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 : 000174 ( Pmc/Checkpoint ); précédent : 000173; suivant : 000175Factors 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.
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.
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DOI: 10.1186/s41043-015-0035-8
PubMed: 26825809
PubMed Central: 5025995
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">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</title><author><name sortKey="Apanga, Paschal A" sort="Apanga, Paschal A" uniqKey="Apanga P" first="Paschal A." last="Apanga">Paschal A. 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></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">26825809</idno><idno type="pmc">5025995</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5025995</idno><idno type="RBID">PMC:5025995</idno><idno type="doi">10.1186/s41043-015-0035-8</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">000162</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000162</idno><idno type="wicri:Area/Pmc/Curation">000161</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000161</idno><idno type="wicri:Area/Pmc/Checkpoint">000174</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000174</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">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</title><author><name sortKey="Apanga, Paschal A" sort="Apanga, Paschal A" uniqKey="Apanga P" first="Paschal A." last="Apanga">Paschal A. 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></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 sortKey="Leta, Th" uniqKey="Leta T">TH Leta</name></author><author><name sortKey="Sand Y, If" uniqKey="Sand Y I">IF Sandøy</name></author><author><name sortKey="Fylkesnes, K" uniqKey="Fylkesnes K">K Fylkesnes</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Myerson, R" uniqKey="Myerson R">R Myerson</name></author><author><name sortKey="Makela, Sm" uniqKey="Makela S">SM Makela</name></author><author><name sortKey="Chandrasekhar, C" uniqKey="Chandrasekhar C">C Chandrasekhar</name></author><author><name sortKey="Mathew, S" uniqKey="Mathew S">S Mathew</name></author><author><name sortKey="Chakraborty, S" uniqKey="Chakraborty S">S Chakraborty</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Li, J" uniqKey="Li J">J Li</name></author><author><name sortKey="Gilmour, S" uniqKey="Gilmour S">S Gilmour</name></author><author><name sortKey="Zhang, H" uniqKey="Zhang H">H Zhang</name></author><author><name sortKey="Koyanagi, A" 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 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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 Omollo</name></author><author><name sortKey="Wanzala, P" uniqKey="Wanzala P">P Wanzala</name></author><author><name sortKey="Adhimabo, M" uniqKey="Adhimabo M">M Adhimabo</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kelley, Al" uniqKey="Kelley A">AL Kelley</name></author><author><name sortKey="Karita, E" uniqKey="Karita E">E Karita</name></author><author><name sortKey="Sullivan, Ps" uniqKey="Sullivan P">PS Sullivan</name></author><author><name sortKey="Katangulia, F" uniqKey="Katangulia F">F Katangulia</name></author><author><name sortKey="Chomba, E" uniqKey="Chomba E">E Chomba</name></author><author><name sortKey="Carael, M" uniqKey="Carael M">M Carael</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Nyonator, Fk" uniqKey="Nyonator F">FK Nyonator</name></author><author><name sortKey="Awoonor Williams, Jk" uniqKey="Awoonor Williams J">JK 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" 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<front><journal-meta><journal-id journal-id-type="nlm-ta">J Health Popul Nutr</journal-id><journal-id journal-id-type="iso-abbrev">J Health Popul Nutr</journal-id><journal-title-group><journal-title>Journal of Health, Population, and Nutrition</journal-title></journal-title-group><issn pub-type="ppub">1606-0997</issn><issn pub-type="epub">2072-1315</issn><publisher><publisher-name>BioMed Central</publisher-name><publisher-loc>London</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">26825809</article-id><article-id pub-id-type="pmc">5025995</article-id><article-id pub-id-type="publisher-id">35</article-id><article-id pub-id-type="doi">10.1186/s41043-015-0035-8</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title>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</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Apanga</surname><given-names>Paschal A.</given-names></name><address><email>awingura@yahoo.com</email></address><xref ref-type="aff" rid="Aff1">1</xref></contrib><contrib contrib-type="author"><name><surname>Akparibo</surname><given-names>Robert</given-names></name><xref ref-type="aff" rid="Aff2">2</xref></contrib><contrib contrib-type="author"><name><surname>Awoonor-Williams</surname><given-names>John K.</given-names></name><xref ref-type="aff" rid="Aff3">3</xref></contrib><aff id="Aff1"><label>1</label>Talensi District Hospital, Ghana Health Service, PMB, Tongo, Upper East Region Ghana</aff><aff id="Aff2"><label>2</label>School of Health and Related Research (ScHARR), University of Sheffield, Sheffield, UK</aff><aff id="Aff3"><label>3</label>Regional Health Directorate, Ghana Health Service, Bolgatanga, Upper East Region Ghana</aff></contrib-group><pub-date pub-type="epub"><day>21</day><month>11</month><year>2015</year></pub-date><pub-date pub-type="pmc-release"><day>21</day><month>11</month><year>2015</year></pub-date><pub-date pub-type="collection"><year>2015</year></pub-date><volume>33</volume><elocation-id>23</elocation-id><history><date date-type="received"><day>29</day><month>6</month><year>2015</year></date><date date-type="accepted"><day>16</day><month>11</month><year>2015</year></date></history><permissions><copyright-statement>© Apanga et al. 2015</copyright-statement><license license-type="OpenAccess"><license-p><bold>Open Access</bold>This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">http://creativecommons.org/licenses/by/4.0/</ext-link>), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/publicdomain/zero/1.0/">http://creativecommons.org/publicdomain/zero/1.0/</ext-link>) applies to the data made available in this article, unless otherwise stated.</license-p></license></permissions><abstract id="Abs1"><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></abstract><kwd-group xml:lang="en"><title>Keywords</title><kwd>HIV</kwd><kwd>AIDS</kwd><kwd>VCT</kwd><kwd>Uptake</kwd><kwd>Awareness</kwd><kwd>Ghana</kwd></kwd-group><custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name><meta-value>© The Author(s) 2015</meta-value></custom-meta></custom-meta-group></article-meta></front></pmc><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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