Integrating HIV/AIDS in Vietnam's Social Health Insurance Scheme: Experience and Lessons from the Health Finance and Governance Project, 2014–2017 (original) (raw)
2018, Health Systems & Reform
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Moving to Social Health Insurance Financing and Payment for HIV/AIDS Treatment in Vietnam
Health Services Insights, 2021
This study estimates the amount antiretroviral therapy (ART) clients paid out of pocket for preventive and treatment services and the percentage of ART clients incurring catastrophic payments during the period when ART services were transitioning from donor funding to domestic social health insurance (SHI) in Vietnam. Using a cross-sectional facility-based survey in 9 provinces, a sample of 582 clients across 18 ART facilities representatives of all facilities where SHI-financed ART was being implemented were interviewed in 2019. Results indicated 13.4% (95% CI: 5.7%, 28.2%) of clients incurred a payment for outpatient ART care. The average out of pocket expenditures for outpatient visits and HIV related outpatient visits was USD 71.2and71.2 and 71.2and8 per year, respectively. The average out of pocket expenditure for inpatient admission and HIV related inpatient admission was 7.1and7.1 and 7.1and1.6, respectively. Only 0.1% clients currently experienced HIV-related catastrophic payment at the 25% of to...
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