The impact of user fees on uptake of HIV services and adherence to HIV treatment: Findings from a large HIV program in Nigeria.
Aima A AhonkhaiSusan ReganIfeoma IdigbeOlayemi AdeniyiMuktar H AliyuProsper OkonkwoJuliet AdeolaElena LosinaZaidat MusaOliver EzechiKenneth A FreedbergPublished in: PloS one (2020)
Patients enrolled in care after introduction of user fees in Nigeria were more likely to be educated or employed, and effectively retained in care after starting ART. However, fees were accompanied by a drastic reduction in new patient enrollment, suggesting that many patients may have been marginalized from HIV care.
Keyphrases
- antiretroviral therapy
- hiv infected
- end stage renal disease
- healthcare
- hiv positive
- human immunodeficiency virus
- newly diagnosed
- ejection fraction
- hepatitis c virus
- chronic kidney disease
- hiv testing
- quality improvement
- palliative care
- prognostic factors
- primary care
- men who have sex with men
- type diabetes
- mental health
- adipose tissue
- affordable care act
- patient reported outcomes
- chronic pain
- health insurance
- insulin resistance
- skeletal muscle
- metabolic syndrome