@incollection{PAR00007380,
  title = {{T}he cost of universal free access for treating {HIV}/{AIDS} in low-income countries : the case of {S}enegal},
  author = {{T}averne, {B}ernard and {D}iop, {K}. and {V}inard, {P}.},
  editor = {},
  language = {{ENG}},
  abstract = {{S}ince late 2003 in {S}enegal, voluntary tests, {ARV}s and {CD}4 counts have been provided free of charge by the {S}tate within the framework of public health services. {D}ebate now focuses on expanding free access to other components of care (consultations, hospitalizations, complementary exams for opportunistic infections). {A} preliminary study assessed the supplementary cost needed to fund all care and appraised this measure's impact on the national program. {D}irect costs for treatment were calculated using two different methods: (1) by calculating total expenditures for a sample of 299 patients over a 22-month period ({J}uly 2003 to {A}pril 2005) treated by {HAART} (2 {NRTI} + 1 {PI} or {NNRTI}); and (2) by assessing the theoretical costs necessary to apply the national treatment protocols. {F}urthermore, national budgetary projections were analyzed to estimate possible margins available to officials. {I}n 2006, the total cost of medical care for someone taking {ARV}s falls around 412? per year; 84% of the cost covers the price of {ARV}s and reagents for {CD}4 counts. {T}he total annual cost of medical care for a {PLWHA} who does not need {ARV} drugs is approximately 40? per year, with 90% of this amount covering biological exams. {P}rojections concerning changes in the number of {PLWHA} and treatment needs and analysis of budget estimations for 2007-2011 demonstrate that supplementary costs incurred by complete free access could be easily covered without disrupting the proposed funding plan. {C}omplete free access for medical care for all {PLWHA} in the country is therefore economically feasible; what remains is to define this decision's integration into the current paying health system without causing disturbances that render the decision ineffective.},
  keywords = {{VIH} ; sida ; mdicaments antir{\'e}troviraux ; prise en charge m{\'e}dicale ; acc{\`e}s aux soins ; financement de la sant{\'e} ; gratuit{\'e} ; payement par les usagers ; {S}{\'e}n{\'e}gal ; {SENEGAL}},
  booktitle = {{T}he {P}olitical {E}conomy of {HIV}/{AIDS} in {D}eveloping {C}ountries. {TRIPS}, {P}ublic {H}ealth {S}ystems and {F}ree {A}ccess},
  numero = {},
  pages = {273--290},
  address = {{C}heltenham},
  publisher = {{E}. {E}lgar},
  series = {},
  year = {2008},
  URL = {https://www.documentation.ird.fr/hor/{PAR}00007380},
}