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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.
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Submitted on : Monday, April 19, 2021 - 4:38:23 PM
Last modification on : Thursday, May 13, 2021 - 3:18:15 AM
Long-term archiving on: : Tuesday, July 20, 2021 - 7:15:00 PM


  • HAL Id : dumas-03202263, version 1



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⟩



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