Evidence map›Paper›PMID 37352242›Full record

ArticlePloS one2023

Hepatitis C virus seroprevalence, testing, and treatment capacity in public health facilities in Ghana, 2016-2021; A multi-centre cross-sectional study.

Yvonne Ayerki Nartey, Rafiq Okine, Atsu Seake-Kwawu, Georgia Ghartey, Yaw Karikari Asamoah, Ampem Darko Jnr Siaw, Kafui Senya, Amoako Duah, Alex Owusu-Ofori, Opei Adarkwa and 10 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 7% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

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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

20 authors at 8 institutions in 2 countries.

Yvonne Ayerki NarteyDepartment of Internal Medicine, School of Medical Sciences, University of Cape Coast, Cape Coast, Ghana.ORCID 0000-0003-2891-3082
Rafiq OkineWorld Health Organisation, Country Office, Accra, Ghana.ORCID 0000-0002-9837-9172
Atsu Seake-KwawuNational Viral Hepatitis Control Program, Ghana Health Service, Accra, Ghana.
Georgia GharteyGhana Field Epidemiology and Laboratory Training Programme, School of Public Health, University of Ghana, Legon, Accra, Ghana.
Yaw Karikari AsamoahGhana Field Epidemiology and Laboratory Training Programme, School of Public Health, University of Ghana, Legon, Accra, Ghana.
Ampem Darko Jnr SiawDepartment of Internal Medicine, Cape Coast Teaching Hospital, Cape Coast, Ghana.
Kafui SenyaWorld Health Organisation, Country Office, Accra, Ghana.
Amoako DuahDepartment of Internal Medicine, University of Ghana Medical Centre, Accra, Ghana.
Alex Owusu-OforiDepartment of Clinical Microbiology, School of Medicine and Dentistry, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Opei AdarkwaDepartment of Obstetrics and Gynaecology, Komfo-Anokye Teaching Hospital, Kumasi, Ghana.ORCID 0000-0003-3545-8655
Seth AgyemanDepartment of Biochemistry, Cell and Molecular Biology, University of Ghana, Legon, Accra, Ghana.
Sally Afua BampohDepartment of Internal Medicine, Greater Accra Regional Hospital, Accra, Ghana.
Lindsey HiebertCoalition for Global Hepatitis Elimination, Task Force for Global Health, Decatur, GA, United States of America.
Henry NjugunaCoalition for Global Hepatitis Elimination, Task Force for Global Health, Decatur, GA, United States of America.
Neil GuptaCoalition for Global Hepatitis Elimination, Task Force for Global Health, Decatur, GA, United States of America.
John W WardCoalition for Global Hepatitis Elimination, Task Force for Global Health, Decatur, GA, United States of America.
Lewis Rowland RobertsDivision of Gastroenterology and Hepatology, Department of Medicine, Mayo Clinic Rochester, Rochester, MN, United States of America.
Ansumana Sandy BockarieDepartment of Internal Medicine, School of Medical Sciences, University of Cape Coast, Cape Coast, Ghana.
Yaw Asante AwukuDepartment of Medicine, University of Health and Allied Sciences, Ho, Ghana.
Dorcas Obiri-YeboahDepartment of Microbiology and Immunology, School of Medical Sciences, University of Cape Coast, Cape Coast Ghana.
The Task Force for Global Health · USUniversity of Cape Coast · GHUniversity of Ghana · GHGhana Health Service · GHKomfo Anokye Teaching Hospital · GHKwame Nkrumah University of Science and Technology · GHMayo Clinic in Arizona · USUniversity of Health and Allied Sciences · GH

Funding

World Health Organization 001
6 · The paper itself

Abstract

The current burden of Hepatitis C virus infection and the availability of HCV-related services in Ghana are not well described. Previous estimates on HCV seroprevalence in the country are outdated. This study investigated the HCV seroprevalence and testing and treatment capacity in Ghana. A multi-centre cross-sectional study was conducted in which laboratory and blood bank registers from 17 public healthcare institutions in Ghana were reviewed. A survey on cost and availability of HCV-related testing and treatment was also performed. Crude and pooled estimates of HCV seroprevalence, frequency and median cost of available diagnostic tests and medicines were described. The crude HCV seroprevalence was 2.62% (95% CI 2.53-2.72) and the pooled estimate was 4.58% (95% CI 4.06-5.11) among 103,609 persons tested in laboratories. Age (OR 1.02 95% CI 1.01-1.02) and male sex (OR 1.26 95% CI 1.08-1.48) were predictors of a positive anti-HCV RDT test. Northern administrative regions in Ghana had the highest HCV seroprevalence ranging from 8.3-14.4%. Among 55, 458 potential blood donors, crude HCV seroprevalence was 3.57% (95% CI 3.42-3.72). Testing was through Rapid Diagnostic Test (RDT) kits in most facilities, and only 2 of 17 centres were performing HCV RNA testing. The median cost of an anti-HCV RDT test was $0.97 (0-1.61) and $3.23 (1.61-7.58) for persons with and without government health insurance respectively. The median cost of a 12-week course of the pan-genotypic direct-acting antiviral therapy sofosbuvir-daclatasvir was $887.70. In conclusion, there are significant regional differences in HCV burden across Ghana. Limited access to and cost of HCV RNA and DAA therapy hinders testing and treatment capability, and consequently HCV elimination efforts. A national HCV program supported with a sustainable financing plan is required to accelerate HCV elimination in Ghana.

Indexed as

Hepatitis CHepatitis C, ChronicAntiviral AgentsBlood BanksCross-Sectional StudiesGhanaHepacivirusHumansMaleRNASeroepidemiologic StudiesAntiviral AgentsRNA

Identifiers

PMID37352242
PMCPMC10289322
OpenAlexW4381839024

What OpenQuestion holds

Textmetadata
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.