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Please use this identifier to cite or link to this item: http://hdl.handle.net/123456789/229

Title: Factors constraining accesibility to AIDS drugs (ARVs) in Uganda: a case study of Kampala, Mukono and Wakiso districts
Authors: Muhangi, Lawrence
Keywords: AIDS treatment
AIDS drugs
HIV/AIDS
Antiretroviral drugs
Issue Date: 7-Dec-2008
Abstract: Access to treatment is a key part of national strategies to combat HIV/AIDS. The level of access to ARVs in Uganda is still low possibly due to socioeconomic factors. Relevant literature was reviewed on health seeking behaviour for sexually transmitted diseases. A questionnaire on ARVs access was administered to respondents in Kampala, Mukono and Wakiso districts. A logistic regression model was used to estimate the determinants of accessibility to ARVs. Overall 11.3 percent accessed ARVs and the access increased with the education level attained by the HIV/AIDS patient. HIV/AIDS patients whose spouse are still alive were more likely to access ARVs (20 percent) than those whose spouse is dead (6.1 percent), p=0.032. Percapita income (OR 1.435, P=0.015), quality of health services (OR 7.228. P=0.046) and education level (OR 5.174, P=0.006) showed significant positive associations with accessibility to ARVs. Other variables; cost of ARVs (OR 0.515, P=0.025), travel cost (OR 0.659, P=0.035) and opportunity cost of seeking health services (OR 0.089, P=0.080) reduce the odds of a given household accessing ARVs for her HIV/AIDS patient(s). AIDS patients should be enabled by the Government to access ARVs at no cost or at worst, minimal cost. ARVs should be brought nearer to the people since the cost of travel and distance to be travelled are deterrents to household accessibility to ARVs. Other direct costs associated with using ARVs should be reduced, particularly costs of testing for CD+ count, and of feeding on a proper and complementary diet.
Description: A Masters Thesis accessible from the Library
URI: http://hdl.handle.net/123456789/229
Appears in Collections:Theses & Dissertations (Science)

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