Utilization of HIV Testing and Counseling in Ghana: Implications for Universal Coverage

Alfred E. Yawson, Phyllis Dako-Gyeke, Stephen Ayisi Addo, Bernard T. Dornoo, Nii Akwei Addo

Abstract

HIV testing and counselling (HTC)  is a gateway to all systems of AIDS-related care. This study examined national programme data to highlight gaps in HTC service utilization, regional differences and differential use of various HTC programs in Ghana in the period, 2007-2010. Analysis showed HTC increased rapidly across the country, however the increase was not uniform across the 10 regions.  Also huge differential use of current HTC programs (Diagnostic Centre(DCs), Know Your Status campaigns(KYS) and PMTCT Centres) emphasized differential preferences of various testing programmes. Testing through KYS was substantially higher than testing done at DCs. However, HIV positive test rates at DCs were comparatively higher across the  regions than those of KYS. KYS thus attracts and conducts huge numbers of HIV tests, yet it captures relatively low HIV positives. A well structured and more targeted expansion of facility-based HTC services to capture most vulnerable population groups is needed. (Afr J Reprod Health 2014; 18[1]: 145-155).

 

Keywords: HIV testing and counseling, HIV testing programs, regional differences, National AID/STI Control Program, Ghana  

 

Résumé

Le dépistage et le conseil (DC) à l’égard du VIH est une passerelle vers tous les systèmes de soins liés au sida. Cette étude a examiné les données des programmes nationaux de mettre en évidence des lacunes dans l'utilisation des services de DC, les différences régionales et de l'utilisation différentielle des divers programmes DC au Ghana dans la période 2007-2010. L'analyse a montré que le DC a augmenté rapidement à travers le pays, mais l'augmentation n'est pas uniforme dans les 10 régions. En plus,  l’utilisation différentielle énorme  des programmes actuels de DC  (Centre de diagnostic (CD), les campagnes « Connaissez votre statut  immunologique » (CVS) et des Centres de la (PTME) ont souligné les préférences différentielles de divers programmes de dépistage. Le dépistage à travers le CVS était sensiblement plus élevé que les dépistages effectués aux CDs. Toutefois, les taux de dépistages positifs pour le VIH dans les pays en développement ont été relativement plus élevés à travers  les régions que celles de CVS. Le CVS attire donc et effectue un très grand nombre de dépistage du VIH, mais il capte la séropositivité relativement faible. Il faut une expansion bien structurée et plus ciblée des services de DC dans des établissements de santé pour capturer les groupes de population les plus vulnérables. (Afr J Reprod Health 2014; 18[1]: 145-155).

 

Mots-clés: dépistage du VIH et de conseil, programmes de dépistage du VIH,  différences régionales, programme national de


contrôle du SIDA / IST, Ghana

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