AIDS2008 Abstract no. MOPE0165

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AIDS2008 Abstract no. MOPE0165

• by
• Oloriegbe IY, Adirieje UA
• Health Reform Foundation of Nigeria
• HERFON Abuja
• www.herfon.org/

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TITLE

• Impact of indirect costs on accessibility of
  ART by PLWHAs in Nigeria

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INTRODUCTION

• Nigeria developed a 5-year ART scale-up plan to
  provide treatment and improve the quality of life
  of one million PLWHAs especially women by 2009.
  The provision of ART is the most pragmatic
  approach to improving the quality of life of
  PLWHAs. Midway into the scale-up, it became
  necessary to assess impact of indirect costs on
  ART access by PLHAs, within the programme..

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METHODS

• This study was conducted during year 2007, using
  a combination of qualitative and quantitative
  methods (questionnaires, interviews, focus group
  discussions, round table meetings, on-the-spot
  observations and secondary data) as part of a
  larger study of the impact, challenges and
  long-term implication of the ART programme in
  Nigeria. It covered 14 ART sites and 5 selected
  HIV Counselling and Testing (HCT) centres in the
  countrys six geopolitical zones and Federal
  Capital Territory (FCT). It examined the
  out-of-pocket/personal expenses of PLWHAs on
  transportation to/from clinics, accommodation,
  food, laboratory services, non-ARV drugs and user
  fees (hospital registration, booking, admission
  fees).

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ART Centres in Nigeria HIV Burden
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ARTs and regimens used
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DATA/RESULTS

• Of the 144 PLWHAs studied, 89 are females and 55
  are males. The monthly indirect ART costs for 4
  in every 5 (80) of those who work, was a
  saddening N55, 000.00 (US433) or N13, 750
  (US105) per person. This amount is much higher
  than their monthly income of about N30, 000
  (US250) or N7, 500.00 (US62.50) per person. All
  the PLWHAs identified indirect costs as major
  obstacle to their attendance at clinics and
  timely access to ART.

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Indirect Costs of PLHAs on ART
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Monthly Income of Persons on ART
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No. of persons on ART
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Uptake of ART from sites, 2002-7
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No. of Persons on Palliative Care
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CONCLUSIONS

• Indirect costs are major obstacles to the
  accessibility of ART by PLWHAs in Nigeria.
  

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ACKNOWLEDGEMENTS

• Heads and staff of institutions/facilities in the
  various states and FCT where this study was
  conducted
  
• NACA, NASCP, USAID, FHI/GHAIN Project and NEPWAN
• State/local government action committees on AIDS
  (SACA/LACA)
  
• HERFON members across the country
• DFID

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REFERENCES

• 1. Federal Ministry of Health, Nigeria, in
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  e_work/nigeria/ resources.htm
• 4. WHO, Towards Universal Access Scaling up
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