Knowledge of Human Immuno Deficiency Virus (HIV) Status and Preferred Testing Approach among Men in Bono Region, Ghana
Hamidatu Banawabali Seidu *
Nursing and Midwifery Training College, Sunyani, Ghana.
Philip Gyaase
Nursing and Midwifery Training College, Dunkwa-On-Offin, Ghana.
Desmond Kuupiel
185 Mary Thiphe Street, Manor Gardens, Durban, 4001, University of KwaZulu-Natal, South Africa.
Ernest Osei
Catholic University of Ghana Fiapre, Sunyani, Ghana.
*Author to whom correspondence should be addressed.
Abstract
Background: Countries are making progress towards the global goal of 90% of people with HIV knowing their status by 2020 and 95% by 2030. In 2019 about 19% of all those living with HIV worldwide were undiagnosed. The study sought to assess the knowledge of HIV status and preferred testing approach among men in the Bono Region, Ghana.
Methods: A cross-sectional survey involving 403 men aged 18 years and above who were accessing HIV counselling and testing services in seven major health facilities in the Bono region was employed. The data were analysed by using SPSS version 25.0 software with both descriptive and inferential analysis. Data were presented using frequencies, tables and charts. Statistical significance for all testing was set as 0.05.
Results: The results revealed that most of the respondents were below 30 years with mean age of 42.5 and standard deviation of 6.8. The prevalence rate of men who knew their HIV status in the Bono region was 55.6% and the preferred HIV testing approach was self-testing (61.3%). The reasons for the preferred approach was privacy (41%) and the predictor of HIV status was awareness (source of knowledge was significant; OR= 0.67 (95%CI=0.32,1.4); p-value=0.003. The location of the testing facility was statistically significant with OR= 1.66(95%CI=0.94,2.93); p-value=0.002 as well as marital status and occupation of the respondents were also statistically significant with OR=4.86 (95%CI=1.8-79); p-value=0.000 respectively.
Conclusion: The study concludes that if men are exposed to the facts about HIV testing services, the misconception about the disease will be reduced and more men will be involved in the HIV testing services. The study recommends that Policies, interventions and measures on testing should be integrated in a common health problem that brings men to hospitals just as done in women. Management of the health facilities should continue with the education on HIV testing services especially among men who are yet to undertake such services to prevent fear and anxiety. Further study is required to guide a differentiated approach to programmatic interventions. Encourage a similar survey in different region to confirm or disconfirm the findings of this study.
Keywords: Knowledge, HIV/AIDS, preferred testing and Bono Region
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References
World Health Organization. Guidance on provider-initiated HIV testing and Counseling in health facilities. WHO publications; 2020.
Mwinituo PP, Wright SC. Lived experiencies of Ghanaian women Diagnosed. African journal of Nursing and Midwifery. 2016;12(2):36-47.
Lamptey PR, Johnson JL, Khan M. The gobal challenge of HIV and AIDS. Population Bulletin. 2016;61(1):1-24.
WHO. Guidance on provider-initiated HIV testing and Counseling in health facilities. WHO publications; 2022.
United nations general assembly. Political Declaration on HIV and AIDS: Intensifying Efforts to Eliminate HIV and AIDS. In 95th Plenary Meeting; 2017.
USAIDS. UNAIDS Report on the global AIDS epidemic. United National General Assembly Special Session on HIV/AIDS; 2017.
Family health international. Voluntary HIV counseling and testing services for youth and linkages with other reproductive health services in Tanzania. Youth Research Working Paper No. 5,. North Carolina: Family Health International; 2016.
Summerfield L. Adolescents and AIDS. Advanced Journal of Food Science and Technology. 2017;134-136.
Wilcher R, Sekandi JN, Sempeera H, List J, Mugerwa MA, Asiimwe S, Yin X, Whalen C. High acceptance of home-based HIV counseling and testing in an urban community setting in Uganda. BMC Public Health. 2016;11(1);730.
Wringe A, Isingo R, Urassa M, Maiseli G, Manyalla R, Changalucha J, Zaba B. Uptake of HIV voluntary counselling and testing services in rural Tanzania: implications for effective HIV prevention and equitable access to treatment. Tropical Medicine & International Health. 2018; 13(3):319–327.
GHS/MOH/UNFPA. Training Manual for health care providers in Ghana 1st Ed. Accra: GHS/MOH/UNFPA; 2015.
Mwandira J. A Comparative study of effectiveness of youth peer HTS counselors and adult counselors (Health Workers) in Promoting Uptake of HIV Counseling and Testing among the Youth in Lilongwe District. Lilongwe: Malawi University; 2015.
GSS. Ghana demographic and health survey 2018. Accra: Ghana Statistical Service and Ghana Health Service; 2018.
Marum E, Taegtmeyer M, Parekh, B, Mugo NL, Lembariti S, Phiri MM, Cheng A. What Took You So Long? The Impact of PEPFAR on the Expansion of HIV Testing and Counseling Services in Africa. JAIDS Journal of Acquired Immune Deficiency Syndromes. 2015;60:S63–S69.
Matovu JK, Makumbi FE. Expanding access to voluntary HIV counselling and testing in sub-Saharan Africa: alternative approaches for improving uptake. Tropical Medicine & International Health. 2017; 12(11):1315–1322.
National AIDS/STI Control Program. 2015 HIV sentinel survey report. Accra: Ghana Ministry of Health; 2015.
Iliyasu Z, Abubakar IS. Voluntary Counseling and testing (HTS) and young people for FHI. Journal of Biosoc. Science. 2020;(39):721–733.
Nuwaha F, Kabatesi D, Muganwa M, Whalen CC. Factors influencing acceptability of voluntary counseling and testing for HIV in Bushenyi district of Uganda. East African medical journal. 2016;79(12):626–632.
Nwachukwu CE, Odimegwu C. Regional patterns and correlates of HIV voluntary counselling and testing among youths in Nigeria. African Journal Of Reproductive Health. 2016;15(2):131–146.
Ostermann J, Reddy EA, Shorter MM, Muiruri C, Mtalo A, Itemba DK, Thielman NM. Who Tests, Who Doesn’t, and Why? Uptake of Mobile Uptake of Mobile HIV counseling and testing in the kilimanjaro region of Tanzania. PLoS ONE. 2015;6(1): e16488.
Jereni BH, Muula AS. Availability of supplies and motivations for accesing voluntary HIV counseling and testing services in Blantyre, Malawi Biomed Central. Biomedcentral journal; 2018.
Ghana AIDS Commission. Ghana country AIDS progress report. Ghana AIDS Commission. Accra: Ghana country AIDS progress report; 2017.
Ulasi CI, Preko PO, Baidoo JA, Bayard B, Ehiri JE, Jolly CM, Jolly PE. HIV/AIDS-related stigma in Kumasi, Ghana. Health & place. 2019;15(1);255–262.
Uzochukwu B, Uguru N, Ezeoke U, Onwujekwe O, Sibeudu T. Voluntary counseling and testing (VCT) for HIV/AIDS: A study of the knowledge, awareness and willingness to pay for VCT among students in tertiary institutions in Enugu State Nigeria. Health Policy. 2017; 99(3):277–284.
Sekandi JN, Sempeera, Martin E. Integrating family planning & voluntary counseling and testing services in Ghana. Accra: Ghanaids.gov.gh; 2020.
Luginaah IN, Yiridoe EK, Taabazuing MM. From mandatory to voluntary testing: Balancing human rights, religious and cultural values, and. HIV/AIDS prevention in Ghana. Social Science & Medicine. 2015;61(8):1689–1700.
Agha S. Factors associated with HIV testing and conom use in Mozambique: Implications for programs. BioMed Central. 2015;9(12).
Angotti N, Bula A, Gaydosh L, Kimchi E, Thornton RL, Yeatman SE. Increasing the acceptability of HIV counseling and testing with three C’s: Convenience, confidentiality and credibility. Social Science & Medicine. 2019;68(12):2263–2270.
Ayibani, Imoro T. Ghana: Bono regional coordinating council inaugurated in Sunyani. All Africa.com: 2019.
Baiden F, Akanlu G, Hodgson A, Akweongo P, Debpuur C, Binka F. Using lay counsellors to promote community-based voluntary counselling and HIV testing in rural northern Ghana: A baseline survey on community acceptance and stigma. Journal of biosocial science. 2015; 39(5):721.
Boakye AC, Edna A. Lets wait for police investigation into death of 14 year old final year student. Accra: Citinewsroom; 2021.
Ghana statistical service. Ghana Population Census Report. Accra: GSS; 2018.
Branson BM. To Screen or Not to Screen: Is That Really the Question? Annals of Internal Medicine. 2016;145(11):857–859.
BRHD. Bono Region HTC Data for 2017. Sunyani: Regional health directorate; 2018.
Bayer R, & Edington C. HIV Testing, Human Rights, and Global AIDS Policy:Exceptionalism and Its Discontents. Journal of Health Politics, Policy and Law. 2019;34(3);301–323.
Obermeyer CM, Osborn M. The utilization of testing and counseling for HIV: A review of the social and behavioral evidence. Journal Information. 2017;97(10).
Irungu TK, Varkey P, Cha S, Patterson JM. HIV voluntary counselling and testing in Nakuru, Kenya: Findings from a community survey. HIV medicine. 2018; 9(2):111–117.
Imoro T, Marum E. Shadow on the continent:public health and HIV/AIDS in Africa in the 21st century. The Lancet. 2019;360(9326).
Hendriksen ES, Hlubinka D, Chariyalertsak S, Chingono A, Gray G, Mbwambo J. Keep talking about it: HIV/AIDS-related communication and prior HIV testing in Tanzania, Zimbabwe, South Africa, and Thailand. AIDS and Behavior. 2019;13(6): 1213–1221.
Boswell D, Baggaley R, Kabir M, Aliyu MH. Knowledge of HIV/AIDS and attitude towards voluntary counseling and testing among adults. Journal of the National Medical Association. 2016;98(12):1917–1922.
Kebaabetswe P, Ndase P, Mujugira A, Sekoto T, Ntshimane M, Owor A, Essex M. Perceptions of couple HIV counseling and testing in Botswana: A stakeholder analysis. Patient education and counseling. 2010;79(1):120–123.
Larsson EC, Thorson A, Nsabagasani X, Namusoko S, Popenoe R, Ekström AM. Mistrust in marriage-Reasons why men do not accept couple HIV testing during antenatal care-a qualitative study in eastern Uganda. BMC public health. 2015; 10(1):769.