Drivers of Patient Costs in Accessing HIV/AIDS Services in Tanzania

Journal of the International Association of Providers of AIDS Care
Thomas MnzavaAndres Berruti

Abstract

Patient costs pose a challenge in accessing antiretroviral therapy for people living with HIV in sub-Saharan Africa. The study aimed at identifying drivers for out-of-pocket (OOP) costs in Tanzania. In 2009, 500 adult patients who attended 10 HIV clinics across 7 regions of Tanzania were asked about time and resources consumed to access HIV services. Bivariate and multivariate median regression models were used to determine the main drivers for OOP costs. Male and female patients have a median OOP costs of $40.37 and $28.01 per year, respectively ( P = .01). Males spend significantly more on travel ($26.51) than females ($19.68; P = .02). Living in rural areas and poor social economic status (SES) are associated with greater OOP costs ( P = .001) for both sexes. Poor SES and rural residence are main drivers of OOP costs. Patients are less likely to seek health care unless they are in dire need, leading to expensive services.

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Citations

Apr 11, 2021·Journal of the International AIDS Society·Brooke E NicholsGeoffrey Fatti
Aug 28, 2021·International Journal of Environmental Research and Public Health·Nwanneka E OkereGabriela B Gomez

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Methods Mentioned

BETA
PCA

Software Mentioned

Stata
SE
EpiData

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