Financial burdens of HIV and chronic disease on people living with HIV in Côte d’Ivoire: A cross-sectional out-of-pocket expenditure study

Stelmach, Rachel; Rabkin, Miriam; Kouamé, Abo; Ahoba, Irma; Anago, Mahena Gildas; Boccanera, Rodrigo; Brou, Hermann; Flueckiger, Rebecca; Hartsough, Kieran; Msukwa, Martin; Zech, Jennifer M.; Young, Felicity; Nugent, Rachel

doi:10.1371/journal.pone.0255074

Cited by 3 publications

(1 citation statement)

References 20 publications

(22 reference statements)

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“…A substantial proportion of PLHIV suffer from CHE, with the burden differing between nations. Financial assistance and insurance increased access to ART, but a greater percentage of PLHIV was prone to high health care expenses in Côte d’Ivoire [ 86 ], Ethiopia [ 87 ], Nigeria [ 58 ], India [ 62 ], and the Lao People’s Democratic Republic [ 64 ]. These numbers were unacceptably high for PLHIV who lived in rural areas, were far from a healthcare facility, had lower monthly income, and were illiterate and unemployed.…”

Section: Discussionmentioning

confidence: 99%

Universal Health Coverage for Antiretroviral Treatment: A Review

Endalamaw

Gilks

Ambaw

et al. 2022

Infectious Disease Reports

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Universal health coverage is essential for the progress to end threats of the acquired immunodeficiency syndrome epidemic. The current review assesses the publication rate, strategies and barriers for antiretroviral therapy (ART) coverage, equity, quality of care, and financial protection. We searched Web of Science, PubMed, and Google Scholar. Of the available articles, 43.13% were on ART coverage, 40.28% were on financial protection, 10.43% were on quality of care, and 6.16% were on equity. A lack of ART, fear of unwanted disclosure, lack of transportation, unaffordable health care costs, long waiting time to receive care, and poverty were barriers to ART coverage. Catastrophic health care costs were higher among individuals who were living in rural settings, walked greater distances to reach health care institutions, had a lower socioeconomic status, and were immunocompromised. There were challenges to the provision of quality of care, including health care providers’ inadequate salary, high workload and inadequate health workforce, inappropriate infrastructure, lack of training opportunities, unclear division of responsibility, and the presence of strict auditing. In conclusion, ART coverage was below the global average, and key populations were disproportionally less covered with ART in most countries. Huge catastrophic health expenditures were observed. UHC contexts of ART will be improved by reaching people with poor socioeconomic status, delivering appropriate services, establishing a proper health workforce and service stewardship.

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Section: Discussionmentioning

confidence: 99%

Universal Health Coverage for Antiretroviral Treatment: A Review

Endalamaw

Gilks

Ambaw

et al. 2022

Infectious Disease Reports

View full text Add to dashboard Cite

show abstract

“We did more than survive”: lessons learned from studies of risk and resilience of young people growing up with HIV and mental health needs

Poku,

Ahmed,

Liotta

et al. 2024

AIDS Care

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The Impact of COVID-19 on the Emotion of People Living with and without HIV

Lusher

Zúñiga

Virtanen

et al. 2023

Hygiene

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The COVID-19 pandemic is a source of mental stress, particularly for special populations. The present study identified the associations between emotional distress and HIV status among adults in 152 countries during the first wave of the pandemic. This was a cross-sectional study that gathered data via an online survey carried out between July and December 2020. The dependent variable was emotional distress (frustration/boredom, anxiety, depression, loneliness, anger, or grief/feeling of loss), and the independent variable was HIV status (positive or negative). The confounding factors were sociodemographic variables (age, sex, education level, and employment status). Multivariable logistic regression analyses were performed to assess the associations between the independent and dependent variables after adjusting for confounders. Of the 16,866 participants, 905 (5.4%) reported living with HIV. Of these, 188 (20.8%) felt frustrated/bored, 238 (26.3%) anxious, 160 (17.7%) depressed, 148 (16.4%) lonely, 84 (9.3%) angry, and 53 (5.9%) grief/a sense of loss. Individuals living with HIV had higher odds of feeling anxious (AOR:1.64), depressed (AOR:1.80), and lonely (AOR:1.35) when compared to people living without HIV. This study reveals that the COVID-19 pandemic can exacerbate emotional stress for those living with HIV, and the system in which COVID-19 impacts emotional health among different sociodemographic groups introduces further complexities regarding this observed effect.

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Financial burdens of HIV and chronic disease on people living with HIV in Côte d’Ivoire: A cross-sectional out-of-pocket expenditure study

Cited by 3 publications

References 20 publications

Universal Health Coverage for Antiretroviral Treatment: A Review

Universal Health Coverage for Antiretroviral Treatment: A Review

“We did more than survive”: lessons learned from studies of risk and resilience of young people growing up with HIV and mental health needs

The Impact of COVID-19 on the Emotion of People Living with and without HIV

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