458. Sex Differentials in ART Utilization in Ghana
Session: Poster Abstract Session: HIV Primary Care
Friday, October 21, 2011
Room: Poster Hall B1
  • IDSA Poster pdf.pdf (157.2 kB)
  • Background: 

    The global scale-up of ART has spurred concerns about how gender inequities in health can lead to sex disparities in ART utilization. Gender inequities can work differently to either prevent men or women from utilizing HIV treatment. Work by one research team has highlighted the greater use of HIV testing by women in Ghana. The purpose of this study was to document the extent to which sex differentials extend to ART utilization in Ghana.


    Two data sources were reviewed. The National AIDS/STI Control Program (NACP) data for 2009-2010, which include service provision records from all health facilities through out the country. Second, Ghana’s Progress Report on the United Nations General Assembly Special Session (UNGASS) on ART utilization from 2003 to 2010. The UNGASS Report contains records from Ghana AIDS Commission, as well as the NACP annual reports. Together these data provide sex disaggregated enumeration of adults enrolled on ART from 2003 to 2010 in all ten regions of Ghana. Microsoft Excel was used to record all data. Data sets were analyzed with SPSS 19 for descriptive presentation and time trends.


    Results from this study show a steady increase in number of HIV positive patients enrolled on ART from 2003 to 2010. For six continuous years (2005-2010), females comprised over 60% of adults on ART in Ghana, with a female to male ratio of approximately 2. Two regions, Brong Ahafo and Central, recorded high female to male ratio of approximately 3:1. Increases largely reflect concurrent expansion in number of facilities providing ART services through out the country, which increased from 3 (2003) to 138 (2009).


    Despite remarkable increases in ART utilization across the country there is less utilization of ART services by males. Unfortunately, consistent wide sex disparities in utilization can undermine optimal utilization of the expanded services making it difficult to reach the 70% of HIV patients in need of ART in the country. There is need for gender sensitive systems of care that will attract high male participation in ART services.

    Subject Category: J. Clinical practice issues

    Phyllis Dako-Gyeke, PhD, Social and Behavioral Sciences, University of Ghana, Accra, Ghana, Alfred Yawson, MBChB, MSc, FWACP, Community Health, University of Ghana, Medical School, Korle-Bu, Accra, Ghana and Rachel Snow, ScD, Health Behavior Health Education, University of Michigan, Ann Arbor, MI


    P. Dako-Gyeke, None

    A. Yawson, None

    R. Snow, None

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