Evidence map›Paper›PMID 41146001›Full record

SynthesisBMC infectious diseases2025

Prevalence of hepatitis C viral infection in Ghana: a systematic review and meta-analysis.

Peter Kwabena Fosu, Charles Ampong Adjei, Fidelis Atibila, Pearl Aovare, Robert A C Ruiter, Gill Ten Hoor

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC infectious diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

6 authors.

Peter Kwabena FosuDepartment of Works and Social Psychology, Maastricht University, Maastricht, The Netherlands. peter.fosu@maastrichtuniversity.nl.
Charles Ampong AdjeiDepartment of Public Health Nursing, School of Nursing and Midwifery, College of Health Sciences, University of Ghana Legon, Accra, Ghana.
Fidelis AtibilaCentre for Postgraduate Medicine and Public Health, University of Hertfordshire, Hertfordshire, UK.
Pearl AovareDepartment of Public & Occupational Health, Amsterdam UMC, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands.
Robert A C RuiterDepartment of Works and Social Psychology, Maastricht University, Maastricht, The Netherlands.
Gill Ten HoorDepartment of Works and Social Psychology, Maastricht University, Maastricht, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHepatitis C virus (HCV) infection remains a public health threat in Ghana. Current epidemiological data is imperative for shaping policy and designing evidence-driven interventions, with particular focus on advancing the STOP Hepatitis C initiative led by the Ghana Ministry of Health.

objectiveThis systematic review aimed to synthesize evidence on the HCV epidemiological data in Ghana from 2016 to 2025, highlighting population-level and regional variations, identifying high-risk groups, and examining changes in HCV prevalence over the years.

methodsThe review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and the Joanna Briggs Institute methodology. The protocol was registered in the PROSPERO (CRD42024592505). A comprehensive search was conducted across PubMed, Embase (via Ovid), Web of Science, CINAHL and African Journals Online. Data extraction and quality assessment were performed using standardized tools. A total of 53 studies were used for this review with a combined sample size of 487,106 across 12 regions of Ghana.

resultsMeta-analyses using random-effects models revealed an overall pooled national HCV prevalence of 6.04% (95% CI: 3.94% – 8.15%) with significant heterogeneity (I2 = 99.9%, P < .00001). Regional disparities were evident, with the Northern Region having the highest prevalence of 20.9% (95% CI: 10.7% – 31.1%) and the Central Region having the least (1.3%, 95% CI: 0.8% – 1.7%). Subgroup analyses indicated HCV prevalence of 10.9% (95% CI: 7.2% – 14.6%) among patients with liver diseases, 6.4% (95% CI: 5.2% – 7.4%) in blood donors, 1.9% (95% CI: 0.9% – 2.3%) in pregnant women and 1.4% (95% CI: 0.7%—2.1%) in PLHIV. Comparatively, the prevalence observed in our study (6.04%) is higher than previously reported in 2016 (3.0%).

conclusionThis systematic review provides a comprehensive update on the burden of HCV in Ghana, revealing significant regional and population-level disparities. Substantial financial intervention is required for the STOP Hep C campaign, along with the inclusion of HCV-RNA testing in the National Health Insurance Scheme (NHIS) to enhance access to diagnosis. These measures will greatly strengthen the drive towards eliminating hepatitis C by 2030.

Indexed as

Hepatitis CFemaleGhanaHepacivirusHumansPrevalenceGhanaHepatitis CMeta-analysisPrevalenceSystematic reviews

Identifiers

PMID41146001
PMCPMC12560336

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.