Main Article Content
Abstract
Globally, human immunodeficiency virus (HIV) infection remains a public health threat and is worse in Sub-Saharan Africa. HIV/AIDS in Ghana is a serious concern and a threat to the youth, which constitute the workforce. Innovative HIV Services have the potential to address low HIV testing rates; however, the dynamics of HIV uptake are not well understood among the youth. This study, therefore, examined the evidence of knowledge of HIV status and barriers to the uptake of HIV Services among the youth in Asutifi North District. The study adopted a quantitative approach by administering questionnaires to 387 youth in the district. Subsequently, the data were coded and analyzed in STATA 14.0 Statistical Software. Findings from the study demonstrated that there was inadequate knowledge of HIV status among the youth, and they preferred to know their HIV status. A high proportion of youth have never heard of HIV Testing and Counseling (HTC) Services. All barriers that prevented the efficient uptake of HIV testing and counseling services included personal level barriers (stigma and discrimination) and health workers' attitudes that hindered the efficient uptake of HTC services. HIV testing and knowing one’s HIV status are most common among married young women (OR = 3.52; p 0.001; 95% CI = 1.80–7.88). The most preferred HIV testing strategy is the "Know Your Status" campaign, while PITC has the potential to improve knowledge of HIV status. The study concludes that among the youth in Asutifi North District, there are low knowledge of HIV status, and personal and health system barriers prevent the uptake of HTC services. Being married among the youth is associated with knowledge of one’s HIV status, especially for young women. The Know Your Status campaign is also the most preferred HIV testing strategy among the youth in Asutifi North District.
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References
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References
Ameyaw, E. O. (2018). Factors Affecting The Uptake Of HIV Testing And Counselling Among The Youth In The Sefwi Wiawso Municipality. The Open AIDS Journal, 10(6), 34–38.
Ankrah, D., Koster, E., Mantel-Teeuwisse, A., Arhinful, D., Agyepong, I., & Lartey, M. (2016). Facilitators and barriers to antiretroviral therapy adherence among adolescents in Ghana. Dove Medical Press, 329–337.
Bandason, T., Mchugh, G., Dauya, E., Mungofa, S., Munyati, S. M., Weiss, H. A., Mujuru, H., Kranzer, K., & Ferrand, R. A. (2016). Validation of a screening tool to identify older children living with HIV in primary care facilities in high HIV prevalence settings. Aids, 30(5), 779–785. https://doi.org/10.1097/QAD.0000000000000959
Bassett, I. V., Regan, S., Chetty, S., Giddy, J., Uhler, L. M., Holst, H., Ross, D., Katz, J. N., Walensky, R. P., Freedberg, K. A., & Losina, E. (2010a). Who starts antiretroviral therapy in Durban, South Africa?. not everyone who should. In Aids (Vol. 24, Issue SUPPL. 1). https://doi.org/10.1097/01.aids.0000366081.91192.1c
Bassett, I. V., Regan, S., Chetty, S., Giddy, J., Uhler, L. M., Holst, H., Ross, D., Katz, J. N., Walensky, R. P., Freedberg, K. A., & Losina, E. (2010b). Who starts antiretroviral therapy in Durban, South Africa?. not everyone who should. In Aids (Vol. 24, Issue SUPPL. 1). https://doi.org/10.1097/01.aids.0000366081.91192.1c
Bowles, H. K., Dykes, P., & Demiris, G. (2017). The Use of Health Information Technology to Improve Care and Outcomes for Older Adults. HSS, 176(3), 139–148. https://doi.org/10.1016/j.physbeh.2017.03.040
Ghana AIDS Commision. (2017). National and Sub-National HIV and AIDS Estimates and Projections Report.
Hallmark, C. J., Skillicorn, J., Giordano, T. P., Davila, J. A., McNeese, M., Rocha, N., Smith, A., Cooper, S., & Castel, A. D. (2014). HIV testing implementation in two urban cities:Practice, policy, and perceived barriers. PLoS ONE, 9(10), 1–10. https://doi.org/10.1371/journal.pone.0110010
Kiplagat, J., & Huschke, S. (2018). HIV testing and counselling experiences: A qualitative study of older adults living with HIV in western Kenya. BMC Geriatrics, 18(1), 1–10. https://doi.org/10.1186/s12877-018-0941-x
Leon, N., Naidoo, P., Mathews, C., Lewin, S., & Lombard, C. (2010). The impact of provider-initiated (opt-out) HIV testing and counseling of patients with sexually transmitted infection in Cape Town, South Africa: A controlled trial. Implementation Science, 5(1), 1–11. https://doi.org/10.1186/1748-5908-5-8
Loos, J., Manirankunda, L., Hendrick, K., Remmen, R., & Nostlinger, C. (2014a). HIV testing in primary care: Feasibility and acceptability of provider initiated HIV testing and counseling for Sub-Saharan African migrants. AIDS Education and Prevention, 26(1), 81–93. https://doi.org/10.1521/aeap.2014.26.1.81
Loos, J., Manirankunda, L., Hendrick, K., Remmen, R., & Nostlinger, C. (2014b). HIV testing in primary care: Feasibility and acceptability of provider initiated HIV testing and counseling for Sub-Saharan African migrants. AIDS Education and Prevention, 26(1), 81–93. https://doi.org/10.1521/aeap.2014.26.1.81
MacPhail, C. L., Pettifor, A., Coates, T., & Rees, H. (2008). “You must do the test to know your status”: attitudes to HIV voluntary counseling. Health Educ Behav, 35(1), 87–104. https://doi.org/10.1177/1090198106286442
Maheu-Giroux, M., Marsh, K., Doyle, C., Godin, A., Delaunay, C. L., Johnson, L. F., Jahn, A., Abo, K., Mbofana, F., & Boily, M.-C. (2019). National HIV testing and diagnosis coverage in sub-Saharan Africa: a new modeling tool for estimating the" first 90" from program and survey data. BioRxiv, 9.
Musheke, M., Ntalasha, H., Gari, S., Mckezie, O., Bond, V., Martin-Hilber, A., & Merten, S. (2013). A systematic review of qualitative findings on factors enabling and deterring uptake of HIV testing in Sub-Saharan Africa. BMC Public Health, 13, 220.
Naswa, S., & Marfatia, Y. S. (2010). Adolescent HIV/AIDS: Issues and challenges. In Indian Journal of Sexually Transmitted Diseases (Vol. 31, Issue 1, pp. 1–10). Wolters Kluwer -- Medknow Publications. https://doi.org/10.4103/0253-7184.68993
Oppong Asante, K. (2013a). HIV/AIDS knowledge and uptake of HIV counselling and testing among undergraduate private university students in Accra, Ghana. Reproductive Health, 10(1), 1–8. https://doi.org/10.1186/1742-4755-10-17
Oppong Asante, K. (2013b). HIV/AIDS knowledge and uptake of HIV counselling and testing among undergraduate private university students in Accra, Ghana. Reproductive Health, 10(1), 1–8. https://doi.org/10.1186/1742-4755-10-17
Sidibé, M. (2017). “HIV TESTING IS AN ESSENTIAL ENTRY POINT TO HIV TREATMENT, PREVENTION, CARE AND SUPPORT SERVICES.".
Staveteig, S., Croft, T. N., Kampa, K. T., & Head, S. K. (2017). Reaching the ‘first 90’: Gaps in coverage of HIV testing among people living with HIV in 16 African countries. PLOS ONE, 12(10), e0186316. https://doi.org/10.1371/journal.pone.0186316
Tabana, H., Doherty, T., Rubenson, B., Jackson, D., Ekström, A. M., & Thorson, A. (2013). “Testing Together Challenges the Relationship”: Consequences of HIV Testing as a Couple in a High HIV Prevalence Setting in Rural South Africa. PLoS ONE, 8(6), 4–11. https://doi.org/10.1371/journal.pone.0066390
The United Nation. (2008). Defenition Of Youth.
UNAIDS. (2014). To help end the AIDS epidemic. United Nations, 40.
UNAIDS. (2018). Factsheet - July 2018: 2017 Global Hiv Statistics. Unaids, 6.
WHO. (2019). WHO | HIV/AIDS. WHO.
WHO & UNAIDS. (2007). 2007 AIDS epidemic update (p. 60).