniqKey="Wabwire Mangen F">F Wabwire-Mangen</name></author><author><name sortKey="Lutalo, T" uniqKey="Lutalo T">T Lutalo</name></author><author><name sortKey="Li, X" uniqKey="Li X">X Li</name></author><author><name sortKey="Van Cott, T" uniqKey="Van Cott T">T van Cott</name></author><author><name sortKey="Quinn, Tc" uniqKey="Quinn T">TC Quinn</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Jewkes, R" uniqKey="Jewkes R">R Jewkes</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Oppong, Jr" uniqKey="Oppong J">JR Oppong</name></author><author><name sortKey="Agyei Mensah, S" uniqKey="Agyei Mensah S">S Agyei-Mensah</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Yawson, A" uniqKey="Yawson 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uniqKey="Lindegger G">G Lindegger</name></author><author><name sortKey="Quayle, M" uniqKey="Quayle M">M Quayle</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Skovdal, M" uniqKey="Skovdal M">M Skovdal</name></author><author><name sortKey="Campbell, C" uniqKey="Campbell C">C Campbell</name></author><author><name sortKey="Madanhire, C" uniqKey="Madanhire C">C Madanhire</name></author><author><name sortKey="Mupambirey, Z" uniqKey="Mupambirey Z">Z Mupambirey</name></author><author><name sortKey="Nyamukapa, C" uniqKey="Nyamukapa C">C Nyamukapa</name></author><author><name sortKey="Gregson, S" uniqKey="Gregson S">S Gregson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Thielman, Nm" uniqKey="Thielman N">NM Thielman</name></author><author><name sortKey="Ostermann, J" uniqKey="Ostermann J">J Ostermann</name></author><author><name sortKey="Whetten, K" uniqKey="Whetten K">K Whetten</name></author><author><name sortKey="Whetten, R" uniqKey="Whetten R">R Whetten</name></author><author><name sortKey="Itemba, D" uniqKey="Itemba D">D Itemba</name></author><author><name sortKey="Maro, V" uniqKey="Maro V">V Maro</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Dimatteo, Mr" uniqKey="Dimatteo M">MR DiMatteo</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Reiter, Gs" uniqKey="Reiter G">GS Reiter</name></author><author><name sortKey="Stewart, Ke" uniqKey="Stewart K">KE Stewart</name></author><author><name sortKey="Wojtusik, L" uniqKey="Wojtusik L">L Wojtusik</name></author><author><name sortKey="Hewitt, R" uniqKey="Hewitt R">R Hewitt</name></author><author><name sortKey="Segal Maurer" uniqKey="Segal Maurer">Segal-Maurer</name></author><author><name sortKey="Johnson, M" uniqKey="Johnson M">M Johnson</name></author><author><name sortKey="Fisher, A" uniqKey="Fisher A">A Fisher</name></author><author><name sortKey="Zackin, R" uniqKey="Zackin R">R Zackin</name></author><author><name sortKey="Masters, H" uniqKey="Masters H">H Masters</name></author><author><name sortKey="Bangsberg, D" uniqKey="Bangsberg D">D Bangsberg</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Ghana</li><li>États-Unis</li></country><region><li>Rhode Island</li><li>Région du Grand Accra</li></region><settlement><li>Accra</li></settlement><orgName><li>Université du Ghana</li></orgName></list><tree><country name="Ghana"><region name="Région du Grand Accra"><name sortKey="Ankomah, Augustine" sort="Ankomah, Augustine" uniqKey="Ankomah A" first="Augustine" last="Ankomah">Augustine Ankomah</name></region><name sortKey="Ganle, John Kuumuori" sort="Ganle, John Kuumuori" uniqKey="Ganle J" first="John Kuumuori" last="Ganle">John Kuumuori Ganle</name><name sortKey="Laar, Amos Kankponang" sort="Laar, Amos Kankponang" uniqKey="Laar A" first="Amos Kankponang" last="Laar">Amos Kankponang Laar</name><name sortKey="Lartey, Margaret Yaa" sort="Lartey, Margaret Yaa" uniqKey="Lartey M" first="Margaret Yaa" last="Lartey">Margaret Yaa Lartey</name><name sortKey="Nortey, Priscilla Awo" sort="Nortey, Priscilla Awo" uniqKey="Nortey P" first="Priscilla Awo" last="Nortey">Priscilla Awo Nortey</name><name sortKey="Okyerefo, Michael Perry Kweku" sort="Okyerefo, Michael Perry Kweku" uniqKey="Okyerefo M" first="Michael Perry Kweku" last="Okyerefo">Michael Perry Kweku Okyerefo</name></country><country name="États-Unis"><region name="Rhode Island"><name sortKey="Kwara, Awewura" sort="Kwara, Awewura" uniqKey="Kwara A" first="Awewura" last="Kwara">Awewura Kwara</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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