A qualitative analysis of factors influencing the implementation of antiretroviral treatment adherence policy in Ghana: stakeholders perspective
Abstract Background The Joint United Nations Programme on HIV/AIDS launched the 90-90-90 initiative. Failure to meet the target reflects the difficulties in successfully implementing HIV treatment policy. There are research gaps in exploring personal and external factors influencing HIV treatment in...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-06-01
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| Series: | Health Research Policy and Systems |
| Online Access: | https://doi.org/10.1186/s12961-023-01010-9 |
| _version_ | 1797801158260031488 |
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| author | Martha Ali Abdulai Fraukje E. F. Mevissen Veerle Marien Robert A. C. Ruiter Seth Owusu-Agyei Kwaku Poku Asante Arjan E. R. Bos |
| author_facet | Martha Ali Abdulai Fraukje E. F. Mevissen Veerle Marien Robert A. C. Ruiter Seth Owusu-Agyei Kwaku Poku Asante Arjan E. R. Bos |
| author_sort | Martha Ali Abdulai |
| collection | DOAJ |
| description | Abstract Background The Joint United Nations Programme on HIV/AIDS launched the 90-90-90 initiative. Failure to meet the target reflects the difficulties in successfully implementing HIV treatment policy. There are research gaps in exploring personal and external factors influencing HIV treatment in Ghana. To fill this gap, we explored individual and environmental (interpersonal, community and structural) factors influencing stakeholders' HIV treatment policy implementation in Ghana. Methods Fifteen qualitative semi-structured in-depth interviews were conducted among representatives in different management positions at hospitals, health directorates, the Ghana AIDS Commission, the National AIDS and STI control program, and the National Association of People Living with HIV. Results Using thematic analysis, the findings suggest that individual and environmental factors such as attitude towards policy, awareness of HIV treatment policy, training received on policy implementation, difficulties related to patient factors, alternate sources of HIV care, inefficient policy decision-making, monitoring and evaluation of HIV treatment policy, lack of HIV treatment policy implementation training, poor availability of logistics, policy and guidelines, infrastructure, organization of training, and staff availability may hinder successful HIV treatment policy implementation. Conclusion Several individual and environmental (interpersonal, community and structural) factors seem to influence HIV treatment policy implementation. To ensure successful policy implementation stakeholders need to receive training on new policies, availability of sufficient supplies of material resources, inclusive decision-making, receive supportive monitoring of policy implementation, and oversight. |
| first_indexed | 2024-03-13T04:46:11Z |
| format | Article |
| id | doaj.art-211d8fec7c4640c5adabbdf20953dba8 |
| institution | Directory Open Access Journal |
| issn | 1478-4505 |
| language | English |
| last_indexed | 2024-03-13T04:46:11Z |
| publishDate | 2023-06-01 |
| publisher | BMC |
| record_format | Article |
| series | Health Research Policy and Systems |
| spelling | doaj.art-211d8fec7c4640c5adabbdf20953dba82023-06-18T11:28:29ZengBMCHealth Research Policy and Systems1478-45052023-06-0121111410.1186/s12961-023-01010-9A qualitative analysis of factors influencing the implementation of antiretroviral treatment adherence policy in Ghana: stakeholders perspectiveMartha Ali Abdulai0Fraukje E. F. Mevissen1Veerle Marien2Robert A. C. Ruiter3Seth Owusu-Agyei4Kwaku Poku Asante5Arjan E. R. Bos6Research and Development Division, Kintampo Health Research Centre, Ghana Health ServiceDepartment of Work and Social Psychology, Maastricht UniversityDepartment of Work and Social Psychology, Maastricht UniversityDepartment of Work and Social Psychology, Maastricht UniversityResearch and Development Division, Kintampo Health Research Centre, Ghana Health ServiceResearch and Development Division, Kintampo Health Research Centre, Ghana Health ServiceFaculty of Psychology, Open UniversityAbstract Background The Joint United Nations Programme on HIV/AIDS launched the 90-90-90 initiative. Failure to meet the target reflects the difficulties in successfully implementing HIV treatment policy. There are research gaps in exploring personal and external factors influencing HIV treatment in Ghana. To fill this gap, we explored individual and environmental (interpersonal, community and structural) factors influencing stakeholders' HIV treatment policy implementation in Ghana. Methods Fifteen qualitative semi-structured in-depth interviews were conducted among representatives in different management positions at hospitals, health directorates, the Ghana AIDS Commission, the National AIDS and STI control program, and the National Association of People Living with HIV. Results Using thematic analysis, the findings suggest that individual and environmental factors such as attitude towards policy, awareness of HIV treatment policy, training received on policy implementation, difficulties related to patient factors, alternate sources of HIV care, inefficient policy decision-making, monitoring and evaluation of HIV treatment policy, lack of HIV treatment policy implementation training, poor availability of logistics, policy and guidelines, infrastructure, organization of training, and staff availability may hinder successful HIV treatment policy implementation. Conclusion Several individual and environmental (interpersonal, community and structural) factors seem to influence HIV treatment policy implementation. To ensure successful policy implementation stakeholders need to receive training on new policies, availability of sufficient supplies of material resources, inclusive decision-making, receive supportive monitoring of policy implementation, and oversight.https://doi.org/10.1186/s12961-023-01010-9 |
| spellingShingle | Martha Ali Abdulai Fraukje E. F. Mevissen Veerle Marien Robert A. C. Ruiter Seth Owusu-Agyei Kwaku Poku Asante Arjan E. R. Bos A qualitative analysis of factors influencing the implementation of antiretroviral treatment adherence policy in Ghana: stakeholders perspective Health Research Policy and Systems |
| title | A qualitative analysis of factors influencing the implementation of antiretroviral treatment adherence policy in Ghana: stakeholders perspective |
| title_full | A qualitative analysis of factors influencing the implementation of antiretroviral treatment adherence policy in Ghana: stakeholders perspective |
| title_fullStr | A qualitative analysis of factors influencing the implementation of antiretroviral treatment adherence policy in Ghana: stakeholders perspective |
| title_full_unstemmed | A qualitative analysis of factors influencing the implementation of antiretroviral treatment adherence policy in Ghana: stakeholders perspective |
| title_short | A qualitative analysis of factors influencing the implementation of antiretroviral treatment adherence policy in Ghana: stakeholders perspective |
| title_sort | qualitative analysis of factors influencing the implementation of antiretroviral treatment adherence policy in ghana stakeholders perspective |
| url | https://doi.org/10.1186/s12961-023-01010-9 |
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