ArticleBMJ public health2026
Association of HIV post-exposure prophylaxis knowledge and utilisation among healthcare workers in Ghana: parallel mediation effect of perceived HIV risk and perceived availability of PEP.
Article in BMJ public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: Post-exposure prophylaxis (PEP) for HIV is an effective intervention for preventing HIV transmission after occupational exposures among healthcare workers (HCWs). This study examined the association between PEP knowledge and its utilisation among HCWs in District Hospitals in Ghana and the mediating roles of perceived risk of HIV and availability of PEP in the PEP knowledge-utilisation relationship. Methods: An analytic cross-sectional study was conducted among medical doctors, nurses, midwives and laboratory technicians at district hospitals in the Greater Accra Region of Ghana between January and May 2025. An adapted questionnaire was used to collect data from 786 HCWs who needed PEP services out of 2006 who were sampled using the census sampling approach. The hierarchical binary logistic regression method and the parallel mediation model were used to analyse the data. Results and conclusion: Among HCWs who were exposed and potentially at risk of HIV infection, 52% reported having utilised PEP. Most participants demonstrated good knowledge of PEP (64.2%) with the majority also reporting moderate perceived risk of HIV (69.8%). Moderate social support for PEP was 49.9% and poor social support was 32.2%. Two-thirds of participants reported high availability of PEP (59.8%). Controlling for sociodemographic and social support covariates, HCWs with poor knowledge of PEP, respectively, had 37% (adjusted OR (AOR)=0.63, p=0.030) and 39% (AOR=0.61, p=0.020) lower odds of utilising PEP compared with those with good knowledge. Perceived availability of PEP services partially mediated the relationship between PEP knowledge and utilisation (β=0.16, CI (0.03 to 0.07). It is concluded that perceived availability of PEP services strengthens the relationship between PEP knowledge and utilisation. Providing education and training on PEP coupled with the visible provision of resources for the delivery of PEP services could improve utilisation of PEP among HCWs.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.