Who is utilizing anti-retroviral therapy in Ghana: An analysis of ART service utilization
Identifieur interne : 000683 ( Main/Exploration ); précédent : 000682; suivant : 000684Who is utilizing anti-retroviral therapy in Ghana: An analysis of ART service utilization
Auteurs : Phyllis Dako-Gyeke [Ghana] ; Rachel Snow [États-Unis] ; Alfred E. Yawson [Ghana]Source :
- International Journal for Equity in Health [ 1475-9276 ] ; 2012.
Descripteurs français
- KwdFr :
- Accessibilité des services de santé (), Accessibilité des services de santé (organisation et administration), Adolescent, Adulte, Adulte d'âge moyen, Agents antiVIH (ressources et distribution), Agents antiVIH (usage thérapeutique), Disparités d'accès aux soins (), Disparités d'accès aux soins (organisation et administration), Facteurs sexuels, Femelle, Ghana (épidémiologie), Humains, Infections à VIH (traitement médicamenteux), Infections à VIH (épidémiologie), Jeune adulte, Mâle, Services de santé (utilisation).
- MESH :
- organisation et administration : Accessibilité des services de santé, Disparités d'accès aux soins.
- ressources et distribution : Agents antiVIH.
- traitement médicamenteux : Infections à VIH.
- usage thérapeutique : Agents antiVIH.
- utilisation : Services de santé.
- épidémiologie : Ghana, Infections à VIH.
- Accessibilité des services de santé, Adolescent, Adulte, Adulte d'âge moyen, Disparités d'accès aux soins, Facteurs sexuels, Femelle, Humains, Jeune adulte, Mâle.
- Wicri :
- geographic : Ghana.
English descriptors
- KwdEn :
- Adolescent, Adult, Anti-HIV Agents (supply & distribution), Anti-HIV Agents (therapeutic use), Female, Ghana (epidemiology), HIV Infections (drug therapy), HIV Infections (epidemiology), Health Services (utilization), Health Services Accessibility (organization & administration), Health Services Accessibility (statistics & numerical data), Healthcare Disparities (organization & administration), Healthcare Disparities (statistics & numerical data), Humans, Male, Middle Aged, Sex Factors, Young Adult.
- MESH :
- chemical , supply & distribution : Anti-HIV Agents.
- chemical , therapeutic use : Anti-HIV Agents.
- geographic , epidemiology : Ghana.
- drug therapy : HIV Infections.
- epidemiology : HIV Infections.
- organization & administration : Health Services Accessibility, Healthcare Disparities.
- statistics & numerical data : Health Services Accessibility, Healthcare Disparities.
- utilization : Health Services.
- Adolescent, Adult, Female, Humans, Male, Middle Aged, Sex Factors, Young Adult.
Abstract
The global scale-up of antiretroviral therapy (ART) for HIV patients has led to concerns regarding inequities in utilization of ART services in resource-limited contexts. In this paper, we describe regional and sex differentials in the distribution of ART among adult HIV patients in Ghana. We highlight the need for interventions to address the gender-based and geographic inequities related to the utilization of ART services in Ghana.
We reviewed National AIDS/STIs Control Program’s ART service provision records from January 2003 through December 2010, extracting data on adults aged 15+ who initiated ART in Ghana over a period of eight years. Data on the number of patients on treatment, year of enrollment, sex, and region were obtained and compared.
The number of HIV patients receiving ART in Ghana increased more than 200-fold from 197 in 2003, to over 45,000 in 2010. However, for each of six continuous years (2005-2010) males comprised approximately one-third of adults newly enrolled on ART. As ART coverage has expanded in Ghana, the proportion of males receiving ART declined from 41.7% in 2004 to 30.1% in 2008 and to 27.6% in 2010. Also, there is disproportionate regional ART utilization across the country. Some regions report ART enrollment lower than their percent share of number of HIV infected persons in the country.
Attention to the comparatively fewer males initiating ART, as well as disproportionate regional ART utilization is urgently needed. All forms of gender-based inequities in relation to HIV care must be addressed in order for Ghana to realize successful outcomes at the population level. Policy makers in Ghana and elsewhere need to understand how gender-based health inequities in relation to HIV care affect both men and women and begin to design appropriate interventions.
Url:
DOI: 10.1186/1475-9276-11-62
PubMed: 23072340
PubMed Central: 3475040
Affiliations:
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Le document en format XML
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O. Box LG 13, Accra, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Department of Social and Behavioral Sciences, School of Public Health, College of Health Sciences, University of Ghana, P. O. Box LG 13, Accra</wicri:regionArea><placeName><settlement type="city">Accra</settlement><region nuts="2">Région du Grand Accra</region></placeName><orgName type="university">Université du Ghana</orgName></affiliation></author><author><name sortKey="Snow, Rachel" sort="Snow, Rachel" uniqKey="Snow R" first="Rachel" last="Snow">Rachel Snow</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of Health Behavior and Health Education, School of Public Health, University of Michigan, 109 Observatory, 3814, Ann Arbor, MI, 48109-2029, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Health Behavior and Health Education, School of Public Health, University of Michigan, 109 Observatory, 3814, Ann Arbor, MI, 48109-2029</wicri:regionArea><wicri:noRegion>48109-2029</wicri:noRegion></affiliation></author><author><name sortKey="Yawson, Alfred E" sort="Yawson, Alfred E" uniqKey="Yawson A" first="Alfred E" last="Yawson">Alfred E. 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use)</term><term>Female</term><term>Ghana (epidemiology)</term><term>HIV Infections (drug therapy)</term><term>HIV Infections (epidemiology)</term><term>Health Services (utilization)</term><term>Health Services Accessibility (organization & administration)</term><term>Health Services Accessibility (statistics & numerical data)</term><term>Healthcare Disparities (organization & administration)</term><term>Healthcare Disparities (statistics & numerical data)</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Sex Factors</term><term>Young Adult</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Accessibilité des services de santé ()</term><term>Accessibilité des services de santé (organisation et administration)</term><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Agents antiVIH (ressources et distribution)</term><term>Agents antiVIH (usage thérapeutique)</term><term>Disparités d'accès aux soins ()</term><term>Disparités d'accès aux soins (organisation et administration)</term><term>Facteurs sexuels</term><term>Femelle</term><term>Ghana (épidémiologie)</term><term>Humains</term><term>Infections à VIH (traitement médicamenteux)</term><term>Infections à VIH (épidémiologie)</term><term>Jeune adulte</term><term>Mâle</term><term>Services de santé (utilisation)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="supply & distribution" xml:lang="en"><term>Anti-HIV Agents</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Anti-HIV Agents</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Ghana</term></keywords><keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>HIV Infections</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>HIV Infections</term></keywords><keywords scheme="MESH" qualifier="organisation et administration" xml:lang="fr"><term>Accessibilité des services de santé</term><term>Disparités d'accès aux soins</term></keywords><keywords scheme="MESH" qualifier="organization & administration" xml:lang="en"><term>Health Services Accessibility</term><term>Healthcare Disparities</term></keywords><keywords scheme="MESH" qualifier="ressources et distribution" xml:lang="fr"><term>Agents antiVIH</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Health Services Accessibility</term><term>Healthcare Disparities</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="utilisation" xml:lang="fr"><term>Services de santé</term></keywords><keywords scheme="MESH" qualifier="utilization" xml:lang="en"><term>Health Services</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>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Sex Factors</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>Disparités d'accès aux soins</term><term>Facteurs sexuels</term><term>Femelle</term><term>Humains</term><term>Jeune adulte</term><term>Mâle</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Ghana</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Introduction</title><p>The global scale-up of antiretroviral therapy (ART) for HIV patients has led to concerns regarding inequities in utilization of ART services in resource-limited contexts. In this paper, we describe regional and sex differentials in the distribution of ART among adult HIV patients in Ghana. We highlight the need for interventions to address the gender-based and geographic inequities related to the utilization of ART services in Ghana.</p></sec><sec><title>Methods</title><p>We reviewed National AIDS/STIs Control Program’s ART service provision records from January 2003 through December 2010, extracting data on adults aged 15+ who initiated ART in Ghana over a period of eight years. Data on the number of patients on treatment, year of enrollment, sex, and region were obtained and compared.</p></sec><sec><title>Results</title><p>The number of HIV patients receiving ART in Ghana increased more than 200-fold from 197 in 2003, to over 45,000 in 2010. However, for each of six continuous years (2005-2010) males comprised approximately one-third of adults newly enrolled on ART. As ART coverage has expanded in Ghana, the proportion of males receiving ART declined from 41.7% in 2004 to 30.1% in 2008 and to 27.6% in 2010. Also, there is disproportionate regional ART utilization across the country. Some regions report ART enrollment lower than their percent share of number of HIV infected persons in the country.</p></sec><sec><title>Conclusions</title><p>Attention to the comparatively fewer males initiating ART, as well as disproportionate regional ART utilization is urgently needed. All forms of gender-based inequities in relation to HIV care must be addressed in order for Ghana to realize successful outcomes at the population level. Policy makers in Ghana and elsewhere need to understand how gender-based health inequities in relation to HIV care affect both men and women and begin to design appropriate interventions.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Posse, M" uniqKey="Posse M">M Posse</name></author><author><name sortKey="Baltussen, R" uniqKey="Baltussen R">R Baltussen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Van Damme, V" uniqKey="Van Damme V">V Van Damme</name></author><author><name sortKey="Kober, K" uniqKey="Kober K">K Kober</name></author><author><name sortKey="Laga, M" uniqKey="Laga M">M Laga</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ebrahim, Sh" uniqKey="Ebrahim S">SH Ebrahim</name></author><author><name sortKey="Anderson, Je" uniqKey="Anderson J">JE Anderson</name></author><author><name sortKey="Weidle, P" uniqKey="Weidle P">P 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McIntyre</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Ghana</li><li>États-Unis</li></country><region><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="Dako Gyeke, Phyllis" sort="Dako Gyeke, Phyllis" uniqKey="Dako Gyeke P" first="Phyllis" last="Dako-Gyeke">Phyllis Dako-Gyeke</name></region><name sortKey="Yawson, Alfred E" sort="Yawson, Alfred E" uniqKey="Yawson A" first="Alfred E" last="Yawson">Alfred E. Yawson</name><name sortKey="Yawson, Alfred E" sort="Yawson, Alfred E" uniqKey="Yawson A" first="Alfred E" last="Yawson">Alfred E. Yawson</name></country><country name="États-Unis"><noRegion><name sortKey="Snow, Rachel" sort="Snow, Rachel" uniqKey="Snow R" first="Rachel" last="Snow">Rachel Snow</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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