Abstract：
INTRODUCTION:The global scale-up of antiretroviral therapy (ART) for HIV patients has led to concerns regarding inequities in utilization of ART services in resource-limited contexts. In this paper, we describe regional and sex differentials in the distribution of ART among adult HIV patients in Ghana. We highlight the need for interventions to address the gender-based and geographic inequities related to the utilization of ART services in Ghana. METHODS:We reviewed National AIDS/STIs Control Program's ART service provision records from January 2003 through December 2010, extracting data on adults aged 15+ who initiated ART in Ghana over a period of eight years. Data on the number of patients on treatment, year of enrollment, sex, and region were obtained and compared. RESULTS:The number of HIV patients receiving ART in Ghana increased more than 200-fold from 197 in 2003, to over 45,000 in 2010. However, for each of six continuous years (2005-2010) males comprised approximately one-third of adults newly enrolled on ART. As ART coverage has expanded in Ghana, the proportion of males receiving ART declined from 41.7% in 2004 to 30.1% in 2008 and to 27.6% in 2010. Also, there is disproportionate regional ART utilization across the country. Some regions report ART enrollment lower than their percent share of number of HIV infected persons in the country. CONCLUSIONS:Attention to the comparatively fewer males initiating ART, as well as disproportionate regional ART utilization is urgently needed. All forms of gender-based inequities in relation to HIV care must be addressed in order for Ghana to realize successful outcomes at the population level. Policy makers in Ghana and elsewhere need to understand how gender-based health inequities in relation to HIV care affect both men and women and begin to design appropriate interventions.
journal_name
Int J Equity Healthjournal_title
International journal for equity in healthauthors
Dako-Gyeke P,Snow R,Yawson AEdoi
10.1186/1475-9276-11-62subject
Has Abstractpub_date
2012-10-16 00:00:00pages
62issn
1475-9276pii
1475-9276-11-62journal_volume
11pub_type
杂志文章abstract：UNLABELLED:BSTRACT: INTRODUCTION:Mexican-origin women in the U.S. living in colonias (new-destination Mexican-immigrant communities) along the Texas-Mexico border suffer from a high incidence of food insecurity and diet-related chronic disease. Understanding environmental factors that influence food-related behaviors ...
journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/1475-9276-11-25
更新日期：2012-05-15 00:00:00
abstract：INTRODUCTION:Equity should be implicit within universal health coverage (UHC) however, emerging evidence is showing that without adequate focus on measurement of equity, vulnerable populations may continue to receive inadequate or inferior health care. This study undertakes a narrative review which aims to: (i) elucida...
journal_title：International journal for equity in health
pub_type： 杂志文章,评审
doi：10.1186/s12939-014-0072-8
更新日期：2014-10-10 00:00:00
abstract：INTRODUCTION:Evidence to date indicates that patients from ethnic minority backgrounds may experience disparity in the quality and safety of health care they receive due to a range of socio-cultural factors. Although heightened risk of patient safety events is of key concern, there is a dearth of evidence regarding the...
journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/s12939-020-01223-2
更新日期：2020-07-08 00:00:00
abstract：BACKGROUND:Record numbers of people, across the world, are forced to be displaced because of conflict or other violations of their human rights, thus becoming refugees. Often, refugees not only have a higher burden of disease but also compromised access to healthcare, as they face many barriers, such as limited knowled...
journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/s12939-017-0694-8
更新日期：2017-11-10 00:00:00
abstract：BACKGROUND:The recent economic and financial crisis in Portugal urged the Portuguese Government in April 2011 to request financial assistance from the troika austerity bail out program to get aid for its government debt. The troika agreement included health reforms and austerity measures of the National Health Service ...
journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/s12939-017-0679-7
更新日期：2017-10-25 00:00:00
abstract：INTRODUCTION:The Brazilian Government created Participatory Health Councils (PHCs) to allow citizen participation in the public health policy process. PHCs are advisory bodies that operate at all levels of government and that bring together different societal groups to monitor Brazil's health system. Today they are pre...
journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/s12939-015-0151-5
更新日期：2015-02-19 00:00:00
abstract：BACKGROUND:The importance of culture for food consumption is widely acknowledged, as well as the fact that culture-based resources ("cultural capital") differ between educational groups. Since current explanations for educational inequalities in healthy and unhealthy food consumption (e.g. economic capital, social capi...
journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/s12939-018-0884-z
更新日期：2018-11-15 00:00:00
abstract：BACKGROUND:Despite the recognition of power as being central to health research collaborations between high income countries and low and middle income countries, there has been insufficient detailed analysis of power within these partnerships. The politics of research in the global south is often considered outside of ...
journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/s12939-016-0488-4
更新日期：2016-12-12 00:00:00
abstract：: This review investigates the health of immigrants to Canada by critically examining differences in health status between immigrants and the native-born population and by tracing how the health of immigrants changes after settling in the country. Fifty-one published empirical studies met the inclusion criteria for thi...
journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/1475-9276-9-27
更新日期：2010-11-24 00:00:00
abstract：BACKGROUND:In the 2011 Rio Political Declaration on Social Determinants of Health, World Health Organization (WHO) Member States pledged action in five areas crucial for addressing health inequities. Their pledges referred to better governance for health and development, greater participation in policymaking and implem...
journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/s12939-018-0836-7
更新日期：2018-09-05 00:00:00
abstract：BACKGROUND:Studies from various countries have observed worse population health in geographical areas with more income inequality. The psychosocial interpretation of this association is that large income disparities are harmful to health because they generate relative deprivation and undermine social cohesion. An alter...
journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/1475-9276-10-7
更新日期：2011-02-03 00:00:00
abstract：BACKGROUND:Dying at home is the most frequent preference of patients with advanced chronic conditions, their caregivers, and the general population. However, most deaths continue to occur in hospitals. The objective of this study was to analyse the socioeconomic inequalities in the place of death in urban areas of Medi...
journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/s12939-020-01324-y
更新日期：2020-12-03 00:00:00
abstract：BACKGROUND:The allocation of health resources in primary health care institutions (PHCI) is crucial to health reform. China has recently implemented many reform measures emphasizing the provision of primary health care services, with equity as one of the major goals. The aim of this study was to analyze the quantity, q...
journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/s12939-018-0896-8
更新日期：2018-12-04 00:00:00
abstract：BACKGROUND:Although health equity issues at regional, national and international levels are receiving increasing attention, health equity issues at the local level have been virtually overlooked. Here, we describe here a comprehensive equity assessment carried out by the Hôpital Albert Schweitzer-Haiti (HAS) in 2003. H...
journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/1475-9276-6-7
更新日期：2007-08-01 00:00:00
abstract：BACKGROUND:Underserved and low-income population are placed at a disadvantage for receiving necessary cancer screenings. This study aims to measure the rates of receiving three types of cancer screening services, Pap test, mammogram and colorectal cancer screening, among patients seen at U.S. health centers (HCs) to in...
journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/s12939-020-1153-5
更新日期：2020-03-27 00:00:00
abstract：BACKGROUND:The theory of fundamental causes explains why health disparities persist over time, even as risk factors, mechanisms, and diseases change. Using an intersectional framework, we evaluated multifactorial discrimination as a fundamental cause of mental health disparities. METHODS:Using baseline data from the P...
journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/s12939-017-0532-z
更新日期：2017-03-04 00:00:00
abstract：BACKGROUND:With the depth development of health care system reform in China, emergency medical services (EMS) is confronted with challenges as well as opportunities. This study aimed to analyze the equity of China's EMS needs, utilization, and resources distribution, and put forward proposal to improve the equity. MET...
journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/s12939-016-0507-5
更新日期：2017-01-11 00:00:00
abstract：:There is a global trend towards the use of ad hoc participation processes that seek to engage grassroots stakeholders in decisions related to municipal infrastructure, land use and services. We present the results of a scholarly literature review examining 14 articles detailing specific cases of these processes to con...
journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/s12939-015-0252-1
更新日期：2015-11-20 00:00:00
abstract：BACKGROUND:Given the persistence of Indigenous health inequities across national contexts, many countries have adopted strategies to improve the health of Indigenous peoples. Governmental recognition of the unique health needs of Indigenous populations is necessary for the development of targeted programs and policies ...
journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/s12939-020-1149-1
更新日期：2020-07-31 00:00:00
abstract：:BACKGROUND: The nurse-doctor relationship is historically one of female nurse deference to male physician authority. We investigated the effects of physicians' sex on female nurses' behaviour. METHODS: Nurses at an urban, university based hospital completed one of two forms of a vignette-based survey in January, 2000....
journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/1475-9276-2-1
更新日期：2003-02-11 00:00:00
abstract：BACKGROUND:Social isolation among older adults raises major issues for equity in healthcare in the context of the COVID-19 pandemic. MAIN TEXT:This commentary describes current challenges in preventing social isolation among older adults and proposes pathways to develop inclusive approaches to intervention in this vul...
journal_title：International journal for equity in health
pub_type： 信件
doi：10.1186/s12939-020-01360-8
更新日期：2021-01-08 00:00:00
abstract：BACKGROUND:Despite free healthcare to pregnant women and children under the age of six, access to healthcare has failed to secure better child health outcomes amongst all children of the country. There is growing evidence of socioeconomic gradient on child health outcomes METHODS:The objectives of this study were to m...
journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/1475-9276-10-13
更新日期：2011-04-04 00:00:00
abstract：BACKGROUND:The inequitable allocation of health resources is a worldwide problem, and it is also one of the obstacles facing for health services utilization in China. A new round of health care reform which contains the important aspect of improving the equity in health resource allocation was released by Chinese gover...
journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/s12939-016-0357-1
更新日期：2016-04-19 00:00:00
abstract：BACKGROUND:Low socioeconomic status can increase the risk of adverse pregnancy outcomes, but it remains unclear whether this negative association is attributed to inadequate prenatal care. Korea has been adopting a universal healthcare system. All Korean citizens must be enrolled National Health Insurance (NHI) or be r...
journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/s12939-017-0715-7
更新日期：2018-01-05 00:00:00
abstract：BACKGROUND:'Caring for Country' is defined as Indigenous participation in interrelated activities with the objective of promoting ecological and human health. Ecological services on Indigenous-owned lands are belatedly attracting some institutional investment. However, the health outcomes associated with Indigenous par...
journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/1475-9276-7-26
更新日期：2008-12-18 00:00:00
abstract：BACKGROUND:China is experiencing environmental issues and related health effects due to its industrialization and urbanization. The health effects associated with air pollution are not just a matter of epidemiology and environmental science research, but also an important social science issue. Literature about the rela...
journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/s12939-018-0719-y
更新日期：2018-02-05 00:00:00
abstract：INTRODUCTION:Health care financing reforms in both China and Vietnam have resulted in greater financial difficulties in accessing health care, especially for the rural poor. Both countries have been developing rural health insurance for decades. This study aims to evaluate and compare equity in access to health care in...
journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/1475-9276-11-10
更新日期：2012-02-29 00:00:00
abstract：BACKGROUND:An integrated and comprehensive hospital/community based health programme is presented, aimed at reducing maternal and child mortality and morbidity. It is run as part of a general programme of health care at a rural hospital situated in northern Tanzania. The purpose was through using research and statistic...
journal_title：International journal for equity in health
pub_type： 社论
doi：10.1186/1475-9276-8-27
更新日期：2009-07-30 00:00:00
abstract：OBJECTIVE:To investigate the association between multimorbidity and Preference_Weighted Health Related Quality of Life (PW_HRQoL), a score that combines physical and mental functioning, and how this varies by socioeconomic deprivation and age. DESIGN:The Scottish Health Survey (SHeS) is a cross-sectional representativ...
journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/1475-9276-12-67
更新日期：2013-08-20 00:00:00
abstract：BACKGROUND:Bariatric surgery is the most effective current treatment for severe obesity. Capacity to perform surgery within Canada's public health system is limited and potential candidates face protracted wait times. A better understanding of the gaps between demand for surgery and the capacity to provide it is requir...
journal_title：International journal for equity in health
pub_type： 杂志文章
doi：10.1186/1475-9276-11-54
更新日期：2012-09-18 00:00:00
