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    Jan 19, 2021
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    Out-of-pocket costs of AIDS care in China: are free antiretroviral drugs enough?

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    Authors
    Moon, S
    Van Leemput, L
    Durier, N
    Jambert, E
    Dahmane, A
    Jie, Y
    Wu, G
    Philips, M
    Hu, Y
    Saranchuk, P
    Affiliation
    Médecins Sans Frontières, Beijing, China and Brussels, Belgium. suerie_moon@yahoo.com
    Issue Date
    2008-09
    
    Metadata
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    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.
    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
    ae974a485f413a2113503eed53cd6c53
    10.1080/09540120701768446
    Scopus Count
    Collections
    HIV/AIDS

    entitlement

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