MONETARY ISSUES
In pertaining issues relating to any diseases regardless of type, often time we meet with the same issue brought upon due to the limitation place by the ruling and the ability of the patient itself. This brings the issue on the monetary or financial ability the patient has to face in facing any issue in relation with health provision.
This brings about this issue in relation to human immunodeficiency virus (HIV) or Acquired immunodeficiency syndrome (AIDS). Often time regardless of the minimalizing of payment to be done for treatment charges, the people who live with HIV or PLHIV still miss the appointment placed due to not being able to arrive at said location. Said minimal charges also often not being able to be met by the patients as it might make up a huge part of their available living assets.
Other than that, challenges the patients of HIV to have to face include as per below:
- The cost of transportation.
- Total expenditure on health care (diagnostic test, doctor's fees, and medicine).
- Financing of health systems.
- Micro-economic context of the people (poverty).
- Spending on food and lodging during treatment.
In overcoming these obstacles to reach better health quality for all, many incentives have been planed and some have been initiated especially to check the capabilities of each procedure before the rules have been amended and policies are created. Some initiatives are more prominent depending on the location of the study and research done. This is due to the ability of the people in the respective locations. Listed below includes the location and the course of action taken in respective to it. Consideration should be taken in regards to the state of financial ability of the said country.
(in Kenya)
- Direct offsets and nudge to encourage testing
- when there is a financial incentive, the people even from a further end of location would come and take the test (which in this situation, for their child(ren) ). This is especially highlighted due to the poverty of the citizens which leads to them not being able to take what would seem like the "normal" actions done by citizens of another country and choose to take actions in which provides them more advantages.
- Directing financial incentive to those who have been in HIV care for a period of time but yet to have testing performed for their child(ren).
(in care sites at Bronx, New York, and Washington, D.C. )
- Providing money in the form of equivalent gift cards to those who tested positive, drawing blood for testing, meeting with clinicians and developing a care plan, and more.
- Decentralizing HIV/AIDS center to district level to allow easier transportation of people.
- Putting in place more comprehensive service delivery for HIV/AIDS care, support, and treatment
- Subsidies for the diagnostic tests done by the people who live with HIV (PLHIV) from a rural location.
- Allowance should also be allocated for the PLHIV to lighten the economic burden they face especially due to their inability to carry their household burden.
- An establishment of a fuller policy should be done to provide livelihood support as their chances of having economic independence is low.
- Providence of health insurance should also be initiated for the HIV-infected patient.
- The allocation of a bigger budget by the government should also be planned as the policies suggested will place a huge economic burden on the people if the rulers do not take reign on it.
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