The cost of accessing infant HIV medications and health services in Uganda

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dc.contributor.authorBergmann, Julie N.
dc.contributor.authorWanyenze, Rhoda K.
dc.contributor.authorStockman, Jamila K.
dc.date.accessioned2022-03-21T09:37:47Z
dc.date.available2022-03-21T09:37:47Z
dc.date.issued2017
dc.description.abstractPatient costs are a critical barrier to the elimination of mother to child HIV transmission. Despite the Ugandan government providing free public HIV services, infant antiretroviral (ARV) prophylaxis coverage remains low (25%). To understand costs mothers incur in accessing ARV prophylaxis for their infants, we conducted a mixed methods study to quantify and identify their direct costs. We used cross-sectional survey data and focus group discussions from 49 HIV-positive mothers in Uganda. Means and standard deviations were calculated for the direct costs (e.g., transportation, caretaker, services/medications) involved in accessing infant HIV services. The direct cost of attending HIV clinic visits averaged $3.71 (SD = $3.52). Focus group discussions identified two costs hindering access to infant HIV services: transportation costs and informal service charges. All participants reported significant costs associated with accessing infant HIV services – the equivalent of 2–3 days’ income. To address transportation costs, community and home care models should be explored. Additionally, stricter policies and oversight should be implemented to prevent informal HIV service charges.en_US
dc.identifier.citationJulie N. Bergmann, Rhoda K. Wanyenze & Jamila K. Stockman (2017): The cost of accessing infant HIV medications and health services in Uganda, AIDS Care, DOI: 10.1080/09540121.2017.1330531en_US
dc.identifier.issn0954-0121 (Print)
dc.identifier.issn1360-0451 (Online)
dc.identifier.otherDOI: 10.1080/09540121.2017.1330531
dc.identifier.urihttps://nru.uncst.go.ug/xmlui/handle/123456789/2864
dc.language.isoenen_US
dc.publisherAIDS Careen_US
dc.subjectPatient costsen_US
dc.subjectdirect costsen_US
dc.subjectHIV-exposed infantsen_US
dc.subjectmother to child transmission of HIVen_US
dc.subjectSub-Saharan Africaen_US
dc.titleThe cost of accessing infant HIV medications and health services in Ugandaen_US
dc.typeArticleen_US
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