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ORIGINAL ARTICLE
Open Access

Willingness to Pay for HIV Prevention Commodities Among Key Population Groups in Nigeria

Olawale Durosinmi-Etti, Emmanuel Kelechi Nwala, Funke Oki, Akudo Ikpeazu, Emmanuel Godwin, Paul Umoh, Arome Shaibu, Alex Ogundipe and Abiye Kalaiwo
Global Health: Science and Practice October 2022, 10(5):e2100303; https://doi.org/10.9745/GHSP-D-21-00303
Olawale Durosinmi-Etti
aJSI Research and Training Institute Inc, Abuja, Nigeria.
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Emmanuel Kelechi Nwala
aJSI Research and Training Institute Inc, Abuja, Nigeria.
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  • For correspondence: nwala_emmanuel@ng.jsi.com
Funke Oki
bNational Agency for the Control of AIDS, Abuja, Nigeria.
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Akudo Ikpeazu
cNational AIDS and STIs Control Program, Federal Ministry of Health, Abuja, Nigeria.
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Emmanuel Godwin
dHeartland Alliance Nigeria, Abuja, Nigeria.
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Paul Umoh
dHeartland Alliance Nigeria, Abuja, Nigeria.
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Arome Shaibu
aJSI Research and Training Institute Inc, Abuja, Nigeria.
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Alex Ogundipe
bNational Agency for the Control of AIDS, Abuja, Nigeria.
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Abiye Kalaiwo
eU.S. Agency for International Development Nigeria, Abuja, Nigeria.
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Key Findings

  • Overdependence on donor funding to provide HIV commodities through the public sector in Nigeria is not sustainable and has created gaps in HIV prevention programming.

  • Nigeria adopted an approach to look across public and private sectors to increase access to HIV prevention commodities, such as pre-exposure prophylaxis, HIV self-testing, and condoms, thereby reducing the risk of acquiring HIV infections, particularly among key population (KP) groups at high risk of infection, including female sex workers (FSWs) and men who have sex with men (MSM) who rely on free commodities.

  • Exploring willingness to pay for commodities among KP groups helped elucidate effective strategies for HIV prevention programming while maximizing limited resources. It will help ensure better targeting of the key populations with HIV prevention commodities.

Key Implications

  • Stakeholders must work together to negotiate the pricing for HIV prevention commodities, and the government should consider providing tax waivers for imported commodities to support the expansion of access through the private sector.

  • KP groups should be encouraged to enroll in health insurance schemes and the Basic Health Care Provision Fund to ensure equitable access to HIV prevention services.

ABSTRACT

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.

  • Received: July 4, 2021.
  • Accepted: August 2, 2022.
  • Published: October 31, 2022.
  • © Durosinmi-Etti et al.

This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly cited. To view a copy of the license, visit https://creativecommons.org/licenses/by/4.0/. When linking to this article, please use the following permanent link: https://doi.org/10.9745/GHSP-D-21-00303

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Global Health: Science and Practice: 10 (5)
Global Health: Science and Practice
Vol. 10, No. 5
October 31, 2022
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Willingness to Pay for HIV Prevention Commodities Among Key Population Groups in Nigeria
Olawale Durosinmi-Etti, Emmanuel Kelechi Nwala, Funke Oki, Akudo Ikpeazu, Emmanuel Godwin, Paul Umoh, Arome Shaibu, Alex Ogundipe, Abiye Kalaiwo
Global Health: Science and Practice Oct 2022, 10 (5) e2100303; DOI: 10.9745/GHSP-D-21-00303

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Willingness to Pay for HIV Prevention Commodities Among Key Population Groups in Nigeria
Olawale Durosinmi-Etti, Emmanuel Kelechi Nwala, Funke Oki, Akudo Ikpeazu, Emmanuel Godwin, Paul Umoh, Arome Shaibu, Alex Ogundipe, Abiye Kalaiwo
Global Health: Science and Practice Oct 2022, 10 (5) e2100303; DOI: 10.9745/GHSP-D-21-00303
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