2. Determinants Of Condom Use And HIV Status Disclosure To Sexual Partners Among Adults Receiving Antiretroviral Therapy At Ashaiman ART Clinic, Analysis of Routine Data,
Drs. R. P. Frimpong-Mansoh , B. N. L Calys- Tagoe, E. F. Therson- Coffie, K. O. Antwi- Agyei

3. outline Introduction Methods Results Discussion Conclusion
Recommendation
November 22, 2018

4. Introduction HIV prevention is key to achieving the 2030 SDG goal 3
Consistent and correct condom use reduces the risk of heterosexual transmission of HIV by about 80 percent
Disclosure may motivate sexual partners to seek testing, change behavior and ultimately decrease transmission of HIV
Routine data collected at Ashaiman ART site is rarely analyzed
To assess determinants of HIV Status disclosure and condom use among HIV clients registered at ART Clinic in Ashaiman Municipality from
November 22, 2018

5. Methods 1/2
Records of adult clients registered at the ART Clinic from were reviewed
Extracted data entered into Microsoft Excel and exported into Epi Info TM Version 7 for analysis
Extracted data included Year of Registration, Age, Sex, Marital Status, Educational Level, referral information, Disclosure, Sexual activity.
Cleaning of data was done to ensure consistency and completeness of the data set
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6. Methods: 2/2 Frequencies and proportions were done
Logistic regression was done to assess the determinants of Condom Use and HIV status Disclosure using variables that were significant at the Univariate analysis
Data analysis was part of academic work for residents of the Faculty of Public Health, Ghana College of Physicians and Surgeons
Relevant administrative protocols were adhered to
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7. Map Of Ashaiman Municipality
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8. Results :1/7 Socio-demographic Characteristics
Variable
Number N=1099
Percentage(%)
Age group
15-24
25-34
35-44
45-54
55 and above 98
519
315
115 52
8.9
47.2
28.7
10.5
4.7
Sex
Female
Male
898
201
81.7
18.3
Educational level
No education
Primary
Secondary
Tertiary
212
220
642 25
19.3
20.0
58.4
2.3
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9. Results :2/7 Socio-demographic characteristics
Number
Percentage(%)
Marital status
Single
Cohabiting
Married
Separated
Divorced
Widowed
206
122
570 28 81
18.7
11.1
51.9
2.5
7.3
Employment status
Unemployed
Employed
1019 80
92.7
Referral information
Walk in VCT Site
Diagnostic HIV testing
PMTCT Programme TB
Transfer in on ART
Transfer in on OI
110
517
419 5 40 8
10.0
47.0
38.1
0.5
3.6
0.7
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10. Results: 3/7 Number of clients registered per year, Ashaiman, 2010-2016
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11. Results:4/7 Proportion of Sexually active Clients, Ashaiman, 2010-2016
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12. Results: 5/7 HIV status disclosure and condom use among clients, Ashaiman, 2010-2016
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13. Results: 6/7 Determinants of Condom Use among sexually active clients, Ashaiman, 2010-2016
Variable
Number(%)
Odds ratio
P value
Referral Info
Diagnostic HIV testing
PMTCT TB
Trans in on ART
Trans in on OI
Walk in VCT
103(48.8%)
77(36.5%)
0(0)
11(5.2%)
1(0.5%)
19(9.0%)
 Reference
0.5157
0.000
1.5857
0.2668
0.7620
0.0073
0.9424
0.9672
0.3615
0.4594
Disclosure to sexual Partner No
Yes
163(77.25)
48(22.75)
Reference
8.13
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14. Results: 7/7 Determinants of HIV Status Disclosure
Variable
Number(%)
Odds Ratio
P value
Referral Info
Diagnostic HIV testing
PMTCT TB
Trans in on ART
Trans in on OI
Walk in VCT
121(44.0)
116(42.2)
1(0.4)
13(4.7)
2(0.7)
22(8.0)
Reference
0.5867
2.7800
0.8184
1.0138
0.5992
0.0248
0.4993
0.6848
0.9908
0.1674
Condom Use No
Yes
62(22.5)
213(77.5)
8.8203
0.0000
Marital Status
Cohabiting
Single
Married
Divorced
Widowed
Separated
26(9.5)
22(8.8)
218(79.3)
5(1.8)
0(0)
4(1.5)
0.6047
2.2865
0.5632
5.2991
0.2104
0.0065
0.3689
0.9665
0.1004
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15. Discussion About 1/3 of clients used condoms
HIV status disclosure was 45.5%
Clients who used condoms were 8 times as likely to disclose their status to their clients compared to those who do not use condoms
Married couples were twice as likely to disclose their status to partners compared to cohabiting
Clients referred from PMTCT programme had 42% reduction in disclosing their status and 48%reduction in using condoms
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16. Conclusion
Condom use  and HIV status disclosure to sexual partners are low
Determinants of condom use are HIV status disclosure and clients referral from PMTCT programme
Determinants of HIV status disclosure are being married and Condom Use
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17. Recommendation Counselors at ART clinics/Antenatal Clinics
Health education especially at ANC on importance of Condom use and HIV status disclosure should be intensified
National AIDS Control Programme
Re-training of peer educators at ART clinic on how clients can create the safe environment for disclosing their status.
Campaign against stigmatization of HIV clients should be intensified in order to allow PLHIVs disclose their status to their partners
November 22, 2018

18. References
References
Ghana AIDS Commission. Summary Of The 2016 HIV Sentinel Survey Report. Society 2016; 6–8.
Sarkar NN. Barriers to condom use. European Journal of Contraception and Reproductive Health Care 2008; 13: 114–122.
Obiri-Yeboah D, Amoako-Sakyi D, Baidoo I, et al. The Fears of Disclosing HIV Status to Sexual Partners: A Mixed Methods Study in a Counseling Setting in Ghana. AIDS Behav 2016; 20: 126–136.
Avornyo R, Amoah J. Disclosing Parental Human Immunodeficiency Virus (HIV) Status to Children in Ghana: Reasons for and against Disclosure and Effects of Decision. Adv Appl Sociol 2014; 4: 205–211.
Ncube NM, Akunna J, Babatunde F, et al. Sexual risk behaviour among HIV- positive persons in Kumasi, Ghana. Ghana Med J 2012; 46: 27–33.
Dave SS, Stephenson J, Mercey DE, et al. Sexual behaviour, condom use, and disclosure of HIV status in HIV infected heterosexual individuals attending an inner London HIV clinic. Sex Transm Infect 2006; 82:
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19. THANK YOU
November 22, 2018