ArticlePloS one2017
Co-financing for viral load monitoring during the course of antiretroviral therapy among patients with HIV/AIDS in Vietnam: A contingent valuation survey.
Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 19 citations in OpenAlex.
- A pilot study of a smartphone application supporting recovery from drug addiction.Journal of substance abuse treatment · 2018Trial
- Article
- Measuring the uptake of continuous care among people living with HIV receiving antiretroviral therapy and social determinants of the uptake of continuous care in the southwest of China: a cross-sectional study.BMC infectious diseases · 2021Article
- Contingent Valuation: A Pilot Study for Eliciting Willingness to Pay for a Reduction in Mortality From Vaccine-Preventable Illnesses for Children and Adults in Bangladesh.Value in health regional issues · 2021Article
- Willingness to pay for community delivery of antiretroviral treatment in urban Tanzania: a cross-sectional survey.Health policy and planning · 2021Article
- Sex Trade and Health Care Utilization Among People Living with HIV/AIDS.AIDS and behavior · 2018Article
- Sexual Risk Behaviors of Patients with HIV/AIDS over the Course of Antiretroviral Treatment in Northern Vietnam.International journal of environmental research and public health · 2018Article
- Adherence to antiretroviral therapy among HIV/ AIDS patients in the context of early treatment initiation in Vietnam.Patient preference and adherence · 2018Article
- Feasibility and willingness to pay for dengue vaccine in the threat of dengue fever outbreaks in Vietnam.Patient preference and adherence · 2018Article
- Demand and willingness to pay for different treatment and care services among patients with heart diseases in Hanoi, Vietnam.Patient preference and adherence · 2018Article
- Health insurance for patients with HIV/AIDS in Vietnam: coverage and barriers.BMC health services research · 2017Article
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Authors and funding
13 authors at 8 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundViral load testing is considered the gold standard for monitoring HIV treatment; however, given its high cost, some patients cannot afford viral load testing if this testing is not subsidized. Since foreign aid for HIV/AIDS in Vietnam is rapidly decreasing, we sought to assess willingness to pay (WTP) for viral load and CD4 cell count tests among HIV-positive patients, and identified factors that might inform future co-payment schemes.
methodsA multi-site cross-sectional survey was conducted with 1133 HIV-positive patients on antiretroviral therapy (ART) in Hanoi and Nam Dinh. Patients' health insurance coverage, quality of life, and history of illicit drug use were assessed. A contingent valuation approach was employed to measure patients' WTP for CD4 cell count and viral load testing.
resultsHIV-positive patients receiving ART at provincial sites reported more difficulty obtaining health insurance (HI) and had the overall the poorest quality of life. Most patients (90.9%) were willing to pay for CD4 cell count testing; here, the mean WTP was valued at US$8.2 (95%CI = 7.6-8.8 US$) per test. Most patients (87.3%) were also willing to pay for viral load testing; here, mean WTP was valued at US$18.6 (95%CI = 16.3-20.9 US$) per test. High income, high education level, and hospitalization were positively associated with WTP, while co-morbidity with psychiatric symptoms and trouble paying for health insurance were both negatively related to WTP.
conclusionsThese findings raise concerns that HIV-positive patients in Vietnam might have low WTP for CD4 cell count and viral load testing. This means that without foreign financial subsidies, many of these patients would likely go without these important tests. Treating psychiatric co-morbidities, promoting healthcare services utilization, and removing barriers to accessing health insurance may increase WTP for monitoring of HIV/AIDS treatment among HIV+-positive Vietnamese patients.
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