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Economic Burden of Accessing Antiretrovirals Among People Living with HIV; Findings from a Cross-Sectional Survey in Lagos State, Nigeria
International Journal of HIV/AIDS Prevention, Education and Behavioural Science
Volume 6, Issue 2, December 2020, Pages: 38-43
Received: Jun. 23, 2020; Accepted: Jul. 15, 2020; Published: Aug. 13, 2020
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Ogunnaike Adewale Adeyemi, Department of Health Policy & Management, Faculty of Public Health, College of Medicine, University of Ibadan, Ibadan, Nigeria
Adewole David, Department of Health Policy & Management, Faculty of Public Health, College of Medicine, University of Ibadan, Ibadan, Nigeria
Temowo Oluseyi Sunday, Department of Medical Services, Lagos State Health Service Commission, Lagos Island, Nigeria
Fisher Oladipupo, Projects Department, Lagos State AIDS Control Agency, Lagos Island, Nigeria
Essien Michael, Projects Department, Lagos State AIDS Control Agency, Lagos Island, Nigeria
Dada Julianah, Strategic Information, APIN Public Health Initiatives, Oshogbo, Nigeria
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Background: HIV/AIDS is one of the major diseases with multifaceted burdens; health, emotional and financial. After the introduction of the Antiretroviral Therapy (ART), HIV/AIDS became a chronic disease that requires long-term management thus competing with other day-to-day economic obligations of People Living with HIV/AIDS (PLWH). There have been limited studies assessing economic burden of accessing ART treatment vis-a-vis catastrophic health expenditure (CHE) in this environment. Therefore, this survey explores the CHE resulting from accessing ART treatment and identifying some of the predictors for CHE among PLWH in Lagos State, Nigeria. Materials and methods: This study was a descriptive cross-sectional, quantitative survey that was carried out among 217 consenting PLWH recruited from 15 Support groups in Lagos State, Nigeria. The data was collected using 29-items self-administered questionnaire (research assistants aided PLWH who cannot read or write) developed from the review of relevant literatures. The data were analyzed using SPSS version 20. Chi-square at p-value of < 0.05 was used to determine significance of factors associated with CHE. Results: Age of the respondents was 42.81±8.517 years. Female respondents were more than 70% (171) and about half of the respondents, 109 (50.2%) were married. Above half, 129 (59%), of the respondents attend drug pick-up sites for their ARVs monthly. Less than 60% of the respondents (mean annual income 1111.203±821.371 dollars) earn below $1000 annually with 41.2%, 39.0% and 19.8% of the respondents in low, middle and high income groups respectively. Only 5% of the PLWH expend $200 annually for refill of ARVs. Considering the global definition of CHE (health expenditure>10% of household consumption,) 40% of the surveyed respondents experienced CHE. Using chi-square to determine factors associated with CHE among respondents; occupation, income group and ARVs refill frequency were significant at P<0.05. However, the binary logistic regression identified formal occupation (aOR=0.025, 95% C.I=0.02-0.35, p-value=0.006), being in middle income group (aOR=0.007, 95% C.I=0.001-0.05, p-value=0.0001) and high income group (aOR=0.035, 95% C.I=0.10-0.12, p-value=0.0001) and visiting health care facility for ARVs refill bi-monthly (aOR=17.555, 95% C.I=4.64-66.40, p-value=0.0001) as predictors of CHE among respondents. Conclusions: The results of this survey revealed that having formal employment, belonging to middle and high income groups protects respondents from CHE while bi-monthly ARVs refill predisposes PLWH in this survey to CHE.
Catastrophic Health Expenditure (CHE), Antiretroviral Therapy (ART), Antiretroviral (ARV), People Living with HIV (PLWH), Income Groups
To cite this article
Ogunnaike Adewale Adeyemi, Adewole David, Temowo Oluseyi Sunday, Fisher Oladipupo, Essien Michael, Dada Julianah, Economic Burden of Accessing Antiretrovirals Among People Living with HIV; Findings from a Cross-Sectional Survey in Lagos State, Nigeria, International Journal of HIV/AIDS Prevention, Education and Behavioural Science. Vol. 6, No. 2, 2020, pp. 38-43. doi: 10.11648/j.ijhpebs.20200602.12
Copyright © 2020 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License ( which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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