INTRODUCTION Receiving results for Human Immunodeficiency Virus (HIV) testing and counselling during antenatal care (ANC) is critical for eliminating mother-to-child transmission. We investigated the educational attainment of women and receiving results for HIV testing and counselling (HTC) during ANC in Ghana. MATERIALS AND METHODS We extracted data from the women's files of the 2008 and 2014 Ghana Demographic and Health Surveys. The study sampled 2,660 women aged 15-49 with complete data on receiving HIV testing results during ANC. We computed the highest educational attainment and receipt of HTC results for each of the surveys and presented it with a dot plot. Two Binary Logistic Regression Models were fitted to determine the likelihood of receiving HTC results by the educational attainment of the women. RESULTS We found that receiving HTC results was highest among women with secondary or higher education (87.4% in 2008 and 89.5% in 2014) and least among those with no education (69.9% in 2008 and 76.8 in 2014). From the regression analysis, women with secondary or higher level of education [AOR = 1.535; CI = 1.044, 2.258], richest women [AOR = 5.565; CI = 2.560, 12.10], and women aged 30-34 years [AOR = 1.693; CI = 1.171, 2.952], were more likely to receive HTC results. However, those who did not know that a healthy-looking person can have HIV or not [AOR = 0.322; CI = 0.161, 0.646] were less likely to receive HTC results. CONCLUSION Despite the relatively high receipt of HTC results at ANC observed between 2008 and 2014, our findings revealed disparities driven by educational attainment, wealth status, age, ANC visits and residence. This indicates that women with no education, those from rural areas, younger and poor women are missing out on the full continuum of HTC service at ANC. The Health Promotion Unit of Ghana Health Service through Community Health Nurses and the Community-Based Health Planning and Services, should intensify their education programs on HIV and make full utilisation of HIV testing and counselling service appealing to women during ANC. This is particularly to be prioritised among the least educated, younger women and rural dwellers.

中文翻译：

---

加纳产前护理期间的教育程度，艾滋病毒检测和咨询服务的利用：人口和健康调查分析。

引言产前护理（ANC）期间接受人类免疫缺陷病毒（HIV）测试和咨询的结果对于消除母婴传播至关重要。在加纳的ANC期间，我们调查了妇女的教育程度并接受了HIV检测和咨询（HTC）的结果。材料和方法我们从2008年和2014年加纳人口与健康调查的女性档案中提取数据。该研究对2660名15-49岁的女性进行了抽样，并提供了在ANC期间接受HIV检测结果的完整数据。我们为每个调查计算了HTC结果的最高教育程度和获得率，并用点状图表示。拟合了两种二元Logistic回归模型，以根据女性的受教育程度来确定接受HTC结果的可能性。结果我们发现，接受HTC测试的结果在接受过中等或高等教育程度的女性中最高（2008年为87.4％，2014年为89.5％），而在未受过教育的女性中接受率最高（2008年为69.9％，2014年为76.8）。根据回归分析，受过中等或更高教育水平的妇女[AOR = 1.535；CI = 1.044，2.258]，最富有的女性[AOR = 5.565；CI = 2.560，12.10]，以及30-34岁的女性[AOR = 1.693; CI = 1.171，2.952]，则更有可能收到HTC结果。然而，那些不知道健康的人是否可能感染艾滋病毒[AOR = 0.322; CI = 0.161，0.646]不太可能收到HTC结果。结论尽管在2008年至2014年期间，在ANC上收到的HTC结果相对较高，但我们的发现显示出受教育程度，财富状况，年龄，ANC访问和居住所驱动的差异。这表明，没有受过教育的妇女，农村妇女，年轻妇女和贫穷妇女在ANC的HTC服务的整个连续过程中都错失了。加纳卫生服务部的健康促进部门通过社区保健护士和基于社区的卫生计划和服务，应加强其艾滋病毒教育计划，并充分利用在非国大期间吸引妇女的艾滋病毒检测和咨询服务。受教育程度最低的年轻妇女和农村居民尤其要优先考虑这一点。应加强其关于艾滋病毒的教育计划，并在非国大期间充分利用对妇女有吸引力的艾滋病毒检测和咨询服务。受教育程度最低的年轻妇女和农村居民尤其要优先考虑这一点。应加强其关于艾滋病毒的教育计划，并在非国大期间充分利用对妇女有吸引力的艾滋病毒检测和咨询服务。受教育程度最低的年轻妇女和农村居民尤其要优先考虑这一点。