Evidence map›Paper›PMID 30257660›Full record

ArticleBMC health services research2018

Availability of HIV services along the continuum of HIV testing, care and treatment in Ghana.

Stephen Ayisi Addo, Marijanatu Abdulai, Alfred Yawson, Akosua N Baddoo, Jinkou Zhao, Nibretie Workneh, Ivy Okae, Ekow Wiah

Abstract read
In one paragraph

Article in BMC health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Stephen Ayisi AddoNational AIDS/STI Control Programme, Ghana Health Service, Accra, Ghana.
Marijanatu AbdulaiNational AIDS/STI Control Programme, Ghana Health Service, Accra, Ghana. mabduali@nacp.org.gh.
Alfred YawsonNational AIDS/STI Control Programme, Ghana Health Service, Accra, Ghana.
Akosua N BaddooNational AIDS/STI Control Programme, Ghana Health Service, Accra, Ghana.
Jinkou ZhaoThe Global Fund to fight AIDS TB and Malaria, Geneva, Switzerland.
Nibretie WorknehThe Global Fund to fight AIDS TB and Malaria, Geneva, Switzerland.
Ivy OkaeNational AIDS/STI Control Programme, Ghana Health Service, Accra, Ghana.
Ekow WiahNational AIDS/STI Control Programme, Ghana Health Service, Accra, Ghana.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGhana has been providing HIV and AIDS services since the identification of the first case in 1986 and added highly active antiretroviral therapy to its comprehensive care in 2003.This study aimed at assessing availability of HIV services along the continuum of HIV care in Ghana.

methodA cross sectional study was conducted among 172 (87%) of the total 197 ART canters in Ghana. Data was collected by self-administered questionnaire and analysed using STATA version 13.

resultsOf the 172 health facilities surveyed, 165 (96%) were offering HIV testing Services (HTS) during the survey period. More than 90% of the surveyed facilities reported to offer Anti-Retroviral Treatment (ART), patient counselling, TB screening and Prevention of Mother to Child Transmission (PMTCT) services. Viral load and Early Infant Diagnosis (EID) and laboratory testing services were reported at 10 (5.8%) and 23 (13.4%) respectively. HIV testing services (HTS), PMTCT, ART, patient counselling and opportunistic infections (OI) prophylaxis services were offered at all Tertiary and Regional hospitals surveyed. EID sample collection and testing services was reported at 2 out of 27 (7.4%) of the Health Centre and/or clinics in Ghana. The common adherence assessment methodology being implemented varied by facilities which included: asking patients if they took their drugs 154 (89.5%), pill counting 131 (76.2%), use of follow-up visit 79(45.9%) and use of CD4 counts, viral loads and clinical manifestation 76 (44.2%). Challenges encountered by facilities included shortage of test reagents and drugs 122 (71%), 111 (65%) respectively and patient compliance 101 (59%).

conclusionThis study showed ART services to be available in most facilities. Methods used to assess patients adherence varied across facilities. Shortage of test reagents and drugs, EID sample collection and testing were major challenges. A standardised approach to assessing patient's adherence is recommended. Measures should be put in place to ensure availability of HIV commodities at all levels.

Indexed as

Antiretroviral Therapy, Highly ActiveHIV InfectionsPatient ComplianceAdultCD4 Lymphocyte CountChildCross-Sectional StudiesEarly DiagnosisFemaleGhanaHealth FacilitiesHumansInfantInfectious Disease Transmission, VerticalMalePregnancyAvailabilityContinuumGhanaHIVServicesTestingTreatment

Identifiers

PMID30257660
PMCPMC6158882

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.