Skip to Main content Skip to Navigation
Master Thesis

Déterminants de l’accès aux médicaments non-anti rétroviraux chez les patients vivant avec le VIH en Côte d’Ivoire

Abstract : Background: universal access to essential medicines is part of the Millennium Development Goals. However, regarding the access to non-antiretroviral medicine in HIV patients in Subsaharian Africa, data are lacking. The main purpose is analyzing the relationship between individual factors as well as prescribers and centers with non-purchasing non antiretroviral medicines in HIV patients in Ivory Coast. Methods: a cross sectional multicenter study (MEDHAR) was performed in Abidjan, Ivory Coast. Eligibility criteria included: HIV patient, seen during a medical consultation in an HIV care giving center, with at least one non antiretroviral medicine prescribed. Multilevel modelling was with logistic regression was performed with 3 levels: patient, prescriber, center. The principal oucome was not fully purchasing the prescribed medicines. Results: not fully purchasing the prescription was significantly associated with the prescription of 3 medicines (OR 1,68, IC95%= [1,20 – 2,37]), a low household income (<50 000FCFA) (OR 2,03 IC95%=[1,27 – 3,25]), especially as complementary prescription occurred(OR 4,06 IC95%=[1,03 – 15,94]). Gender inequity was present since women bought their prescribed medicines significantly later than men. Conclusion: public health measures should be implemented to guaranty affordability and rationalize prescription of nonantiretroviral medicines in order to reach the goal of essential medicine universal access.
Complete list of metadata

https://dumas.ccsd.cnrs.fr/dumas-03202263
Contributor : Médecine Ub <>
Submitted on : Monday, April 19, 2021 - 4:38:23 PM
Last modification on : Thursday, May 13, 2021 - 3:18:15 AM

Identifiers

  • HAL Id : dumas-03202263, version 1

Collections

Citation

Simon Bonnefond. Déterminants de l’accès aux médicaments non-anti rétroviraux chez les patients vivant avec le VIH en Côte d’Ivoire. Sciences du Vivant [q-bio]. 2021. ⟨dumas-03202263⟩

Share

Metrics

Record views

20

Files downloads

8