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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
User fees and access to ARV treatment for persons living with HIV/AIDS: Implementation and challenges in Burkina Faso, a limited-resource country
AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV, Volume 22, No. 9, Year 2010
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Description
Access to antiretroviral (ARV) treatment remains a crucial problem for patients living with HIV/AIDS (PLWHA) in limited-resources countries. Some African countries have adopted the principle of providing ARV free of charge, but Burkina Faso opted for a direct out-of-pocket payment at the point of care delivery, with subsidized payments and mechanisms for the poorest populations to receive these services free of charge. Our objectives were to determine the proportion of PLWHA who pay for ARV and to identify the factors associated with ARV access in Burkina Faso. A cross-sectional study was performed in 13 public health facilities, 10 Nongovernmental Organizations and association health facilities, and three faith-based health facilities. In each facility, 20 outpatients receiving ARV were interviewed during a routine clinic visit. A multivariate analysis by logistic regression was performed. Among the expected 520 patients receiving ARV, 499 (96.0%) were surveyed. The majority of patients (79%) did not pay for their ARV treatment, thereby limiting cost recovery from patient payments. In a multivariate analysis, level of education and income were associated with free access to ARV. Patients with no education more frequently received free ARV than those who had received some level of education (OR 2.7, 95% CI [1.3-5.6]). Patients without any income or with less than US$10 per month were more likely to receive free ARV (OR 2.6 [95% CI 1.3-5.2]) than those who earned more than US$10 per month. However, 16% of patients without any income and 21% of those without employment paid for ARV, and the costs of drugs for opportunistic infections, food, and transport remained a burden for 85%, 91%, and 74%, respectively, of those who did not pay for ARV. Free access to a minimum care package for every PLWHA would enhance access to ARV. © 2010 Taylor and Francis.
Authors & Co-Authors
Kouanda, Sèni
Burkina Faso, Ouagadougou
Institut de Recherche en Sciences de la Santé
Bocoum, Fadima Yaya
Burkina Faso, Ouagadougou
Institut de Recherche en Sciences de la Santé
Doulougou, Boukaré
Burkina Faso, Ouagadougou
Institut de Recherche en Sciences de la Santé
Bila, Blandine
Burkina Faso, Ouagadougou
Institut de Recherche en Sciences de la Santé
Yameogo, Maurice
Burkina Faso, Ouagadougou
Institut de Recherche en Sciences de la Santé
Sanou, Mahamoudou J.
Burkina Faso, Ouagadougou
Ministere de la Sante Ouagadougou
Sawadogo, Mamadou
Unknown Affiliation
Sondo, Blaise K.
Burkina Faso, Ouagadougou
Institut de Recherche en Sciences de la Santé
Msellati, Philippe
France, Aix-en-provence
Umr 145 Ird-crecss
Desclaux, Alice
France, Aix-en-provence
Umr 145 Ird-crecss
Senegal, Dakar
Institut de Recherche Pour le Développement Dakar
France, Marseille
Aix Marseille Université
Statistics
Citations: 21
Authors: 10
Affiliations: 5
Identifiers
Doi:
10.1080/09540121003605047
ISSN:
09540121
e-ISSN:
13600451
Research Areas
Food Security
Health System And Policy
Infectious Diseases
Study Design
Cross Sectional Study
Study Approach
Quantitative
Study Locations
Burkina Faso