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Free Content Financial burden of health care for HIV/AIDS patients in Vietnam

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Abstract:

Abstract
Objective

To assess the out‐of‐pocket (OOP) payments for health‐care services of HIV/AIDS patients, and identify associated factors in Vietnam.
Methods

Cross‐sectional multisite survey of 1016 HIV/AIDS patients attending 7 hospitals and health centres in Ha Noi, Hai Phong and Ho Chi Minh City in 2012.
Results

HIV/AIDS patients used inpatient and outpatient care on average 5.1 times (95% CI = 4.7–5.4) besides ART services. Inpatient care cost US$ 461 on average and outpatient care US$ 50. Mean annual health‐care expenditure for HIV/AIDS patients was US$ 188 (95% CI = 148–229). 35.1% of households (95% CI = 32.2–38.1) experienced catastrophic health expenditure; 73.3% (95% CI = 70.6–76.1) of households would be affected if ART were not subsidised. Being a patient at a provincial clinic, male sex, unstable employment, being in the poorest income quintile, a CD4 count of <200 cells/mL and not yet receiving ART increased the likelihood of catastrophic medical expense.
Conclusions

HIV/AIDS patients in Vietnam frequently use medical services and incur OOP payments for health care. Scaling up free‐of‐charge ART services, earlier access to and initiation of ART, and decentralisation and integration of HIV/AIDS‐related services could reduce their financial burden.

Document Type: Research Article

DOI: http://dx.doi.org/10.1111/tmi.12032

Publication date: February 1, 2013

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