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December 23, 2025Open Access

Healthcare Facility and Provider Factors Affecting Antiretroviral Therapy Adherence: Identifying Critical Intervention Points in Ghana's HIV Treatment Cascade

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Authors

VDVictor Luckyboy DzramadoEOEmmanuel Oduro

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Overview

Mixed-methods analysis shows healthcare facility factors impact adherence in HIV patients, highlighting intervention needs.

Key Points

  • The study aims to identify healthcare facility and provider factors affecting ART adherence among HIV patients in Ghana.
  • Utilized a convergent parallel mixed-methods design
  • Collected data from 2000 patients using structured questionnaires
  • Conducted in-depth interviews with 10 patients and 10 healthcare providers
  • Analyzed data using multiple linear regression analysis
  • Provider communication quality significantly improved adherence (β=0.280, p<0.001)
  • Access to on-site pharmacies with trained pharmacists enhanced adherence (β=0.193, p<0.001)
  • Inadequate confidentiality provisions negatively impacted engagement (β=-0.426, p<0.001)
  • Segregated hospital admission blocks and referral requirements reduced treatment adherence

Cite This Study

Dzramado et al. (2025) studied this question.

synapsesocial.com/papers/6949ddb572f746a93d789061https://doi.org/10.21203/rs.3.rs-8224657/v1
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Translating research into action: Policy recommendations for strengthening antiretroviral therapy adherence in Ghana based on empirical evidence2026
  2. 2Modeling antiretroviral therapy adherence among people living with HIV: a cross-sectional study at Pantang Hospital, Ghana2026
  3. 3Healthcare providers’ perspectives of barriers and facilitators to highly active antiretroviral therapy adherence among HIV-positive women in Southern Ethiopia: A qualitative study2025
  4. 4Factors Associated with Non-Adherence to Antiretroviral Therapy Among HIV Patients at Kibungo Referral Hospital, Rwanda.2025
  5. 5Adherence to Antiretroviral Therapy among Patients with Human Immunodeficiency Virus: Rates and Determinants2025