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

Background: 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. Methods: In 2009, 500 adult patients who attended 10 HIV clinics across 7 regions of Tanz...

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Bibliographic Details
Published in:Journal of the International Association of Providers of AIDS Care 2018-01, Vol.17, p.2325958218774775-2325958218774775
Main Authors: Mnzava, Thomas, Mmari, Eunice, Berruti, Andres
Format: Article
Language:English
Subjects:
Acquired immune deficiency syndrome
Adult
AIDS
Antiretroviral therapy
Costs
Cross-Sectional Studies
Fees and Charges
Female
Health care expenditures
Health Expenditures
Health services
Health Services Accessibility - economics
HIV
HIV Infections - drug therapy
HIV Infections - economics
HIV Infections - epidemiology
Human immunodeficiency virus
Humans
Male
Middle Aged
Original
Patients
Regression Analysis
Residence
Rural areas
Rural Population
Rural poverty
Sexual Behavior
Socioeconomic Factors
Socioeconomic status
Tanzania - epidemiology
Travel
Young Adult
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Summary:Background: 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. Methods: 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. Results: 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. Conclusion: 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.
ISSN:2325-9582
2325-9574
2325-9582
DOI:10.1177/2325958218774775