Understanding the Relationships Among HIV/AIDS-Related Stigma, Health Service Utilization, and HIV Prevalence and Incidence in Sub-Saharan Africa: A Multi-level Theoretical Perspective

2014 ◽  
Vol 53 (1-2) ◽  
pp. 146-158 ◽  
Author(s):  
Leslie D. Williams
Keyword(s):  
Health Service ◽  
Service Utilization ◽  
Health Service Utilization ◽  
Theoretical Perspective ◽  
Hiv Prevalence ◽  
Sub Saharan Africa ◽  
Related Stigma ◽  
Multi Level ◽  
Sub Saharan ◽  
Hiv Aids

scholarly journals Determinants of Women Access to Healthcare Services in Sub-Saharan Africa

2019 ◽  
Vol 12 (1) ◽  
pp. 504-514 ◽  
Author(s):  
Azuh Dominic ◽  
Adeyemi Ogundipe ◽  
Oluwatomisin Ogundipe
Keyword(s):  
Health Service ◽  
Service Utilization ◽  
Health Service Utilization ◽  
Generalized Method Of Moments ◽  
Healthcare Services ◽  
Access To Healthcare ◽  
Sub Saharan Africa ◽  
Service Availability ◽  
Healthcare Facilities ◽  
Sub Saharan

Background: The study examined the socio-economic determinants of women access to healthcare services in Sub-Saharan Africa for the period 1995-2015. Methods: The study adopted the dynamic panel model and estimated it using the System Generalized Method of Moments in a bid to overcome the endogeneity problem inherent in the model of study. Result: The study harmonized the theoretical strands in the literature by describing the measure of access determinants as three main components; i. Health service availability, ii. Health service utilization and iii. Health service decision. Conclusion: The indicators of health service availability such as community health workers, physicians, nurses and midwives and hospital beds improve women's access to healthcare facilities in Africa. Also, health service utilization indicators such as population density worsen the quality of healthcare services available to women while electricity access and private health expenditure enhance women’s access to quality healthcare delivery. Health service decision indicators such as female bank account ownership, female labour force participation, attainment of basic education and female household headship were important in enhancing women's access to healthcare facilities. Generally, women's health outcomes were more responsive to health service utilization; implying that service utilization is an important proof of healthcare access in Africa.

scholarly journals Pemanfaatan Pelayanan Kesehatan oleh Perempuan Terinfeksi HIV/AIDS

2013 ◽  
Vol 8 (1) ◽  
pp. 33 ◽  
Author(s):  
Rialike Burhan
Keyword(s):  
Social Support ◽  
Health Service ◽  
Health Services ◽  
Service Utilization ◽  
Health Service Utilization ◽  
Predisposing Factors ◽  
Research Approach ◽  
Enabling Factors ◽  
Living With Hiv ◽  
Hiv Aids

Perempuan terinfeksi human immunodeficiency virus dan acquired immune deficiency syndrome (HIV/AIDS) mempunyai permasalahan yang kompleks sehubungan dengan penyakit dan statusnya, sehingga mereka mempunyai kebutuhan yang khusus. Kebutuhan perawatan, dukungan dan pengobatan tersebut dapat diperoleh dengan mengakses pelayanan kesehatan yang tersedia untuk dapat mengoptimalkan kesehatan mereka sehingga dapat meningkatkan kualitas hidup. Tujuan penelitian ini untuk menganalisis hubungan faktor predisposisi yang meliputi pengetahuan, sikap, stigma, faktor pemungkin yang meliputi jarak ke pelayanan kesehatan dan faktor penguat berupa dukungan sosial dengan pemanfaatan pelayanan kesehatan pada perempuan terinfeksi HIV/AIDS. Rancangan penelitian menggunakan pendekatan potong lintang. Penelitian dilaksanakan di Kelompok Dukungan Sebaya Female Plus Kota Bandung pada bulan Juni sampai Juli 2012. Sampel penelitian berjumlah 40 orang perempuan terinfeksi HIV/AIDS. Data di analisis secara univariat, bivariat, dan multivariat. Hasil penelitian ini didapatkan bahwa terdapat hubungan yang signifikan secara statistik yaitu usia, pendidikan, status perkawinan, status pekerjaan, faktor predisposisi (pengetahuan, sikap, stigma), faktor penguat (dukungan sosial), dan faktor pemungkin yaitu jarak ke pelayanan kesehatan tidak berhubungan dengan pemanfaatan pelayanan kesehatan. Pengetahuan merupakan faktor penentu dalam pemanfaatan pelayanan kesehatan berpeluang 60,1 kali untuk memanfaatkan pelayanan kesehatan.Women living with HIV/AIDS have a complex problems who connection with the disease and her status, because they have special needs, for care, support and treatment can be obtained by accessing the health services available to optimize their health so as to improve the quality of life. The purpose of this study was to analyze the correlation between three factors, predisposing factors (knowledge, attitudes, stigma), enabling factors (distance to health services), and reinforcing factors (social support) with health service utilization.This type of research was analytic with cross-sectional research approach. The research was implemented in Female Plus Peer Support Group Bandung from June until July 2012. The sample in this study were 40 women living with HIV/AIDS. Data analysis using univariate, bivariate, and multivariate. The results obtained that there were significant relationship is age, education, marital status, work, predisposing factors (knowledge, attitude, stigma), reinforcing factor (social support), and enabling factors (distance to health services were not correlated with health service utilization). Knowledge was the determinant factor to health service utilization in 60,1 times the chance to utilize health services.

HIV/AIDS Health Service Utilization by People Who have been Homeless

2007 ◽  
Vol 12 (5) ◽  
pp. 815-821 ◽  
Author(s):  
Randal Henry ◽  
Jean L. Richardson ◽  
Susan Stoyanoff ◽  
Gary P. García ◽  
Fredrick Dorey ◽  
...  
Keyword(s):  
Health Service ◽  
Service Utilization ◽  
Health Service Utilization ◽  
Hiv Aids

Health service utilization among widows living with HIV/AIDS: an interview survey in Manipur, India

2011 ◽  
Vol 8 (4) ◽  
pp. 485-497 ◽  
Author(s):  
Jennifer Kipgen ◽  
C. A. K. Yesudian ◽  
Gaetano Marrone ◽  
Cecilia Stålsby Lundborg
Keyword(s):  
Health Service ◽  
Service Utilization ◽  
Health Service Utilization ◽  
Interview Survey ◽  
Living With Hiv ◽  
Hiv Aids

scholarly journals TREND ANALYSIS OF HIV PREVALENCE IN THE HOHOE MUNICIPALITY OF GHANA, FROM 2013 TO 2017

2021 ◽  
pp. 643-651
Author(s):  
Mark Arhin ◽  
◽  
Cecil Kwaku Dovia ◽  
Cosmos Agbe K Todoko ◽  
David Tsitu Agbeko ◽  
...  
Keyword(s):  
Rural Areas ◽  
Age Groups ◽  
Information Management System ◽  
Hiv Prevalence ◽  
Significant Rise ◽  
Sub Saharan Africa ◽  
Age Group ◽  
District Health ◽  
Sub Saharan ◽  
Hiv Aids

Human Immunodeficiency Virus (HIV) is known as one of the leading causes of death in the world. About 36.7 million people lived with HIV (including 1.8 million children), and about 1.0 million people died of HIV-related illnesses in 2016. About 25.5 million morbidities of HIV/AIDS were recorded in Sub-Saharan Africa. While more than 50% of new infections among children have been reduced, there is a significant rise of HIV new infection among young adults and adolescents. HIV new infections in Ghana was 20,148 in 2016, as compared to 12,000 in 2015. Volta region is one of the leading regions of HIV in Ghana, with 2.7% of new infections. This study aimed at determining the trends of HIV/AIDS prevalence among males and females, age groups and the urban and rural areas in the Hohoe Municipality from 2013 to 2017. A retrospective survey on HIV prevalence for 5 years (2013-2017) was carried out. Data were extracted from the HIV/AIDS unit database in the Hohoe Municipal Hospital from 2013 to 2017. The Stata version 14 by Stata Corp (LP, Texas, USA) was used to analyse the data for the study. The data were compared with District Health Information Management System (DHIMS 2) data to check accuracy and consistency. Excel 2013 was used to plot the actual observed cases by year to assess their trend and seasonality. Most of the people who routinely go to the facility to test for HIV from 2013 to 2017 represent 59.8% regardless of location. People within the age group 25-34 have the highest number of people tested for HIV, 1883 (29%). The overall number of female HIV positives (685) over the five years is more than twice that of the male figures (321). The findings indicate that HIV was higher (4.6% and 4.5%) among age groups 45+ and 35-44, respectively. Age groups 15-24 recorded the lowest prevalence, 1.1%. This study found that people in the rural areas who were tested are less likely to be HIV infected (OR = 0.1) than urban residents. This study shows that HIV prevalence among the sexually active age group was 7.6%.

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