Predictors of adherence to HIV Post-Exposure Prophylaxis protocol among frontline healthcare workers at the Ho Teaching Hospital, Ghana

Suglo, Rita Esi; Aku, Fortress Yayra; Anaman-Torgbor, Judith A.; Tarkang, Elvis Enowbeyang

doi:10.1016/j.ijid.2021.03.079

Cited by 9 publications

(11 citation statements)

References 15 publications

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“…A single study included in this review ascertained adherence to HIV PEP protocol. The adherence to HIV PEP protocol among healthcare providers was 17.9% 67. Study participants who received training on PEP were likely to adhere to HIV PEP protocol, while those who had low risk or could not assess their risk of occupational exposure were less likely to adhere to HIV PEP protocol 67.…”

Section: Discussionmentioning

confidence: 98%

“…Study participants who received training on PEP were likely to adhere to HIV PEP protocol, while those who had low risk or could not assess their risk of occupational exposure were less likely to adhere to HIV PEP protocol 67. Furthermore, uptake of HIV PEP was reported for two studies as 33.8% and 44.4% 67 68…”

Section: Discussionmentioning

confidence: 99%

“… 71 Adequate knowledge of HIV PEP among health workers was reported as 16.6% and 44.9%. 67 68 Relating to the study on knowledge of PEP for hepatitis B, 12.1% had adequate knowledge. 65 …”

Section: Discussionmentioning

confidence: 99%

“…The prevention of a possible seroconversion of HIV or hepatitis B after exposure dwells on a timely uptake of PEP; unfortunately, healthcare workers hardly adhere to the PEP protocol 66 67. Some studies looked at adherence to PEP protocol, while others investigated its knowledge and uptake in the event of occupational exposure.…”

Section: Discussionmentioning

confidence: 99%

“…The insufficient knowledge of PEP has been attributed to healthcare workers’ attitudes towards PEP, fear of stigmatisation and adverse side effects of the PEP treatment 71. Adequate knowledge of HIV PEP among health workers was reported as 16.6% and 44.9% 67 68. Relating to the study on knowledge of PEP for hepatitis B, 12.1% had adequate knowledge 65…”

Section: Discussionmentioning

confidence: 99%

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Occupational health hazards among healthcare providers and ancillary staff in Ghana: a scoping review

et al. 2022

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ObjectiveThe strict implementation of occupational health and safety policy curbs exposure to occupational hazards. However, empirical evidence is lacking in the Ghanaian context. This review primarily aimed to explore exposure to occupational hazards among healthcare providers and ancillary staff in Ghana.DesignA scoping review was conducted based on Arksey and O’Malley’s methodological framework and Levacet al’s methodological enhancement.Data sourcesSearches were conducted of the PubMed, MEDLINE, CINAHL, Embase, PsycINFO and Scopus databases, as well as Google Scholar and websites of tertiary institutions in Ghana, for publications from 1 January 2010 to 30 November 2021.Eligibility criteriaQuantitative studies that were published in the English language and focused on occupational exposure to biological and/or non-biological hazards among healthcare professionals in Ghana were included.Data extraction and synthesisTwo independent reviewers extracted the data based on the type of occupational exposure and descriptive characteristics of the studies. The data are presented in tables and graphs. A narrative summary of review findings was prepared based on the review research questions.ResultsOur systematic search strategy retrieved 507 publications; however, only 43 met the inclusion criteria. A little over one-quarter were unpublished theses/dissertations. The included studies were related to biological, psychosocial, ergonomic and other non-biological hazards. 55.8% of the studies were related to exposure to biological hazards and related preventive measures. In general, health workers were reported to use and comply with control and preventive measures; however, knowledge of control and preventive measures was suboptimal.ConclusionWork is needed to address the issue of occupational health hazard exposure in Ghana’s health system. More research is needed to understand the extent of these exposures and their effects on the health system.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

“… 71 Adequate knowledge of HIV PEP among health workers was reported as 16.6% and 44.9%. 67 68 Relating to the study on knowledge of PEP for hepatitis B, 12.1% had adequate knowledge. 65 …”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Occupational health hazards among healthcare providers and ancillary staff in Ghana: a scoping review

et al. 2022

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Occupational post‐exposure prophylaxis among healthcare workers: a scoping review of factors affecting optimal utilization

Auerbach,

Malone,

Forsyth

2024

J Int AIDS Soc.

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IntroductionPost‐exposure prophylaxis (PEP) is an efficacious prevention method when initiated promptly after an HIV exposure. Yet, PEP has been underutilized, even among healthcare workers (HCWs) with occupational exposure in sites with PEP policies and procedures and access to PEP medications. It is important to understand the dynamics of uneven PEP use in what appears to be an optimal context to better protect the health and wellbeing of HCWs.MethodsWe conducted a scoping review to elucidate factors influencing HCWs’ use of PEP after occupational exposure. We searched PubMed, PsychInfo and Google Scholar for peer‐reviewed literature published in English from 2014 to 2022 using the terms HIV, postexposure/post‐exposure prophylaxis, acceptability, healthcare workers, and values and preferences. An inductive narrative review of the resulting 53 studies identified core themes.ResultsNearly all studies (96%) with various HCW types and settings occurred in low‐ and middle‐income countries (LMICs) in Africa and Asia. Identified themes arrayed along a trajectory of PEP use experience: awareness/knowledge; acceptability; availability/access; uptake/use; adherence/completion. Across studies, awareness of PEP for HIV prevention was high, knowledge about drug regimens and healthcare facility policies was moderate to low; acceptability of PEP was moderate to high; PEP's perceived accessibility/availability was inconsistent and varied by geographic location and setting; HCWs’ uptake of PEP was low, affected by not knowing how to report an exposure and being unaware of PEP availability; and adherence/completion of PEP regimens was moderate to low, impeded by side effects and a belief that completing regimens was unnecessary to avert seroconversion. HCWs consistently expressed concern about HIV stigma.DiscussionFindings are limited by the inconsistent use of constructs across studies and a lack of clarity about reporting exposure events. Multi‐level approaches are needed to address the interplay of individual, social and structural barriers that diminish HCWs’ PEP use. Improved training, incident reporting, 24‐hour access to non‐stigmatizing PEP services and monitoring of adherence/completion are essential to optimizing HCWs’ PEP use.ConclusionsLessons from HCWs’ experience in LMICs may inform understanding of PEP under‐use among people in these settings with non‐occupational exposures.

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Hepatitis B Virus Infection and the Ghanaian Healthcare Worker: Risk, Standardisation, and Disease Prevention

Senoo-Dogbey,

Naab,

Ohene

2024

The Social Life of Health Data

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Predictors of adherence to HIV Post-Exposure Prophylaxis protocol among frontline healthcare workers at the Ho Teaching Hospital, Ghana

Cited by 9 publications

References 15 publications

Occupational health hazards among healthcare providers and ancillary staff in Ghana: a scoping review

Occupational health hazards among healthcare providers and ancillary staff in Ghana: a scoping review

Occupational post‐exposure prophylaxis among healthcare workers: a scoping review of factors affecting optimal utilization

Hepatitis B Virus Infection and the Ghanaian Healthcare Worker: Risk, Standardisation, and Disease Prevention

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