PMID- 31138945 OWN - NLM STAT- MEDLINE DCOM- 20191211 LR - 20220408 IS - 2616-163X (Electronic) IS - 0016-9560 (Print) IS - 0016-9560 (Linking) VI - 53 IP - 1 DP - 2019 Mar TI - Ghana's HIV epidemic and PEPFAR's contribution towards epidemic control. PG - 59-62 LID - 10.4314/gmj.v53i1.9 [doi] AB - BACKGROUND: The aim of this review was to summarize the data on HIV/AIDS epidemiology and affected populations in Ghana and to describe the United States President's Emergency Plan for Emergency Relief's (PEPFAR) response to the epidemic. DESIGN: We conducted a literature review focusing on PEPFAR's contribution to the HIV response in Ghana. Additionally, we summarized the epidemiology of HIV. We searched both peer-reviewed and grey literature. SETTING: Ghana. RESULTS: Overall, HIV prevalence in Ghana is 1.6% with regional variation. Key populations (KPs) are disproportionately affected by HIV in the country. FSW and their clients, and MSM, account for 28% of all new infections. PEPFAR provides technical assistance (TA) to Ghana to maximize the quality, coverage and impact of the national HIV/AIDS response. To ensure adequate supply of antiretrovirals (ARVs), in 2016-2017, PEPFAR invested $23.7 million as a onetime supplemental funding to support Ghana's ARV treatment program. In addition, the National AIDS Control Programme in collaboration with PEPFAR is implementing a scale up of viral load testing. PEPFAR is also implementing a comprehensive package of prevention services in five regions to help reach MSM and FSW and to expand HIV testing services for KPs. CONCLUSIONS: Ghana is making changes at both policy and program level in the fight against HIV/AIDS and is working towards achieving the UNAIDS' 90-90-90 targets. PEPFAR is providing TA to ensure these goals can be achieved. FUNDING: This manuscript has been supported by the U.S. President's Emergency Plan for AIDS Relief (PEPFAR) through the Centers for Disease Control and Prevention (CDC). FAU - Ali, Hammad AU - Ali H AD - Division of Global HIV and Tuberculosis, Centers for Disease Control and Prevention, Atlanta, Georgia, USA. FAU - Amoyaw, Frank AU - Amoyaw F AD - Division of Global HIV and Tuberculosis, Centers for Disease Control and Prevention, Accra, Ghana. FAU - Baden, Dan AU - Baden D AD - Division of Global HIV and Tuberculosis, Centers for Disease Control and Prevention, Accra, Ghana. FAU - Durand, Lizette AU - Durand L AD - Division of Global HIV and Tuberculosis, Centers for Disease Control and Prevention, Atlanta, Georgia, USA. FAU - Bronson, Megan AU - Bronson M AD - Division of Global HIV and Tuberculosis, Centers for Disease Control and Prevention, Atlanta, Georgia, USA. FAU - Kim, Andrea AU - Kim A AD - Division of Global HIV and Tuberculosis, Centers for Disease Control and Prevention, Atlanta, Georgia, USA. FAU - Grant-Greene, Yoran AU - Grant-Greene Y AD - Division of Global HIV and Tuberculosis, Centers for Disease Control and Prevention, Atlanta, Georgia, USA. FAU - Imtiaz, Rubina AU - Imtiaz R AD - Division of Global HIV and Tuberculosis, Centers for Disease Control and Prevention, Atlanta, Georgia, USA. FAU - Swaminathan, Mahesh AU - Swaminathan M AD - Division of Global HIV and Tuberculosis, Centers for Disease Control and Prevention, Atlanta, Georgia, USA. LA - eng PT - Journal Article PT - Review PL - Ghana TA - Ghana Med J JT - Ghana medical journal JID - 0073210 RN - 0 (Anti-HIV Agents) SB - IM MH - Anti-HIV Agents/*economics/*supply & distribution/therapeutic use MH - Developing Countries MH - Ghana/epidemiology MH - HIV Infections/*drug therapy/*epidemiology MH - Homosexuality MH - Humans MH - *International Cooperation MH - Prevalence MH - Program Evaluation MH - Viral Load PMC - PMC6527824 OTO - NOTNLM OT - Ghana OT - HIV OT - PEPFAR OT - epidemic COIS- Conflict of interest: None declared EDAT- 2019/05/30 06:00 MHDA- 2019/12/18 06:00 PMCR- 2019/03/01 CRDT- 2019/05/30 06:00 PHST- 2019/05/30 06:00 [entrez] PHST- 2019/05/30 06:00 [pubmed] PHST- 2019/12/18 06:00 [medline] PHST- 2019/03/01 00:00 [pmc-release] AID - jGMJ.v53.i1.pg59 [pii] AID - 10.4314/gmj.v53i1.9 [doi] PST - ppublish SO - Ghana Med J. 2019 Mar;53(1):59-62. doi: 10.4314/gmj.v53i1.9.