Out-of-pocket costs of AIDS care in China: are free antiretroviral drugs enough?

Hdl Handle:
http://hdl.handle.net/10144/38854
Title:
Out-of-pocket costs of AIDS care in China: are free antiretroviral drugs enough?
Authors:
Moon, S; Van Leemput, L; Durier, N; Jambert, E; Dahmane, A; Jie, Y; Wu, G; Philips, M; Hu, Y; Saranchuk, P
Journal:
AIDS Care
Abstract:
Financial access to HIV care and treatment can be difficult for many people in China, where the government provides free antiretroviral drugs but does not cover the cost of other medically necessary components, such as lab tests and drugs for opportunistic infections. This article estimates out-of-pocket costs for treatment and care that a person living with HIV/AIDS in China might face over the course of one year. Data comes from two treatment projects run by Médecins Sans Frontières in Nanning, Guangxi Province and Xiangfan, Hubei Province. Based on the national treatment guidelines, we estimated costs for seven different patient profiles ranging from WHO Clinical Stages I through IV. We found that patients face significant financial barriers to even qualify for the free ARV program. For those who do, HIV care and treatment can be a catastrophic health expenditure, with cumulative patient contributions ranging from approximately US$200-3939/year in Nanning and US$13-1179/year in Xiangfan, depending on the patient's clinical stage of HIV infection. In Nanning, these expenses translate as up to 340% of an urban resident's annual income or 1200% for rural residents; in Xiangfan, expenses rise to 116% of annual income for city dwellers and 295% in rural areas. While providing ARV drugs free of charge is an important step, the costs of other components of care constitute important financial barriers that may exclude patients from accessing appropriate care. Such barriers can also lead to undesirable outcomes in the future, such as impoverishment of AIDS-affected households, higher ARV drug-resistance rates and greater need for complex, expensive second-line antiretroviral drugs.
Affiliation:
Médecins Sans Frontières, Beijing, China and Brussels, Belgium. suerie_moon@yahoo.com
Issue Date:
Sep-2008
URI:
http://hdl.handle.net/10144/38854
DOI:
10.1080/09540120701768446
PubMed ID:
18777223
Additional Links:
http://www.informaworld.com/openurl?genre=article&issn=0954-0121&volume=20&issue=8&spage=984
Language:
en
Description:
To access this article, click on "Additional Links".
ISSN:
1360-0451
Appears in Collections:
HIV/AIDS

Full metadata record

DC FieldValue Language
dc.contributor.authorMoon, S-
dc.contributor.authorVan Leemput, L-
dc.contributor.authorDurier, N-
dc.contributor.authorJambert, E-
dc.contributor.authorDahmane, A-
dc.contributor.authorJie, Y-
dc.contributor.authorWu, G-
dc.contributor.authorPhilips, M-
dc.contributor.authorHu, Y-
dc.contributor.authorSaranchuk, P-
dc.date.accessioned2008-10-10T08:19:33Z-
dc.date.available2008-10-10T08:19:33Z-
dc.date.issued2008-09-
dc.identifier.citationOut-of-pocket costs of AIDS care in China: are free antiretroviral drugs enough? 2008, 20 (8):984-94notAIDS Careen
dc.identifier.issn1360-0451-
dc.identifier.pmid18777223-
dc.identifier.doi10.1080/09540120701768446-
dc.identifier.urihttp://hdl.handle.net/10144/38854-
dc.descriptionTo access this article, click on "Additional Links".en
dc.description.abstractFinancial access to HIV care and treatment can be difficult for many people in China, where the government provides free antiretroviral drugs but does not cover the cost of other medically necessary components, such as lab tests and drugs for opportunistic infections. This article estimates out-of-pocket costs for treatment and care that a person living with HIV/AIDS in China might face over the course of one year. Data comes from two treatment projects run by Médecins Sans Frontières in Nanning, Guangxi Province and Xiangfan, Hubei Province. Based on the national treatment guidelines, we estimated costs for seven different patient profiles ranging from WHO Clinical Stages I through IV. We found that patients face significant financial barriers to even qualify for the free ARV program. For those who do, HIV care and treatment can be a catastrophic health expenditure, with cumulative patient contributions ranging from approximately US$200-3939/year in Nanning and US$13-1179/year in Xiangfan, depending on the patient's clinical stage of HIV infection. In Nanning, these expenses translate as up to 340% of an urban resident's annual income or 1200% for rural residents; in Xiangfan, expenses rise to 116% of annual income for city dwellers and 295% in rural areas. While providing ARV drugs free of charge is an important step, the costs of other components of care constitute important financial barriers that may exclude patients from accessing appropriate care. Such barriers can also lead to undesirable outcomes in the future, such as impoverishment of AIDS-affected households, higher ARV drug-resistance rates and greater need for complex, expensive second-line antiretroviral drugs.en
dc.language.isoenen
dc.relation.urlhttp://www.informaworld.com/openurl?genre=article&issn=0954-0121&volume=20&issue=8&spage=984en
dc.rightsFree access to this article was provided by kind permission of Taylor & Francisen
dc.titleOut-of-pocket costs of AIDS care in China: are free antiretroviral drugs enough?en
dc.contributor.departmentMédecins Sans Frontières, Beijing, China and Brussels, Belgium. suerie_moon@yahoo.comen
dc.identifier.journalAIDS Careen

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