JSI Research and Training Institute Inc, Abuja, Nigeria.
National Agency for the Control of AIDS, Abuja, Nigeria.
Glob Health Sci Pract. 2022 Oct 31;10(5). doi: 10.9745/GHSP-D-21-00303.
INTRODUCTION: Key population (KP) groups, such as female sex workers and men who have sex with men, in Nigeria rely on free HIV prevention commodities, including pre-exposure prophylaxis (PrEP) and HIV self-testing (HIVST) kits, provided through foreign aid. We investigated the willingness of KP groups to use and pay for HIV prevention commodities to support improved sustainable HIV prevention programming. METHODS: In 2020, we conducted a cross-sectional survey in 3 states with KP groups. The survey covered sociodemographic characteristics and willingness to use and pay for PrEP, HIVST, and condoms, and we used a bidding game iteration process to collect data on factors that influence willingness to use and pay for the commodities. We performed bivariate and multivariable regression analyses to explore factors that may determine willingness to pay and the maximum amount willing to pay. RESULTS: Of the participants surveyed, 73% were willing to pay for PrEP services, 81% were willing to pay for HIVST, and 87% were willing to pay for condoms. Willingness to pay varied between the commodities and was associated with, among other variables: age, KP group, marital status, level of education, employment status, place of residence, average monthly income, and familiarity with the commodity in question. CONCLUSION: We demonstrate that KP groups are willing to pay for HIV prevention commodities, but there is a need to bridge the gap between the maximum amount they are willing to pay and retail prices. If prices are reduced, the willingness to pay may result in high consumption and positive returns for the private sector.
简介:在尼日利亚,关键人群(KP)群体,如性工作者和男男性行为者,依赖于通过外国援助提供的免费艾滋病预防用品,包括暴露前预防(PrEP)和艾滋病自我检测(HIVST)试剂盒。我们调查了 KP 群体使用和支付艾滋病预防用品的意愿,以支持改善可持续的艾滋病预防规划。
方法:2020 年,我们在 3 个州对 KP 群体进行了横断面调查。该调查涵盖了社会人口特征以及对使用和支付 PrEP、HIVST 和避孕套的意愿,并使用竞价游戏迭代过程收集了影响使用和支付这些商品意愿的因素的数据。我们进行了单变量和多变量回归分析,以探讨可能决定支付意愿和最高支付意愿的因素。
结果:在所调查的参与者中,73%愿意支付 PrEP 服务费用,81%愿意支付 HIVST 费用,87%愿意支付避孕套费用。支付意愿因商品而异,与其他变量有关,包括年龄、KP 群体、婚姻状况、教育水平、就业状况、居住地、月平均收入以及对所涉商品的熟悉程度。
结论:我们证明 KP 群体愿意支付艾滋病预防用品费用,但需要弥合他们愿意支付的最高金额与零售价格之间的差距。如果价格降低,支付意愿可能会导致高消费,并为私营部门带来积极回报。
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