Determinants of regular demand for antiretroviral therapy in Togo

Abstract

Background: The Human Immunodeficiency Virus (HIV) epidemic reduces the annual growth rate of developing countries by 0.8%. Regular demand for antiretrovirals (ARV) becomes imperative. The purpose of this paper is to determine the factors of regular ARV demand. The study concerns 2269 patients who initiated treatment between January 1 and December 31, 2017 in Togo. Methods: From the study of the behavior of the care consumer, the analysis of the non-monetary determinants of health care demand is based on the Logit model.Results: Most patients are between the ages of 26 and 45 years old. Out of 2269 patients, 32% are irregular at monthly appointments. Sex, occupational status, World Health Organization (WHO) stage of illness, marital status and administrative region of life influence patient compliance. Conclusion: Despite free treatment of HIV, adherence to care remains a crucial problem in the context of HIV treatment. The personalized and differentiated follow-up become important, coupled with the improvement of patients' socio-economic conditions and geographic accessibility to care.