Background
HIV/AIDS remains a threat to global development and human security. Sub-Saharan Africa is the worst affected, with an estimated 25.7 million people living with HIV as at 2018 and the youth accounting for 33% of new infections. Despite the high proportion, there is paucity of data on testing and counselling among the youth and which factors influence their decision are largely unknown. This study assessed factors influencing uptake of HIV testing and counselling among the youth aged 15 to 24 years in Kintampo South District in Ghana.
Methods
This was a cross-sectional study involving the youth who have lived in the Kintampo South District for not less than 6 months. A total of 309 respondents aged 15 to 24 years were drawn from four sub-districts of the six administrative sub-districts by simple random sampling. Simple proportions and logistic regression analyses were performed to elucidate factors influencing uptake of HIV testing and counselling. The level of acceptable statistical significance used was p<0.05.
Results
Overall, the proportion of the youth 15 to 24 years who ever tested for HIV was 50.2%. Lack of confidentiality and privacy, inconvenient facility opening hours, fear of positive results, and perceived poor attitude and mistrust of health service providers reportedly were the main barriers to uptake of HIV testing and counselling. Further logistic regression analyses showed that demographic factors including age, marital status and occupation as well as ever heard of HIV testing and counselling, convenience of test, willingness to test, importance of test and location of test, were key determinants of HIV testing and counselling.
Conclusion
Giving that about half of the respondents had never had a test and did not know their infection status, has serious implications for HIV control in the Kintampo South District. Even though a significant number of the youth showed interest in knowing their infection status, this did not reflect uptake of HIV testing. Public health effort targeted to the youth should be intensified to increase HIV testing and counselling among the youth in the Kintampo South District.