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 : 000C74 ( Main/Exploration ); précédent : 000C73; suivant : 000C75USING 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.
Descripteurs français
- KwdFr :
- Acceptation des soins par le patient, Adulte, Agents de santé communautaire, Assistance (utilisation), Connaissances, attitudes et pratiques en santé, Enquêtes et questionnaires, Enquêtes sur les soins de santé, Femelle, Ghana, Groupes focalisés, Humains, Infections à VIH (), Infections à VIH (diagnostic), Infections à VIH (psychologie), Isolement social, Marketing social, Mâle, Services de santé ruraux (utilisation), Études transversales, Évaluation de programme.
- MESH :
- diagnostic : Infections à VIH.
- psychologie : Infections à VIH.
- utilisation : Assistance, Services de santé ruraux.
- Acceptation des soins par le patient, Adulte, Agents de santé communautaire, Connaissances, attitudes et pratiques en santé, Enquêtes et questionnaires, Enquêtes sur les soins de santé, Femelle, Ghana, Groupes focalisés, Humains, Infections à VIH, Isolement social, Marketing social, Mâle, Études transversales, Évaluation de programme.
- Pascal (Inist)
- Wicri :
- geographic : Ghana.
- topic : Législation, Maladie chronique, Santé publique.
English descriptors
- KwdEn :
- AIDS, Acceptance, Adult, Chronic disease, Community, Community Health Workers, Council, Counseling (utilization), Cross-Sectional Studies, Diagnosis, Female, Focus Groups, Ghana, HIV Infections (diagnosis), HIV Infections (prevention & control), HIV Infections (psychology), Health Care Surveys, Health Knowledge, Attitudes, Practice, Human immunodeficiency virus, Humans, Legislation, Male, Medical screening, North, Patient Acceptance of Health Care, Program Evaluation, Public health, Public inquiry, Rural Health Services (utilization), Rural environment, Serology, Social Isolation, Social Marketing, Stigma, Surveys and Questionnaires, Volunteering.
- MESH :
- geographic : Ghana.
- diagnosis : HIV Infections.
- prevention & control : HIV Infections.
- psychology : HIV Infections.
- utilization : Counseling, Rural Health Services.
- Adult, Community Health Workers, Cross-Sectional Studies, Female, Focus Groups, Health Care Surveys, Health Knowledge, Attitudes, Practice, Humans, Male, Patient Acceptance of Health Care, Program Evaluation, Social Isolation, Social Marketing, Surveys and Questionnaires.
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.
Url:
DOI: 10.1017/S0021932006001829
Affiliations:
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Sci</title><idno type="ISSN">0021-9320</idno><idno type="eISSN">1469-7599</idno><imprint><publisher>Cambridge University Press</publisher><pubPlace>Cambridge, UK</pubPlace><date type="published" when="2007">2007</date><biblScope unit="volume">39</biblScope><biblScope unit="issue">5</biblScope><biblScope unit="page" from="721">721</biblScope><biblScope unit="page" to="733">733</biblScope></imprint><idno type="ISSN">0021-9320</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0021-9320</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>AIDS</term><term>Acceptance</term><term>Adult</term><term>Chronic disease</term><term>Community</term><term>Community Health Workers</term><term>Council</term><term>Counseling (utilization)</term><term>Cross-Sectional Studies</term><term>Diagnosis</term><term>Female</term><term>Focus Groups</term><term>Ghana</term><term>HIV Infections (diagnosis)</term><term>HIV Infections (prevention & control)</term><term>HIV Infections (psychology)</term><term>Health Care Surveys</term><term>Health Knowledge, Attitudes, Practice</term><term>Human immunodeficiency virus</term><term>Humans</term><term>Legislation</term><term>Male</term><term>Medical screening</term><term>North</term><term>Patient Acceptance of Health Care</term><term>Program Evaluation</term><term>Public health</term><term>Public inquiry</term><term>Rural Health Services (utilization)</term><term>Rural environment</term><term>Serology</term><term>Social Isolation</term><term>Social Marketing</term><term>Stigma</term><term>Surveys and Questionnaires</term><term>Volunteering</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Acceptation des soins par le patient</term><term>Adulte</term><term>Agents de santé communautaire</term><term>Assistance (utilisation)</term><term>Connaissances, attitudes et pratiques en santé</term><term>Enquêtes et questionnaires</term><term>Enquêtes sur les soins de santé</term><term>Femelle</term><term>Ghana</term><term>Groupes focalisés</term><term>Humains</term><term>Infections à VIH ()</term><term>Infections à VIH (diagnostic)</term><term>Infections à VIH (psychologie)</term><term>Isolement social</term><term>Marketing social</term><term>Mâle</term><term>Services de santé ruraux (utilisation)</term><term>Études transversales</term><term>Évaluation de programme</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Ghana</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="prevention & control" xml:lang="en"><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="utilisation" xml:lang="fr"><term>Assistance</term><term>Services de santé ruraux</term></keywords><keywords scheme="MESH" qualifier="utilization" xml:lang="en"><term>Counseling</term><term>Rural Health Services</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Community Health Workers</term><term>Cross-Sectional Studies</term><term>Female</term><term>Focus Groups</term><term>Health Care Surveys</term><term>Health Knowledge, Attitudes, Practice</term><term>Humans</term><term>Male</term><term>Patient Acceptance of Health Care</term><term>Program Evaluation</term><term>Social Isolation</term><term>Social Marketing</term><term>Surveys and Questionnaires</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Acceptation des soins par le patient</term><term>Adulte</term><term>Agents de santé communautaire</term><term>Connaissances, attitudes et pratiques en santé</term><term>Enquêtes et questionnaires</term><term>Enquêtes sur les soins de santé</term><term>Femelle</term><term>Ghana</term><term>Groupes focalisés</term><term>Humains</term><term>Infections à VIH</term><term>Isolement social</term><term>Marketing social</term><term>Mâle</term><term>Études transversales</term><term>Évaluation de programme</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Acceptation</term><term>Communauté</term><term>Conseil</term><term>Diagnostic</term><term>Dépistage</term><term>Enquête publique</term><term>Ghana</term><term>Législation</term><term>Maladie chronique</term><term>Maladie stigmatisante</term><term>Milieu rural</term><term>Nord</term><term>SIDA</term><term>Santé publique</term><term>Stigmate</term><term>Sérologie</term><term>Virus immunodéficience humaine</term><term>Volontariat</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Ghana</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Législation</term><term>Maladie chronique</term><term>Santé publique</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">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.</div></front></TEI><affiliations><list><country><li>Ghana</li></country><region><li>Région du Grand Accra</li></region><settlement><li>Accra</li><li>Legon (Ghana)</li></settlement><orgName><li>Université du Ghana</li></orgName></list><tree><country name="Ghana"><noRegion><name sortKey="Baiden, F" sort="Baiden, F" uniqKey="Baiden F" first="F." last="Baiden">F. Baiden</name></noRegion><name sortKey="Akanlu, G" sort="Akanlu, G" uniqKey="Akanlu G" first="G." last="Akanlu">G. Akanlu</name><name sortKey="Akweongo, P" sort="Akweongo, P" uniqKey="Akweongo P" first="P." last="Akweongo">P. Akweongo</name><name sortKey="Binka, F" sort="Binka, F" uniqKey="Binka F" first="F." last="Binka">F. Binka</name><name sortKey="Debpuur, C" sort="Debpuur, C" uniqKey="Debpuur C" first="C." last="Debpuur">C. Debpuur</name><name sortKey="Hodgson, A" sort="Hodgson, A" uniqKey="Hodgson A" first="A." last="Hodgson">A. Hodgson</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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