PATRONAGE OF HIV/AIDS VOLUNTARY COUNSELLING AND TESTING (VCT) AMONG UNIVERSITY STUDENTS IN GHANA
DOI:
https://doi.org/10.47604/ajep.1664Keywords:
HIV/AIDS VCT, Patronage, StudentsAbstract
Purpose: This study investigated the factors influencing patronage of HIV/AIDS Voluntary Counselling and Testing (VCT) among students in the University of Cape Coast.
Methodology: Descriptive survey research design was adopted for the study. Referring from Krejcie and Morgan's (1970) Sample Determination Table, a sample of 376 students was chosen using convenience sampling from a population of 18949 students. Data were collected using questionnaire adapted from the instrument of Kabiri (2016) administered online. Data were analysed using means and standard deviations.
Findings: The study revealed that the students had high level of knowledge about HIV/AIDS VCT and its importance but had low level of knowledge about VCT centres. The study found that the respondents were willing to go to HIV/AIDS VCT Centre to check their HIV/AIDS status and knew of some friends who had gone for HIV/AIDS VCT. However, it was clear that the respondents themselves had not visited VCT centres. Additionally, it was shown in this study by the respondents that willingness, perception of risk associated with their sexual lives, positive perception about VCT, attitude of service provides and ease of access to VCT centres are factors which would influence them to patronize HIV/AIDS VCT.
Unique Contribution to Theory, Practice and Policy: Theoretically, the study has highlighted that having awareness of VCT and its importance was not enough to make students patronize VCT services. This means that knowledge and awareness alone was not enough to influence patronage of services.It can also be said that the theory of planned behaviour reviewed in the study was confirmed because a lot of elements are involved in people deciding to engage in specific behaviours. To improve the patronage of VCT, efforts should be put into making VCT centers easily accessible to students. Policy makers are alerted on the low patronage of HIV/AIDS VCT among university students so they can streamline their policies to aid in increasing patronage of VCT by university students.
Downloads
References
Addis, Z., Yalew, A., Shiferaw, Y., Alemu, A., Birhan, W., & Mathewose, B. (2013). Knowledge, attitude and practice towards voluntary counseling and testing among university students in North West Ethiopia: A cross sectional study. BMC Public Health, 13(1), 1.
Ajzen, I. (1991). Theory of planned behaviour. Organizational Behaviour and Human Decision Processes, 50, 179-211.
Ajzen, I., & Fishbein, M. (1980). Understanding attitudes and predicting social behaviour. Prentice-Hall.
Akhiwu, P. (2012). Factors affecting the utilisation of voluntary counselling and testing (VCT) services for HIV/AIDS in Sowa, Botswana. http://hdl.handle.net/10539/10997
Anyanwu, C. F., Goon, T. D., & Tugli, A. (2013). "Perception on the severity of unwanted pregnancy among university students". Pakistan Journal of Medical Sciences, 29(4), 923-928.
Banyeh, M., Kankpi, T., Zogli, K. E., & Mohammed, S. (2022). Determinants of voluntary HIV/AIDS counseling and testing among university students in Ghana. Asian Journal of Advanced Research and Reports, 16(1), 46-56.
Bibiana, N. E., Emmanuel, P. O., Amos, D., Ramsey, Y. M., & Idris, A. N. (2018). Knowledge, attitude and factors affecting voluntary HIV counseling and testing services among women of reproductive age group in an Abuja Suburb community, Nigeria. Medical Journal of Zambia, 45(1), 13-22.
Botma, Y., Motiki, Z. D., & Viljoen, M. C. (2007). Learners' knowledge and perceptions of voluntary counselling and testing for HIV and AIDS in the Free State Province. Curationis, 30(2), 48-57.
Corbett, E., Dauya, E., Matambo, R., Cheung, Y., Makamure, B., Bassett, M., & Butterworth, A. (2006). Uptake of workplace HIV counselling and testing: A cluster-randomized trial in Zimbabwe. PLoS Medicine, 3(7), e238. doi:10.1371/journal.pmed.0030238
Denison, J. A., O'Reilly, K. R., Schmid, G. P., Kennedy, C. E., & Sweat, M. D. (2008). HIV voluntary counseling and testing and behavioral risk reduction in developing countries: A meta-analysis, 1990-2005. AIDS Behaviour, 12(3), 363-373.
Gadegbeku, C., Saka, R., & Mensah, B. (2013). Attitude of the youth towards Voluntary Counselling and Testing (VCT) of HIV/AIDS in Accra, Ghana. Journal of Biology, Agriculture and Healthcare, 3(11), 133-140.
Gilchrist, H., Smith, K., Magee, C. A., & Jones, S. (2012). A hangover and a one-night stand: Alcohol and risky sexual behaviour among female students at an Australian University. Youth Study Aust., 31, 35-43.
Granich, R., Gupta, S., Hersh, B., Williams, B., Montaner, J., Young, B., & Zuniga, J. M. (2015). Trends in AIDS deaths, new infections and ART coverage in the top 30 countries with the highest AIDS mortality burden: 1990-2013. PloS One, 10(7), e0131353.
Hirut, B. M. (2014). Factors influencing HIV voluntary counselling and Testing (VCT) service utilization among youth of Hawassa town: A health belief model Approach, Southern Ethiopia. Journal of science & development, 2(1), 49-58.
Hooper, A. G. (2018). Perceptions of risky sexual behaviours among University of Cape Coast female students. [Unpublished master's thesis, University of Cape Coast].
Hoque, M. E. (2011). Reported risky sexual practices amongst female undergraduate students in KwaZulu-Natal, South Africa. African Journal of Primary Health Care Family Medicine, 3(l), 281-287.
Ikara, E. (2012). Factors influencing uptake of Voluntary HIV Counselling and Testing (VCT) services among school going adolescents in Soroti District, Uganda. [Unpublished master's thesis, Makerere University].
Iliyasu, Z., Abubakar, I., Kabir, M., & Aliyu, M. (2006). Knowledge of HIV/AIDS and attitude towards voluntary counselling and testing among adults. Journal of the National Medical Association, 98, 1917-1922.
Kabiri, M. (2016). Factors influencing uptake of HIV testing and counselling among the youth in Kintampo South District. [Unpublished master's dissertation, University of Ghana, Legon].
Krejcie, R. V., & Morgan, D. W. (1970). Determining sample size for research activities. Educational and Psychological Measurement, 30, 607-610.
Kunsu, R. (2010). An assessment of knowledge on VCT for HIV among adolescents in SHSs in the Nadowli District of the Upper West Region of Ghana using HIV/AIDS and VCT education. [Unpublished master's thesis, Kwame Nkrumah University of Science and Technology, Kumasi].
Lau, T. F., Tsui, H. Y., Cheng, S., & Pang, M. (2010). A randomized controlled trial to evaluate the relative efficacy of adding voluntary counselling and testing (VCT) to information dissemination in reducing HIV-related risk behaviours among Hong Kong male cross border truck drivers. AIDS Care, 22(1), 17-28.
Matovu, J., & Makumbi, F. (2007). Expanding access to voluntary HIV counselling and testing in sub-Saharan Africa: Alternative approaches for improving uptake, 2001-2007. Tropical Medicine and International Health, 12, 1315-1322.
Mavhandu-Mudzusi, A. H., Netshandama, V. O., & Davhana-Maselesele, M. (2007). Nurses' experiences of delivering voluntary counselling and testing services for people with HIV/AIDS in the Vhembe District, Limpopo Province, South Africa. Nursing and Health Sciences, 9, 254-262.
Mbengo, F. (2013). Factors influencing the use of voluntary counselling and testing by university students. [Unpublished master's thesis, University of South Africa].
MOH-Kampala. & ORC-Macro. (2006). Uganda HIV/AIDS sero-behavioural survey (2004, 2005). Ministry of Health (MOH) [Uganda] and ORC Macro.
Mola, O. D., Mercer, M. A., Asghar, R. J., Gimbel-Sherr, K. H., Gimbel-Sherr, S., Micek, M. A., & Gloyd, S. S. (2006). Condom use after voluntary counselling and testing in Central Mozambique. Tropical Medicine and International Health, 11(2), 176-181.
Mturi, A. J., & Gaearwe, L. (2014). Gender differences in sexual behaviour amongst university students in Mahikeng, South Africa. African Population Studies, 28(1), 526-537.
Ngoma, C. M., & Himoonga, U. M. (2010). Gender differences in sexual behaviours among students at the University of Zambia, Lusaka. African Journal of Nursing and Midwifery, 12(2), 27-35.
Nuri, R. A. (2017). Voluntary counselling and testing utilization and associated factors among teachers in Arsi Negele district, West Arsi zone, Oromia regional state, Ethiopia. MOJ Public Health, 6(3), 326"’331.
Odimegwu, C., Adedini, S. A., & Ononokpono, D. N. (2013). HIV/AIDS stigma and utilization of voluntary counselling and testing in Nigeria. BMC Public Health, 13(1), 1.
Ogaji, D. S., Oyeyemi, A. S., & Ibrahim, I. (2013). Awareness, willingness and use of Voluntary HIV testing and counseling services by students of a university in south-south Nigeria. Journal of Community Medicine and Primary Health Care, 25(2) 36-44.
Olakunle, J. O. (2017). Factors affecting the uptake of voluntary counselling and testing among youth in Rural Nigeria. [Unpublished master's thesis, University of Lethbridge, Canada].
Olijira, L. (2004). Utilization of voluntary counselling and testing services, Perceived barriers, and preferences of adolescents 15 to 24 years of age in Harara town, Eastern Ethiopia. Ethiopia Journal of Health Development, 18(2), 21-22.
Olley, N., (2008). Drugs and popular culture: Drugs, media and identity in contemporary society. British Journal of Criminology, 48, 415-418.
Onyango, O. J. (2010). Psychosocial and demographic factors affecting utilization of voluntary counseling and testing services among secondary school teachers in Nyando District, Kenya. [Unpublished master's thesis, Kenyatta University].
Puhan, M. A., Natta, M. L. V., Palella, F. J., Addessi, A., & Meinert, C. (2010). Excess mortality in patients with AIDS in the era of highly active antiretroviral therapy: Temporal changes and risk factors. Clinical Infectious Diseases, 51, 947-956.
Sanga, Z., Kapanda, G., Msuya, S., & Mwangi, R. (2015). Factors influencing the uptake of Voluntary HIV Counseling and Testing among secondary school
students in Arusha City, Tanzania: A cross sectional study. BMC Public Health, 15, 452. DOI 10.1186/s12889-015-1771-9.
Sulwe, C. N. (2012). Factors influencing uptake of voluntary counseling and HIV testing services in Mwense district, Zambia. [Unpublished master's thesis, University of the Western Cape].
Teklehaimanot, H. D., Teklehaimanot, A., Yohannes, M., & Biratu, D. (2016). Factors influencing the uptake of voluntary HIV counseling and testing in rural Ethiopia: A cross sectional study. BMC Public Health, 16, 239. DOI 10.1186/s12889-016-2918-z
UNAIDS Joint United Nations Programme on HIV/AIDS. (2000). Voluntary counselling and testing (VCT). Author.
UNAIDS Joint United Nations Programme on HIV/AIDS. (2012). Global report: UNAIDS report on the global AIDS epidemic 2012. http://www.unicef.org/pacificislands/UNAIDS_Global_Report_2012.pdf
UNAIDS Joint United Nations Programme on HIV/AIDS. (2014). The gap report 2014. http://www.unaids.org/en/resources/documents/2014/20140716_UNAIDS_gap_report
UNAIDS Joint United Nations Programme on HIV/AIDS. (2022). HIV/AIDS report 2021. Author.
UNFPA. & IPPF. (2004). Integrating HIV Voluntary Counselling and testing Service reproductive health settings: Stepwise guidelines for programme planners, managers and service providers. Author.
Vajpayee, M., Mojumdar, K., Raina, M., Mishra, S., & Sreeinvas, V. (2009). HIV voluntary counselling and testing: An experience from India. AIDS Care, 21(7), 826-833.
Wangui, J. K., Kikuvi, G. M., & Msanzu, J. B. (2016). Factors influencing utilization of Voluntary Counseling and Testing Services among Kenya Ports Authority employees in Mombasa, Kenya. Global Journal of Health Sciences, 1(1), 27-41.
World Health Organisation. (WHO). (2003). Increasing access to HIV testing and counselling: Report of a WHO consultation, 19-21 November 2002. WHO.
World Health Organisation. (WHO). (2015). Global Health Sector Response to HIV, 2000-2015: Focus on innovations in Africa: Progress report. http://apps.who.int/iris/handle/10665/198065
Yahaya, L. A., Jimoh, A. A. G., & Balogun, O. R. (2010). Factors hindering acceptance of HIV/AIDS voluntary counselling and testing (VCT) among youth in Kwara state, Nigeria. African Journal of Reproductive Health, 14(3), 159-164.
Yawson, A. E., Dako-gyeke, P., Addo, S. A., & Dornoo, B. T. (2014). Utilization of HIV Testing and counselling in Ghana: Implications for Universal Coverage. African Journal of Reproductive Health, 18(1), 145-155.
Zolopa, A. R., Andersen, J., Komarow, L., Sanne, I., Sanchez, A., Hogg, E., & Powderly, W. (2009). Early antiretroviral therapy reduces AIDS progression/death in individuals with acute opportunistic infections: A multicenter randomized strategy trial. PLoS One, 4(5), e5575.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 African Journal of Education and Practice
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution (CC-BY) 4.0 License that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.