Factors influencing uptake of voluntary counselling and testing services for HIV/AIDS in the Lower Manya Krobo Municipality (LMKM) in the Eastern Region of Ghana: a cross-sectional household survey
Identifieur interne : 000342 ( Main/Exploration ); précédent : 000341; suivant : 000343Factors influencing uptake of voluntary counselling and testing services for HIV/AIDS in the Lower Manya Krobo Municipality (LMKM) in the Eastern Region of Ghana: a cross-sectional household survey
Auteurs : Paschal A. Apanga ; Robert Akparibo [Royaume-Uni] ; John K. Awoonor-WilliamsSource :
- Journal of Health, Population, and Nutrition [ 1606-0997 ] ; 2015.
Descripteurs français
- KwdFr :
- Acceptation des soins par le patient (ethnologie), Adolescent, Adulte, Adulte d'âge moyen, Caractéristiques familiales, Dépistage systématique, Enquêtes sur les soins de santé, Femelle, Ghana (épidémiologie), Humains, Infections à VIH (), Infections à VIH (diagnostic), Infections à VIH (transmission), Infections à VIH (épidémiologie), Jeune adulte, Mâle, Niveau d'instruction, Pays en voie de développement, Programmes volontaires, Qualité des soins de santé, Risque, Satisfaction du patient, Stigmate social, Éducation du patient comme sujet, Études transversales.
- MESH :
- diagnostic : Infections à VIH.
- ethnologie : Acceptation des soins par le patient.
- épidémiologie : Ghana, Infections à VIH.
- Adolescent, Adulte, Adulte d'âge moyen, Caractéristiques familiales, Dépistage systématique, Enquêtes sur les soins de santé, Femelle, Humains, Infections à VIH, Jeune adulte, Mâle, Niveau d'instruction, Pays en voie de développement, Programmes volontaires, Qualité des soins de santé, Risque, Satisfaction du patient, Stigmate social, Éducation du patient comme sujet, Études transversales.
English descriptors
- KwdEn :
- Adolescent, Adult, Cross-Sectional Studies, Developing Countries, Educational Status, Family Characteristics, Female, Ghana (epidemiology), HIV Infections (diagnosis), HIV Infections (epidemiology), HIV Infections (prevention & control), HIV Infections (transmission), Health Care Surveys, Humans, Male, Mass Screening, Middle Aged, Patient Acceptance of Health Care (ethnology), Patient Education as Topic, Patient Satisfaction, Quality of Health Care, Risk, Social Stigma, Voluntary Programs, Young Adult.
- MESH :
- diagnosis : HIV Infections.
- epidemiology : Ghana, HIV Infections.
- ethnology : Patient Acceptance of Health Care.
- prevention & control : HIV Infections.
- transmission : HIV Infections.
- Adolescent, Adult, Cross-Sectional Studies, Developing Countries, Educational Status, Family Characteristics, Female, Health Care Surveys, Humans, Male, Mass Screening, Middle Aged, Patient Education as Topic, Patient Satisfaction, Quality of Health Care, Risk, Social Stigma, Voluntary Programs, Young Adult.
Abstract
Voluntary counselling and testing (VCT) is one of the nine strategies recommended for prevention and control of HIV globally. In this study, we assessed the awareness and utilisation of VCT services among residents of the Lower Manya Krobo Municipality (LMKM) in the Eastern Region of Ghana.
A population-based descriptive cross-sectional survey was conducted with 200 participants, aged between 18 and 55 years. Participants were recruited using cluster and simple random techniques to take part in the survey. Data was analysed descriptively, as well as using regression analysis approach.
Ninety-one percent of the respondents surveyed were aware of VCT services for HIV/AIDS. Seventy percent (70 %) have used VCT service in the last 12 months prior to the survey. Of this proportion, 97 % were satisfied with the quality of VCT services offered and indicated their willingness to recommend the service to others. Participants desire to know their HIV status (40 %), referral by health workers (25 %), and participants who wanted to get married (11 %) were the main reasons for increased uptake. Participants who had formal education, primary (OR = 1.8 (95 % CI 1.25–2.84)), junior high school (OR = 2.3 (95 % CI 1.54–3.37)), senior high school (OR = 2.8 (95 % CI 1.73–4.78)), and tertiary (OR = 3.4 (95 % CI 1.98–8.42)), had increased chance of using VCT service compared with participants who had no education (
Although awareness and utilisation of VCT service rates were reportedly high, more efforts need to be done in order to increase awareness and promote utilisation. HIV/AIDS educational campaign programmes need to be strongly pursued, with emphasis on the benefits of VCT services. This has the potential of reducing stigma and increase utilisation.
Url:
DOI: 10.1186/s41043-015-0035-8
PubMed: 26825809
PubMed Central: 5025995
Affiliations:
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Apanga</name><affiliation><nlm:aff id="Aff1">Talensi District Hospital, Ghana Health Service, PMB, Tongo, Upper East Region Ghana</nlm:aff><wicri:noCountry code="subfield">Upper East Region Ghana</wicri:noCountry></affiliation></author><author><name sortKey="Akparibo, Robert" sort="Akparibo, Robert" uniqKey="Akparibo R" first="Robert" last="Akparibo">Robert Akparibo</name><affiliation wicri:level="1"><nlm:aff id="Aff2">School of Health and Related Research (ScHARR), University of Sheffield, Sheffield, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>School of Health and Related Research (ScHARR), University of Sheffield, Sheffield</wicri:regionArea><wicri:noRegion>Sheffield</wicri:noRegion></affiliation></author><author><name sortKey="Awoonor Williams, John K" sort="Awoonor Williams, John K" uniqKey="Awoonor Williams J" first="John K." last="Awoonor-Williams">John K. Awoonor-Williams</name><affiliation><nlm:aff id="Aff3">Regional Health Directorate, Ghana Health Service, Bolgatanga, Upper East Region Ghana</nlm:aff><wicri:noCountry code="subfield">Upper East Region Ghana</wicri:noCountry></affiliation></author></analytic><series><title level="j">Journal of Health, Population, and Nutrition</title><idno type="ISSN">1606-0997</idno><idno type="eISSN">2072-1315</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Cross-Sectional Studies</term><term>Developing Countries</term><term>Educational Status</term><term>Family Characteristics</term><term>Female</term><term>Ghana (epidemiology)</term><term>HIV Infections (diagnosis)</term><term>HIV Infections (epidemiology)</term><term>HIV Infections (prevention & control)</term><term>HIV Infections (transmission)</term><term>Health Care Surveys</term><term>Humans</term><term>Male</term><term>Mass Screening</term><term>Middle Aged</term><term>Patient Acceptance of Health Care (ethnology)</term><term>Patient Education as Topic</term><term>Patient Satisfaction</term><term>Quality of Health Care</term><term>Risk</term><term>Social Stigma</term><term>Voluntary Programs</term><term>Young Adult</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Acceptation des soins par le patient (ethnologie)</term><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Caractéristiques familiales</term><term>Dépistage systématique</term><term>Enquêtes sur les soins de santé</term><term>Femelle</term><term>Ghana (épidémiologie)</term><term>Humains</term><term>Infections à VIH ()</term><term>Infections à VIH (diagnostic)</term><term>Infections à VIH (transmission)</term><term>Infections à VIH (épidémiologie)</term><term>Jeune adulte</term><term>Mâle</term><term>Niveau d'instruction</term><term>Pays en voie de développement</term><term>Programmes volontaires</term><term>Qualité des soins de santé</term><term>Risque</term><term>Satisfaction du patient</term><term>Stigmate social</term><term>Éducation du patient comme sujet</term><term>Études transversales</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>HIV Infections</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Infections à VIH</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Ghana</term><term>HIV Infections</term></keywords><keywords scheme="MESH" qualifier="ethnologie" xml:lang="fr"><term>Acceptation des soins par le patient</term></keywords><keywords scheme="MESH" qualifier="ethnology" xml:lang="en"><term>Patient Acceptance of Health Care</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>HIV Infections</term></keywords><keywords scheme="MESH" qualifier="transmission" xml:lang="en"><term>HIV Infections</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>Cross-Sectional Studies</term><term>Developing Countries</term><term>Educational Status</term><term>Family Characteristics</term><term>Female</term><term>Health Care Surveys</term><term>Humans</term><term>Male</term><term>Mass Screening</term><term>Middle Aged</term><term>Patient Education as Topic</term><term>Patient Satisfaction</term><term>Quality of Health Care</term><term>Risk</term><term>Social Stigma</term><term>Voluntary Programs</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Caractéristiques familiales</term><term>Dépistage systématique</term><term>Enquêtes sur les soins de santé</term><term>Femelle</term><term>Humains</term><term>Infections à VIH</term><term>Jeune adulte</term><term>Mâle</term><term>Niveau d'instruction</term><term>Pays en voie de développement</term><term>Programmes volontaires</term><term>Qualité des soins de santé</term><term>Risque</term><term>Satisfaction du patient</term><term>Stigmate social</term><term>Éducation du patient comme sujet</term><term>Études transversales</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Voluntary counselling and testing (VCT) is one of the nine strategies recommended for prevention and control of HIV globally. In this study, we assessed the awareness and utilisation of VCT services among residents of the Lower Manya Krobo Municipality (LMKM) in the Eastern Region of Ghana.</p></sec><sec><title>Methods</title><p>A population-based descriptive cross-sectional survey was conducted with 200 participants, aged between 18 and 55 years. Participants were recruited using cluster and simple random techniques to take part in the survey. Data was analysed descriptively, as well as using regression analysis approach.</p></sec><sec><title>Results</title><p>Ninety-one percent of the respondents surveyed were aware of VCT services for HIV/AIDS. Seventy percent (70 %) have used VCT service in the last 12 months prior to the survey. Of this proportion, 97 % were satisfied with the quality of VCT services offered and indicated their willingness to recommend the service to others. Participants desire to know their HIV status (40 %), referral by health workers (25 %), and participants who wanted to get married (11 %) were the main reasons for increased uptake. Participants who had formal education, primary (OR = 1.8 (95 % CI 1.25–2.84)), junior high school (OR = 2.3 (95 % CI 1.54–3.37)), senior high school (OR = 2.8 (95 % CI 1.73–4.78)), and tertiary (OR = 3.4 (95 % CI 1.98–8.42)), had increased chance of using VCT service compared with participants who had no education (<italic>p</italic> < 0.001). Reasons for non-utilisation of VCT service were lack of awareness of the VCT service in the area (32 %), fear of being stigmatised (53 %), and the belief that HIV/AIDS cannot be cured and therefore the lack of need (5 %).</p></sec><sec><title>Conclusions</title><p>Although awareness and utilisation of VCT service rates were reportedly high, more efforts need to be done in order to increase awareness and promote utilisation. HIV/AIDS educational campaign programmes need to be strongly pursued, with emphasis on the benefits of VCT services. This has the potential of reducing stigma and increase utilisation.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Sabapathy, K" uniqKey="Sabapathy K">K Sabapathy</name></author><author><name sortKey="Van Den Bergh, R" uniqKey="Van Den Bergh R">R Van den Bergh</name></author><author><name sortKey="Fidler, S" uniqKey="Fidler S">S Fidler</name></author><author><name sortKey="Hayes, R" uniqKey="Hayes R">R Hayes</name></author><author><name sortKey="Ford, N" uniqKey="Ford N">N Ford</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Afridi, Nk" uniqKey="Afridi N">NK Afridi</name></author><author><name sortKey="Khan, S" uniqKey="Khan S">S Khan</name></author><author><name sortKey="Fatima, S" uniqKey="Fatima S">S Fatima</name></author></analytic></biblStruct><biblStruct><analytic><author><name 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uniqKey="Koyanagi A">A Koyanagi</name></author><author><name sortKey="Shibuya, K" uniqKey="Shibuya K">K Shibuya</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Tenkorang, Ey" uniqKey="Tenkorang E">EY Tenkorang</name></author><author><name sortKey="Owusu, Ga" uniqKey="Owusu G">GA Owusu</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Obermeyer, Cm" uniqKey="Obermeyer C">CM Obermeyer</name></author><author><name sortKey="Neuman, M" uniqKey="Neuman M">M Neuman</name></author><author><name sortKey="Hardon, A" uniqKey="Hardon A">A Hardon</name></author><author><name sortKey="Desclaux, A" uniqKey="Desclaux A">A Desclaux</name></author><author><name sortKey="Wanyenze, R" uniqKey="Wanyenze R">R Wanyenze</name></author><author><name sortKey="Ky Zerbo, O" uniqKey="Ky Zerbo O">O Ky-Zerbo</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bryman, A" uniqKey="Bryman A">A Bryman</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Kl, I" uniqKey="Kl I">I Kl</name></author><author><name sortKey="Valdiserri, Ro" uniqKey="Valdiserri R">RO Valdiserri</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Walters, Sj" uniqKey="Walters S">SJ Walters</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Campbell, Mj" uniqKey="Campbell M">MJ Campbell</name></author><author><name sortKey="Machin, D" uniqKey="Machin D">D Machin</name></author><author><name sortKey="Walters, Sj" uniqKey="Walters S">SJ Walters</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hill, Z" uniqKey="Hill Z">Z Hill</name></author><author><name sortKey="Manu, A" uniqKey="Manu A">A Manu</name></author><author><name sortKey="Tawiah Agyemang, C" uniqKey="Tawiah Agyemang C">C Tawiah-Agyemang</name></author><author><name sortKey="Gyan, T" uniqKey="Gyan T">T Gyan</name></author><author><name sortKey="Turner, K" uniqKey="Turner K">K Turner</name></author><author><name sortKey="Weobong, B" uniqKey="Weobong B">B Weobong</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Fiaveh, Dy" uniqKey="Fiaveh D">DY Fiaveh</name></author><author><name sortKey="Kweku, Mp" uniqKey="Kweku M">MP Kweku</name></author><author><name sortKey="Fayorsey, Ck" uniqKey="Fayorsey C">CK Fayorsey</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Odhiambo, F" uniqKey="Odhiambo F">F Odhiambo</name></author><author><name sortKey="Kikuvi, G" uniqKey="Kikuvi G">G Kikuvi</name></author><author><name sortKey="Omollo, J" uniqKey="Omollo J">J 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Awoonor-Williams</name></author><author><name sortKey="Phillips, Jf" uniqKey="Phillips J">JF Phillips</name></author><author><name sortKey="Jones, Tc" uniqKey="Jones T">TC Jones</name></author><author><name sortKey="Miller, Ra" uniqKey="Miller R">RA Miller</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Baatiema, L" uniqKey="Baatiema L">L Baatiema</name></author><author><name sortKey="Skovdal, M" uniqKey="Skovdal M">M Skovdal</name></author><author><name sortKey="Rifkin, S" uniqKey="Rifkin S">S Rifkin</name></author><author><name sortKey="Campbell, C" uniqKey="Campbell C">C Campbell</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Sakeah, E" uniqKey="Sakeah E">E Sakeah</name></author><author><name sortKey="Mccloskey, L" uniqKey="Mccloskey L">L McCloskey</name></author><author><name sortKey="Bernstein, J" uniqKey="Bernstein J">J Bernstein</name></author><author><name sortKey="Yeboah Antwi, K" uniqKey="Yeboah Antwi K">K Yeboah-Antwi</name></author><author><name sortKey="Mills, S" uniqKey="Mills S">S Mills</name></author><author><name sortKey="Doctor, Hv" uniqKey="Doctor H">HV Doctor</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mahato, Pk" uniqKey="Mahato P">PK Mahato</name></author><author><name sortKey="Bi, P" uniqKey="Bi P">P Bi</name></author><author><name sortKey="Burgess, T" uniqKey="Burgess T">T Burgess</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Royaume-Uni</li></country></list><tree><noCountry><name sortKey="Apanga, Paschal A" sort="Apanga, Paschal A" uniqKey="Apanga P" first="Paschal A." last="Apanga">Paschal A. Apanga</name><name sortKey="Awoonor Williams, John K" sort="Awoonor Williams, John K" uniqKey="Awoonor Williams J" first="John K." last="Awoonor-Williams">John K. Awoonor-Williams</name></noCountry><country name="Royaume-Uni"><noRegion><name sortKey="Akparibo, Robert" sort="Akparibo, Robert" uniqKey="Akparibo R" first="Robert" last="Akparibo">Robert Akparibo</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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