Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Clinical Trial
. 2021 Feb 17;16(2):e0246876.
doi: 10.1371/journal.pone.0246876. eCollection 2021.

Factors influencing the delivery and uptake of early infant diagnosis of HIV services in Greater Accra, Ghana: A qualitative study

Antoinette Kailey Ankrah  1 , Phyllis Dako-Gyeke  1
Affiliations
Clinical Trial

Factors influencing the delivery and uptake of early infant diagnosis of HIV services in Greater Accra, Ghana: A qualitative study

Antoinette Kailey Ankrah et al. PLoS One. .

Abstract

Background: Early Infant Diagnosis (EID) of HIV and timely initiation of Antiretroviral Therapy (ART) can significantly reduce morbidity and mortality of HIV infected infants. Despite the benefits of early infant testing, the coverage of EID of HIV services is still low in Sub-Saharan Africa, including Ghana.

Objectives: To ascertain the factors that facilitate or hinder the delivery and uptake of EID of HIV services.

Methods: The study is a cross-sectional exploratory qualitative research conducted in two health facilities in the Greater Accra Region of Ghana. Respondents (n = 50) comprising health workers (n = 20) and HIV positive mothers (n = 30) were purposively sampled and engaged in in-depth interviews. The Nvivo 11 software and the Braun and Clarke's stages of thematic analysis were used in coding data and data analysis respectively.

Results: The study found that health system factors such as inadequate Staff with sample collection skills, unavailability of vehicles to convey samples to the reference laboratory for analysis, the long turnaround time for receipt of Polymerase Chain Reaction (PCR) results, inadequate and frequent breakdown of PCR machine hindered EID service delivery. On the other hand, adequate knowledge of health workers on EID, availability of Dried Blood Spot (DBS) cards and the adoption of task shifting strategies facilitated EID service delivery. Factors such as the denial of HIV status, non-completion of the EID process due to frustrations encountered whiles accessing service and delay in receipt of PCR results served as barriers to mother's utilisation of EID services for their exposed infants. The study also identified that adequate knowledge of EID, perceived importance of EID, financial stability as well as financial support from others and the positive attitudes of health workers facilitated HIV positive mother's uptake of EID services for their exposed infants.

Conclusion: The factors attributing to the low coverage of EID of HIV services must be promptly addressed to improve service delivery and uptake.

PubMed Disclaimer

Conflict of interest statement

The authors have declared that no competing interests exist.

References

    1. Davies M-A, Pinto J. Targeting 90-90-90—don’t leave children and adolescents behind. J Int AIDS Soc [Internet]. 2015. [cited 2017 Sep 29];18(Suppl 6):20745 Available from: http://www.ncbi.nlm.nih.gov/pubmed/26639121. 10.7448/IAS.18.7.20745 - DOI - PMC - PubMed
    1. Goggin K, Wexler C, Nazir N, Staggs VS, Gautney B, Okoth V, et al. Predictors of Infant Age at Enrollment in Early Infant Diagnosis Services in Kenya. AIDS Behav [Internet]. 2016. September [cited 2017 Sep 18];20(9):2141–50. Available from: http://www.ncbi.nlm.nih.gov/pubmed/27108002. 10.1007/s10461-016-1404-z - DOI - PMC - PubMed
    1. UNAIDS. CHILDREN AND HIV. 2016. [cited 2017 Sep 20]; Available from: http://www.unaids.org/sites/default/files/media_asset/FactSheet_Children....
    1. World Health Organization. HIV / AIDS Programme WHO RECOMMENDATIONS ON THE DIAGNOSIS OF HIV INFECTION IN INFANTS. Who Publ [Internet]. 2010;64 Available from: http://whqlibdoc.who.int/publications/2010/9789241599085_eng.pdf.
    1. Avert. Symptoms and stages of HIV infection | AVERT [Internet]. 2017. [cited 2017 Nov 10]. Available from: https://www.avert.org/about-hiv-aids/symptoms-stages.

Publication types