Examining catastrophic costs and benefit incidence of subsidized antiretroviral treatment (ART) programme in south-east Nigeria
Examining catastrophic costs and benefit incidence of subsidized antiretroviral treatment (ART) programme in south-east Nigeria
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DOI：
10.1016/j.healthpol.2008.10.006
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发表时间：
2009-05-01
期刊：
影响因子：
3.3
通讯作者：
Ichoku, Hyacinth
中科院分区：
文献类型：
--
作者：
Onwujekwe, Obinna;Dike, Nkem;Ichoku, Hyacinth
目的：调查政府资助的抗逆转录病毒治疗(ART)项目的费用灾难性程度以及不同人群受益的发生率。方法：通过问卷调查收集政府资助的抗逆转录病毒治疗(ART)诊所患者的治疗支出数据。病人费用不包括时间和其他间接费用。结果：患者平均每月在抗逆转录病毒药物上的花费为990奈拉(8.3美元)。他们还平均每月在其他药物上花费8.2美元。然而，从艺术诊所以外的其他地方购买抗逆转录病毒药物的人平均每月花费88.8美元。患者平均每月在实验室检测上花费95.1美元。补贴抗逆转录病毒药物耗尽家庭总支出的9.8%，其他药物(如治疗机会性感染)耗尽9.7%，其他抗逆转录病毒药物耗尽105%。调查耗费了112.9%，总支出耗费了243.2%。女性、农村居民和大多数贫困患者的灾难程度通常更高。结论：受资助的抗逆转录病毒治疗方案降低了抗逆转录病毒药物的成本，但仍产生了其他主要费用，导致获得和消费抗逆转录病毒治疗的总成本过高和灾难性。实验室检测和其他药物的费用应该得到补贴，还应该针对抗逆转录病毒治疗方案，确保更多的农村居民和最贫穷的人增加受益率。(C)2008爱思唯尔爱尔兰有限公司。保留所有权利。
Objectives: To examine the extent to which costs of subsidized antiretrovirals treatment (ART) programmes are catastrophic and the benefit incidence that accrues to different population groups.Methods: Data on expenditures to patients for receiving treatment from a government subsidized ART clinic was collected using a questionnaire. The patient costs excluded time and other indirect costs. Catastrophic cost was determined as the percentage of total expenditure on ART treatment as a proportion of household non-food expenditures on essential items.Results: On average, patients spent 990 Naira (US$ 8.3) on antiretroviral (ARV) drugs per month. They also spent an average of $8.2 on other drugs per month. However, people that bought ARV drugs from elsewhere other than the ART clinic spent an average of $88.8 per month. Patients spent an average of $95.1 on laboratory tests per month. Subsidized ARV drugs depleted 9.8% of total household expenditure, other drugs (e.g. for opportunistic infections) depleted 9.7%, ARV drugs from elsewhere depleted 105%. investigations depleted 112.9% and total expenditure depleted 243.2%. The level of catastrophe was generally more with females, rural dwellers and most poor patients. Females and urbanites had more benefit incidence than males and rural dwellers.Conclusion: Subsidized ART programme lowers the cost of ARV drugs but other major costs are still incurred, which make the overall cost of accessing and consuming ART treatment to be excessive and catastrophic. The costs of laboratory tests and other drugs should be subsidized and there should also be targeting of ART programme to ensure that more rural dwellers and the most-poor people have increased benefit incidence. (C) 2008 Elsevier Ireland Ltd. All rights reserved.