rural communities in Malawi INDA 1 , , MANGENAH,COLLIN 2 , , - - PowerPoint PPT Presentation

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rural communities in Malawi INDA 1 , , MANGENAH,COLLIN 2 , , - - PowerPoint PPT Presentation

Sep 01, 2022 975 likes •1.07k views

#IAS2017 | @IAS_conference Abstract no. TUPED1242 A user costs analysis for HIV testing among rural communities in Malawi INDA 1 , , MANGENAH,COLLIN 2 , , MWENGE,LAWRENCE 3 , EUMAN,MELISSA 4 , SANDE,LIN , NEU , PITCHAYA 1 , C, 4 JO CHERYL 5 ,

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SANDE,LIN INDA1, , MANGENAH,COLLIN2, , MWENGE,LAWRENCE3, , NEU EUMAN,MELISSA4, , IND INDRAVUNDH, , PIT PITCHAYA1 , , D’ELBÉE, , MARC, C,4 JO JOHNSON, CHE CHERYL5, , HA HATZOLD,KARIN6, , CORBETT,L. . ELI ELIZABETH1,4 & & TERRIS-PRESTHOLT, , FER FERN4

1ML

MLW, MALA MALAWI; ; 2CESHHA HAR, ZIMBABWE; ; 3ZAMBART , ZAM AMBIA; 4LONDON SC SCHO HOOL HY HYG TR TROP MED, UK; K; 5WHO , , SWITZ TZERLA LAND; ; 6PSI, USA

A user costs analysis for HIV testing among rural communities in Malawi

Abstract no. TUPED1242

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Background

  • There are an estimated 24.7 million people living with HIV

in sub-Saharan Africa which is approximately 71% of the global total

  • Malawi: HIV prevalence (2015):
  • 9.1% (980,000 individuals)
  • Gap - UNAIDS 90-90-90 :
  • High rates of linkage to care and viral suppression
  • BUT only 73% of HIV+ know status (PEPFAR, 2016)
  • Gender disparity: 67% men ; 76% women
  • Need to identify key barriers to uptake
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Methods

Baseline Household Survey

  • Adults aged ≥16 Years
  • Living in 22 Pre-Selected Enumeration Villages
  • N=5,559
  • Random 25% sample asked to consent to:

Extended Questionnaire

  • User Costs of HIV Testing
  • Discrete Choice Experiment
  • Completed costing questions & Recently tested

(n=746;32% Men)

  • Tobit Regression Analysis for cost drivers
  • Included in current study if

HIV tested in last 12 months

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Results

0.00 0.50 1.00 1.50 2.00 2.50 3.00 3.50

Transport Consultation Childcare Food Other Lost Income

Men (US$) Women (US$)

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Results

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Conclusion

  • Despite HIV testing being provided free of

charge and achieving reasonable uptake,

  • bserved user costs in rural Malawi were

significant

  • Both user and service characteristics are

drivers of user costs

  • These characteristics and financial burdens

need to be considered in provision of HIV testing services

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Acknowledgements

The study was undertaken in collaboration with UNITAID, PSI, WHO and the HIV Self- T esting Africa Research Consortium institutions