Economic Burden of Accessing Antiretrovirals Among People Living with HIV; Findings from a Cross-Sectional Survey in Lagos State, Nigeria

Adeyemi, Ogunnaike Adewale; David, Adewole; Sunday, Temowo Oluseyi; Fisher, Oladipupo; Michael, Essien; Julianah, Dada

doi:10.11648/j.ijhpebs.20200602.12

Cited by 1 publication

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“…There was a predominance of female respondents of 59.2% in this study, which is consistent with the outcome obtained from another study in Nigeria with 60% females. It was also found that the healthcare expenditure catastrophic was 57%, similar in percentage to what was reported in another study [ 17 ], but higher than what was observed in some other sub‐Saharan countries [ 19 , 20 , 21 ]. This is also higher than the CHE in the general Nigerian population [ 22 ].…”

Section: Discussionsupporting

confidence: 86%

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Investigating catastrophic health expenditure among people living with HIV and AIDS in South Western Nigeria

Adeniran,

Ojo,

Chieme

et al. 2023

Health Care Science

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BackgroundThis study aimed to determine the catastrophic healthcare expenditure (CHE) among people living with HIV (PLHIV) in Lagos and to identify factors associated with CHE among them.MethodsThe study was a descriptive cross‐sectional survey conducted between January and March 2021 among 578 PLHIVs drawn from various healthcare facilities in Lagos where HIV care and treatment services should be provided free of charge. Data were collected through pretested questionnaires and analyzed using Stata SE 12.ResultsThe mean monthly expenditure on food was N29,282 ($53.2), while expenditure on healthcare averaged N8364 ($15.2). Nearly 60% of respondents experienced CHE, while around 30% had to borrow money to pay for some aspect of their medical treatment. Almost all (96%) had no health insurance plan. Respondents' group, personal income, perception of current health status, and the number of people in their households were significantly associated with catastrophic health expenditure p < 0.05. PLHIV in the racial/ethnic minority/migrants' group and those who earned less than ₦30,000 ($55) were statistically significantly associated with CHE at p < 0.001 with OR of 28.7 and 3.15, respectively.ConclusionsThe study, therefore, highlights the widespread financial hardship faced by PLHIV in accessing healthcare, and the need for policies to increase financial risk protection.

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Section: Discussionsupporting

confidence: 86%

“…There is a pressing need in Nigeria for innovative social safety net programs to help households manage routine healthcare needs and emergencies. The increased risk and vulnerability to incurring CHE as seen in this study have important policy implications and have also been brought to the fore in prior studies [19, 20, 23].…”

Section: Discussionmentioning

confidence: 77%