Moving to Social Health Insurance Financing and Payment for HIV/AIDS Treatment in Vietnam

被引:7
|
作者
Lan Thi Hoang Vu [1 ]
Johns, Benjamin [2 ]
Quyen Thi Tu Bui [1 ]
Anh Duong Thuy [3 ]
Diu Nguyen Thi [4 ]
Hien Nguyen Thi [4 ]
Anh Nguyen Cam [5 ]
机构
[1] Hanoi Univ Publ Hlth, Dept Epidemiol & Biostat, 1A Duc Thang St, Hanoi 100000, Vietnam
[2] ABT Associates Inc, Int Hlth Div, Bethesda, MD USA
[3] Minist Hlth, Vietnam Author HIV AIDS Control, Hanoi, Vietnam
[4] Abt Associates Vietnam, USAID Sustainable Financing HIV, Hanoi, Vietnam
[5] USAID Vietnam, Hlth Syst Strengthening, Hanoi, Vietnam
来源
HEALTH SERVICES INSIGHTS | 2021年 / 14卷
关键词
HIV/AIDS; antiretroviral therapy; out of pocket expenditures; catastrophic payments; Vietnam; donor transition;
D O I
10.1177/1178632920988843
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
This study estimates the amount antiretroviral therapy (ART) clients paid out of pocket for preventive and treatment services and the percentage of ART clients incurring catastrophic payments during the period when ART services were transitioning from donor funding to domestic social health insurance (SHI) in Vietnam. Using a cross-sectional facility-based survey in 9 provinces, a sample of 582 clients across 18 ART facilities representatives of all facilities where SHI-financed ART was being implemented were interviewed in 2019. Results indicated 13.4% (95% CI: 5.7%, 28.2%) of clients incurred a payment for outpatient ART care. The average out of pocket expenditures for outpatient visits and HIV related outpatient visits was USD $71.2 and $8per year, respectively. The average out of pocket expenditure for inpatient admission and HIV related inpatient admission was $7.1 and $1.6, respectively. Only 0.1% clients currently experienced HIV-related catastrophic payment at the 25% of total expenditures threshold. The study confirms the transition from donor-financed ART to SHI-financed ART is not causing financial hardship for ART clients. However, more commitment from the Government of Vietnam to strengthen HIV-related services under SHI may be needed in the future, and there is still need to ensure universal SHI coverage among people with HIV/AIDs in Vietnam.
引用
收藏
页数:6
相关论文
共 50 条
  • [31] Antiretroviral therapy for HIV/AIDS in claims data from statutory health insurance funds in Germany
    Tomeczkowski, Joerg
    Mahlich, Joerg
    Stoll, Matthias
    ZEITSCHRIFT FUR EVIDENZ FORTBILDUNG UND QUALITAET IM GESUNDHEITSWESEN, 2015, 109 (08): : 594 - 604
  • [32] Sexual Risk Behaviors of Patients with HIV/AIDS over the Course of Antiretroviral Treatment in Northern Vietnam
    Thuc Minh Thi
    Boggiano, Victoria L.
    Bach Xuan Tran
    Long Hoang Nguyen
    Tung Thanh Tran
    Latkin, Carl A.
    Ho, Cyrus S. H.
    Ho, Roger C. M.
    INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, 2018, 15 (06)
  • [33] The role of community health workers in supporting South Africa's HIV/AIDS treatment programme
    Mottiar, Shauna
    Lodge, Tom
    AJAR-AFRICAN JOURNAL OF AIDS RESEARCH, 2018, 17 (01): : 54 - 61
  • [34] Social, Psychological and Health Concerns Among People Living with HIV/AIDS in Nigeria
    Ojo, Olakunbi Olubukola
    Adedigba, Michael Andwole
    Naidoo, Sudeshni
    Adejuyigbe, Ebun
    Fakande, Ibiyemi
    ORAL HEALTH & PREVENTIVE DENTISTRY, 2009, 7 (04) : 355 - 362
  • [35] Women living with HIV and AIDS: Right to prevention, treatment, and health care
    Titus, Mokete Joseph
    Moodley, Jack
    INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS, 2009, 106 (02) : 137 - 140
  • [36] 'UPSTREAM/DOWNSTREAM' - LOCATING THE 'SOCIAL' IN HEALTH PROMOTION AND HIV/AIDS IN SOUTH AFRICA?
    Gilbert, Leah
    SOUTH AFRICAN REVIEW OF SOCIOLOGY, 2012, 43 (01) : 62 - 80
  • [37] Early Evidence From California on Transitions to a Reformed Health Insurance System for Persons Living With HIV/AIDS
    Leibowitz, Arleen A.
    Lester, Robbie
    Curtis, Philip G.
    Farrell, Kevin
    Fox, Aaron
    Klipp, Luke H.
    Wise, Jason
    JAIDS-JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES, 2013, 64 : S62 - S67
  • [38] Family-Based Social Health Insurance for Informal Workers in Vietnam: Willingness to Pay and Its Determinants
    Nguyen Thi Thuy Nga
    FitzGerald, Gerard
    Dunne, Michael P.
    ASIA-PACIFIC JOURNAL OF PUBLIC HEALTH, 2018, 30 (06) : 512 - 520
  • [39] Development of social work in prevention and treatment of HIV/AIDS and HCV in Central Asia
    Stoever, Heino
    Michels, Ingo Ilja
    DRUGS HABITS AND SOCIAL POLICY, 2022, 23 (02): : 156 - 169
  • [40] Social support, positive states of mind, and HIV treatment adherence in men and women living with HIV/AIDS
    Gonzalez, JS
    Penedo, FJ
    Antoni, MH
    Durdán, RE
    Fernandez, MI
    McPherson-Baker, S
    Ironson, G
    Klimas, NG
    Fletcher, MA
    Schneiderman, N
    HEALTH PSYCHOLOGY, 2004, 23 (04) : 413 - 418