ArticleBMC public health2023
Temporal trend analysis of the HIV/AIDS burden before and after the implementation of antiretroviral therapy at the population level from 1990 to 2020 in Ghana.
Article in BMC public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- Stigma-driven bypassing of ART services in Northern Ghana: a qualitative case study.Primary health care research & development · 2026Article
- Fertility counseling experiences and perceived gaps in provider support among people living with HIV: a qualitative study from an antiretroviral therapy clinic in Ghana.Frontiers in reproductive health · 2026Article
- Antiretroviral therapy, perceived health, and fertility decision-making among people living with HIV: a qualitative study at a district antiretroviral therapy clinic in the Ashanti Region, Ghana.Frontiers in reproductive health · 2026Article
- Prevalence and determinants of hypertension among people living with HIV in Ghana: A cross-sectional study.PloS one · 2026Article
- Knowledge, attitudes, and practice gap in female condoms utilization among future health professionals. A cross-sectional study.Frontiers in reproductive health · 2026Article
- Article
- Stakeholders perspective of integrating female genital schistosomiasis into HIV care: A qualitative study in Ghana.PLoS neglected tropical diseases · 2025Article
- Reproductive health at crossroads: progress and challenges since the International Conference on Population and Development in Cairo.China population and development studies · 2025Article
- Student health initiatives for enhanced disease surveillance in Ghana.Frontiers in public health · 2025Article
- What are the priority-setting approaches for HIV/AIDS, TB and malaria programmes in Ghana? A qualitative perspective from key informants.BMJ public health · 2024Article
- Distribution of Candida species isolated from people living with human immunodeficiency virus with oropharyngeal and oral candidiasis in Africa in the era of universal test and treat policy: a systematic review and meta-analysis.Tropical medicine and health · 2024Review
- Perception and experience of HIV-induced stigma among people with HIV seeking healthcare in Ghana.BMC health services research · 2024Article
- Geographical Access to Point-of-care diagnostic tests for diabetes, anaemia, Hepatitis B, and human immunodeficiency virus in the Bono Region, Ghana.BMC health services research · 2024Article
- Syphilis among HIV-positive men who have sex with men in Ghana: The 2023 biobehavioral survey.PloS one · 2024Article
- Achieving the UNAIDS 95-95-95 treatment target by 2025 in Ghana: a myth or a reality?Global health action · 2023Article
- Responsibilities and Challenges of Models of Hope in the HIV/AIDS Care-giving Continuum in Ghana.Journal of the International Association of Providers of AIDS CareArticle
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5 authors.
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Abstract
backgroundAntiretroviral therapy (ART) has helped reduce the burden of human immunodeficiency virus (HIV) and acquired immune deficiency syndrome (AIDS) in the majority of countries. Its contribution to the HIV/AIDS burden in Ghana is still understudied. This study examined HIV/AIDS trends in Ghana before (1990-2004) and after (2004-2020) the implementation and expansion of ART.
methodsWe obtained HIV/AIDS epidemiology and treatment data for the years 1990-2020 from the United Nations Programme on HIV/AIDS. We investigated the impact of the ART rollout on HIV/AIDS in Ghana using Joinpoint regression models.
resultsThe HIV incidence, prevalence, and AIDS-related deaths decreased significantly after 2004, as ART coverage increased from 1% to 2004 to 60% in 2020. The HIV incidence decreased by approximately 3% (AAPC = -2.6%; 95% CI: -3.2, -1.9) per year from 1990 to 2004 and approximately 5% (AAPC = -4.5%; 95% CI: -4.9, -4.2) per year from 2004 to 2020. Between 1990 and 2004, the HIV prevalence increased by approximately 5% (AAPC = 4.7%; 95% CI: 3.6, 5.8) per year but decreased by 2% (AAPC = -1.9%; 95% CI: -2.1, -1.6) per year between 2004 and 2020. Between 1990 and 2004, the annual increase in AIDS-related mortality was 14% (AAPC = 13.8%; 95% CI: 12.6, 15.0), but between 2004 and 2020, it decreased at nearly a 4% (AAPC= -3.6%; 95% CI: -4.7, -2.5) annual rate.
conclusionsWe found trends indicating progress in Ghana's fight against HIV/AIDS. However, the most significant declines occurred after the introduction of ART, suggesting that the scale-up of ART may have contributed to the decline in HIV/AIDS in Ghana. We advocate for the rapid expansion of ART in Ghana.
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