Evidence map›Paper›PMID 37316935›Full record

ArticleHealth research policy and systems2023

A qualitative analysis of factors influencing the implementation of antiretroviral treatment adherence policy in Ghana: stakeholders perspective.

Martha Ali Abdulai, Fraukje E F Mevissen, Veerle Marien, Robert A C Ruiter, Seth Owusu-Agyei, Kwaku Poku Asante, Arjan E R Bos

Open access · goldAbstract read
In one paragraph

Article in Health research policy and systems, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 20% of its field
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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
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

7 authors at 4 institutions in 2 countries.

Martha Ali AbdulaiResearch and Development Division, Kintampo Health Research Centre, Ghana Health Service, P.O Box, 200, Kintampo-Bono East Region, Ghana. martha.abdulai@maastrichtuniversity.nl.ORCID http://orcid.org/0000-0002-3469-2610
Fraukje E F MevissenDepartment of Work and Social Psychology, Maastricht University, P.O. Box 616, 6200 MD, Maastricht, The Netherlands.
Veerle MarienDepartment of Work and Social Psychology, Maastricht University, P.O. Box 616, 6200 MD, Maastricht, The Netherlands.
Robert A C RuiterDepartment of Work and Social Psychology, Maastricht University, P.O. Box 616, 6200 MD, Maastricht, The Netherlands.
Seth Owusu-AgyeiResearch and Development Division, Kintampo Health Research Centre, Ghana Health Service, P.O Box, 200, Kintampo-Bono East Region, Ghana.
Kwaku Poku AsanteResearch and Development Division, Kintampo Health Research Centre, Ghana Health Service, P.O Box, 200, Kintampo-Bono East Region, Ghana.
Arjan E R BosFaculty of Psychology, Open University, PO Box 2960, 6401 DL, Heerlen, The Netherlands.
Maastricht University · NLKintampo Health Research Centre · GHOpen University of the Netherlands · NLUniversity of Health and Allied Sciences · GH

Funding

Nuffic Ph.D. fellowship grant nr. NFP-Ph. D 170007
6 · The paper itself

Abstract

backgroundThe Joint United Nations Programme on HIV/AIDS launched the 90-90-90 initiative. Failure to meet the target reflects the difficulties in successfully implementing HIV treatment policy. There are research gaps in exploring personal and external factors influencing HIV treatment in Ghana. To fill this gap, we explored individual and environmental (interpersonal, community and structural) factors influencing stakeholders' HIV treatment policy implementation in Ghana.

methodsFifteen qualitative semi-structured in-depth interviews were conducted among representatives in different management positions at hospitals, health directorates, the Ghana AIDS Commission, the National AIDS and STI control program, and the National Association of People Living with HIV.

resultsUsing thematic analysis, the findings suggest that individual and environmental factors such as attitude towards policy, awareness of HIV treatment policy, training received on policy implementation, difficulties related to patient factors, alternate sources of HIV care, inefficient policy decision-making, monitoring and evaluation of HIV treatment policy, lack of HIV treatment policy implementation training, poor availability of logistics, policy and guidelines, infrastructure, organization of training, and staff availability may hinder successful HIV treatment policy implementation.

conclusionSeveral individual and environmental (interpersonal, community and structural) factors seem to influence HIV treatment policy implementation. To ensure successful policy implementation stakeholders need to receive training on new policies, availability of sufficient supplies of material resources, inclusive decision-making, receive supportive monitoring of policy implementation, and oversight.

Indexed as

Acquired Immunodeficiency SyndromeAnti-Retroviral AgentsEvidence GapsGhanaHumansPolicyAnti-Retroviral Agents

Identifiers

PMID37316935
PMCPMC10265905
OpenAlexW4380684799

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.