Department of Community Medicine, College of Medicine, University of Nigeria, P.O. Box 3295, Enugu, Nigeria.
Health Policy. 2011 Mar;99(3):277-84. doi: 10.1016/j.healthpol.2010.11.007. Epub 2010 Dec 4.
To examine the level of awareness of youths to voluntary counseling and testing and willingness to pay for this service, and to explore reasons for underutilization of this service.
A cross sectional study was carried out among undergraduate students of two tertiary institutions in Enugu Nigeria using pre-tested interviewer administered questionnaire. Information was collected from 250 respondents per institution. Analysis was done using SPSS computer software package.
Most of the respondents (64%) have heard about VCT and 70.6% of the students obtained their information from the mass media (P<0.05) while a minority (3.8%) heard from families. 76.6% of respondents believe VCT can provide useful information on HIV/AIDS and VCT is obtainable mainly in teaching hospitals (78.5%) and to a lesser extent in government hospitals (9.8%) and NGOs (8.8%), while being almost non existent in private hospitals (2.9%). 81% of the respondents did not attend VCT while only 19% attended. The reasons for non attendance were that majority of the students (45.7%) were unaware of the services (P<0.05), indifferent to VCT (20.0%), (12.8%) felt it was costly and (13.3%) were afraid of discovering their HIV status. About 50% of the respondents were willing to pay for VCT and the mean willingness to pay was $3.2 (N370). Out of those willing to pay, 46% of them are willing to pay ($2.6) N300 while 34% and 20% are willing to pay $3.4 (N400) and $4.3 (N500), respectively (P<0.05). Among those not willing to pay, 67.6% of them think it should be free (P<0.05). Males and people with higher knowledge of VCT stated higher WTP values than females and those with less knowledge of VCT. Log OLS also showed that a higher level in the University was positively related to WTP.
The high knowledge of VCT does not reflect on the attendance at VCT clinics. Respondents seem ignorant about where the services can be obtained and they believe VCT should be free or adequately subsidized. The cost of VCT is much higher than the mean WTP and governments should take this into consideration when subsidies are being considered. More VCT centers should be created and widely publicized in various communities.
调查青少年对自愿咨询检测的认知水平和支付意愿，并探讨该服务利用不足的原因。
在尼日利亚恩古尼的两所高等学府的本科生中开展了一项横断面研究，使用了预先测试的访谈式调查问卷。每所院校收集 250 名受访者的信息。使用 SPSS 计算机软件包进行分析。
大多数受访者（64%）听说过 VCT，70.6%的学生从大众媒体（P<0.05）获得信息，而少数（3.8%）从家庭中获得信息。76.6%的受访者认为 VCT 可以提供有关 HIV/AIDS 的有用信息，VCT 主要可在教学医院（78.5%）获得，其次是在政府医院（9.8%）和非政府组织（8.8%），而在私立医院（2.9%）几乎不存在。81%的受访者没有参加 VCT，只有 19%的人参加了。不参加的原因是大多数学生（45.7%）不知道这项服务（P<0.05），对 VCT 漠不关心（20.0%），（12.8%）认为费用昂贵，（13.3%）害怕发现自己的 HIV 状况。约有 50%的受访者愿意为 VCT 付费，平均支付意愿为 3.2 美元（370 奈拉）。在愿意支付的受访者中，46%的人愿意支付 2.6 美元（300 奈拉），34%和 20%的人分别愿意支付 3.4 美元（400 奈拉）和 4.3 美元（500 奈拉）（P<0.05）。在不愿意支付的受访者中，67.6%的人认为 VCT 应该免费（P<0.05）。男性和对 VCT 知识水平较高的人表示，他们的 WTP 值高于女性和对 VCT 知识水平较低的人。Log OLS 还表明，大学的层次越高，与 WTP 呈正相关。
对 VCT 的高度了解并未反映在 VCT 诊所的就诊率上。受访者似乎不知道在哪里可以获得这些服务，他们认为 VCT 应该免费或得到充分补贴。VCT 的费用远高于平均 WTP，政府在考虑补贴时应考虑这一点。应创建更多的 VCT 中心，并在各个社区广泛宣传。
