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January 6, 2026Tropical Medicine and HealthOpen Access

Trends and inequalities in HIV testing uptake among pregnant women during antenatal care in Ghana: a decomposition analysis from 2008 to 2022

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Authors

AAAmidu AlhassanPDPatience Fakornam DoeYSYula Salifu

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Overview

Analysis reveals rising HIV testing rates in pregnant women, indicating persistent inequalities in Ghana's health equity.

Key Points

  • This research focuses on trends and inequalities in HIV testing uptake among pregnant women during antenatal care in Ghana.
  • Utilized data from the Ghana Demographic and Health Surveys (2008, 2014, 2022) with 41,574 women aged 15–49.
  • Applied the World Health Organization’s Health Equity Assessment Toolkit for analysis of health inequalities.
  • Estimated differences, ratios, absolute concentration indices, population attributable fractions across equity stratifiers such as geography, education, and wealth.
  • National coverage of HIV testing during ANC increased from 28.9% in 2008 to 72.4% in 2022.
  • Wealth-related uptake disparities noted, with testing rates at 92.3% in the richest and 51.7% in the poorest quintiles.
  • Regional disparities showed Volta at 88.9% versus Savannah at 32.8% in 2022, indicating significant geographic inequality.

Cite This Study

Alhassan et al. (2026) studied this question.

synapsesocial.com/papers/695d855e3483e917927a4c84https://doi.org/10.1186/s41182-025-00897-0
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