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ORIGINAL ARTICLE
Year : 2018  |  Volume : 7  |  Issue : 1  |  Page : 1-5

Out-of-pocket expenditure on HIV/AIDS services in Nigeria


1 Department of Programme Coordination, National Agency for the Control of AIDS, Abuja, Nigeria
2 Department of Strategic Knowledge and Management, National Agency for the Control of AIDS, Abuja, Nigeria
3 Department of Public Health, Olabisi Onabanjo University, Ago-Iwoye, Nigeria

Correspondence Address:
Dr. Chinwendu Daniel Ndukwe
Department of Programme Coordination, National Agency for the Control of AIDS, Abuja
Nigeria
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijhas.IJHAS_3_17

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CONTEXT: Financial catastrophe can arise from huge out-of-pocket (OOP) expenditure on HIV-related care and treatment. Despite the huge burden of HIV and high poverty headcount ratio in Nigeria, there is dearth of information on the OOP expenditure among People Living with HIV (PLHIV). AIMS: This study aims to assess OOP expenditure on HIV/AIDS services among PLHIV in Nigeria. SUBJECTS AND METHODS: The study was a cross-sectional survey of PLHIV accessing HIV/AIDS services in health facilities across five states in Nigeria. A multi-stage sampling approach was adopted, and two pretested questionnaires were used for the assessment. Descriptive analysis was conducted using SPSS version 16. RESULTS: A total of 485 PLHIV accessing care in 26 health facilities were surveyed. About 59.9% of the respondents were employed while 50.4% PLHIV were the main breadwinner for their household. The average annual personal income was N357, 516 ($2,235) and the annual household income was N586, 584 ($3,666). The proportions of household expenditure on healthcare food and transport were 23.0%, 33.5% and 13.1%, respectively. The average annual expenditure for HIV care was N84, 480 ($528). The proportion of the household income used for HIV care was 14.5%. CONCLUSIONS: OOP expenditure for HIV related services among PLHIV in Nigeria seems to be catastrophic. There is a need for policy response toward financial protection for PLHIV and abolishment of user-fee where it exits.


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