Attitudes and Behaviours of Health Workers and the Use of HIV/AIDS Health Care Services

Dapaah, Jonathan Mensah

doi:10.1155/2016/5172497

Cited by 41 publications

(43 citation statements)

References 22 publications

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“…The conscious effort of health workers to behave favourably towards clients suggests that their attitudes and behaviours were meant to create the impression that they related to and treated clients well. Majority of the respondents continue to seek services from certain hospitals because health workers treat them well [27].…”

Section: Discussionmentioning

confidence: 99%

Prenatal hepatitis B screening and associated factors in a high prevalence district of Lira, northern Uganda: a community based cross sectional study

et al. 2019

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Background Chronic hepatitis B Virus (HBV) infection affects 80–100 million people in sub-Saharan Africa and accounts for an estimated 650,000 deaths annually. The prevalence of active hepatitis B virus infection among women aged 15–64 in mid-Northern Uganda is about 5%. Lira district is among the high prevalence areas where government embarked on mass HBV screening since 2015 as a gateway for access to prevention, treatment services, and an effective response to the hepatitis B epidemic. The current proportion of pregnant women screened and the factors associated with prenatal HBVscreening in Lira are not known despite the fact that women contribute largely to both vertical and horizontal transmission of HBV. This study aimed at determining the proportion of pregnant women screened for HBV and factors associated with prenatal HBV screening in Lira district. Methods This was a community based cross sectional study conducted among 423 pregnant women in the sub counties of Aromo and Agweng in Lira district. Data were collected using open data kit and analysed using STATA version 14. The outcome variable was prenatal HBV screening while predictor variables were community, individual and health facility factors associated with HBV screening. Multivariable logistic regression was used to determine factors associated with prenatal HBV screening. Results Thirty five women (8.3%) had been screened for HBV during the current pregnancy. Factors associated with prenatal HBV screening in Lira included perceived risk (Adjusted Odds Ratio (AOR) 3.78, 95% CI 1.01–6.14), respondent’s age (AOR = 3.98, 95% CI 1.39–5.09), husband/partner’s education (AOR = 3.34, 95% CI 1.10–5.12) and past failure to access to HBV screening services at government health facilities (AOR = 6.44, 95% CI 2.10–8.02). Conclusion The level of HBV screening among pregnant women in Lira was low and is mainly associated with perceived risk, age, access to HBV screening services and spousal education level. More effort is needed in creating mass awareness on the need and importance of HBV screening most especially among pregnant women.

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Section: Discussionmentioning

confidence: 99%

Prenatal hepatitis B screening and associated factors in a high prevalence district of Lira, northern Uganda: a community based cross sectional study

et al. 2019

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“…Lack of knowledge among health workers particularly in the primary health care system is manifested in wrong diagnoses and treatments of patients leading to late disease presentations [4, 5]. Bad attitude towards patients with chronic diseases by health workers play a significant role in undermining health seeking behaviors [19] and may lead to patients resorting to alternative interventions. Unavailability of adequately trained health workforce reduces the availability of diagnosis and treatment services [17, 20].…”

Section: Discussionmentioning

confidence: 99%

Health system constraints affecting treatment and care among women with cervical cancer in Harare, Zimbabwe

Tapera

Dreyer

Kadzatsa

et al. 2019

BMC Health Serv Res

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BackgroundCervical cancer is a major cause of morbidity and mortality among women yet access to treatment and care remains a huge challenge in Zimbabwe. The objective of this study was to investigate health system constraints affecting engagement into treatment and care by women with cervical cancer in Harare, Zimbabwe.MethodsA sequential explanatory mixed methods design was used for this study. Phase 1 comprised of two surveys namely: patient and health worker surveys with sample sizes of 134 and 78 participants respectively. Validated structured questionnaires programmed in Android tablet with SurveytoGo software were used for data collection during the surveys. Univariate analyses were conducted using STATA® version 14 to generate descriptive statistics. In phase 2, 16 in-depth interviews, 20 key informant interviews and 6 focus groups were conducted to explain survey results. Participants were purposively selected and sample sizes were informed by saturation principle. Participants in phase 1 and 2 were different. English transcripts were manually coded line by line in Dedoose software using the thematic codes that had been established from the survey data. The final codes were used to support and explain the survey data at the interpretation stages.ResultsHealth system constraints identified in surveys were: limited or lack of training for health workers, weakness of surveillance system for cervical cancer, limited access to treatment and care, inadequate health workers, reliance of patients on out-of-pocket funding for treatment services, lack of back-up for major equipment. Qualitative inquiry revealed the following barriers to treatment and care: high costs of treatment and care, lack of knowledge about cervical cancer and bad attitudes of health workers, few screening and treating centres located mostly in urban areas, lack of clear referral system resulting in bureaucratic processes, and limited screening and treating capacities in health facilities due to lack of resources.ConclusionThe results of this study show that health system and its organization present barriers to access of cervical cancer treatment and care among women. Strong political will, mobilization of resources both domestically and from partners in addition to sound policies are imperative to address key health system challenges.

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“…Child HIV status disclosure is complex and brings about hesitancy and ethical dilemmas taking into consideration the socio-cultural and stigma related issues and secrecy surrounding HIV infection [10]. As a result, caregivers have a dilemma whether to disclose or not to to a child the child’s own HIV/AIDS status, principally due to their inability to trade-off between the benefit and challenges that comes with paediatric disclosure considered to contribute to increasing child survival [11,12]. Disclosure offers a psychological boost, facilitates better coping strategies for the child and gives a protection mechanism for potentially early sexual initiation and risky sexual behaviour [11,13].…”

Section: Introductionmentioning

confidence: 99%

A Phenomenological Account of HIV Disclosure Experiences of Children and Adolescents from Northern and Southern Ghana

Appiah

Kroidl

Höelscher

et al. 2019

IJERPH

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Disclosure of HIV status to infected children, though challenged by caregiver dilemma, remains central in achieving the United Nations Programme on HIV and AIDS (UNAIDS) global goal of 90/90/90. This study explores children’s HIV disclosure experiences across Northern and Southern Ghana. A qualitative interpretative phenomenological design facilitated the recruitment of 30 HIV positive disclosed children and adolescents aged 9–19 years in 12 antiretroviral treatment (ART) centers in Northern and Southern Ghana between January 2017 and June 2018. Data was collected via in-depth interviews. We used phenomenological analysis applying concepts and categories identification, patterns and interconnections searching, mapping, theme building and constant comparative technique to draw conclusions. Disclosure of HIV status to children occurred with little or no preparation. Caregivers intentionally or out of dilemma often prolonged or postponed disclosure to when children aged older. Illness severity and disease progression principally defined the need for disclosure. Children preference for early status disclosure averaged at age 10 was demonstrated despite the initial disclosure experience of shock and disappointment. There was improved medication adherence despite the challenge of limited knowledge about HIV transmission, financial difficulty and food insecurity. Context and culturally adapted pre- and post- disclosure guideline laced with social protection package is needed to support HIV positive children.

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Attitudes and Behaviours of Health Workers and the Use of HIV/AIDS Health Care Services

Cited by 41 publications

References 22 publications

Prenatal hepatitis B screening and associated factors in a high prevalence district of Lira, northern Uganda: a community based cross sectional study

Prenatal hepatitis B screening and associated factors in a high prevalence district of Lira, northern Uganda: a community based cross sectional study

Health system constraints affecting treatment and care among women with cervical cancer in Harare, Zimbabwe

A Phenomenological Account of HIV Disclosure Experiences of Children and Adolescents from Northern and Southern Ghana

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