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Citation Information

Type Journal Article - Tropical Medicine & International Health
Title Financial burden of health care for HIV/AIDS patients in Vietnam
Author(s)
Volume 18
Issue 2
Publication (Day/Month/Year) 2013
Page numbers 212-218
URL http://www.popline.org/node/572213
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.

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