TY - JOUR T1 - Regarding “Willingness to Pay for HIV Prevention Commodities Among Key Population Groups in Nigeria” JF - Global Health: Science and Practice JO - GLOB HEALTH SCI PRACT DO - 10.9745/GHSP-D-22-00445 AU - Victor Abiola Adepoju AU - Kristina Grabbe AU - Catey Laube AU - Chidinma Umebido AU - Zahariyya Hassan AU - Adetiloye Oniyire Y1 - 2023/01/25 UR - http://www.ghspjournal.org/content/early/2023/01/23/GHSP-D-22-00445.abstract N2 - See related article by Durosinmi-Etti et al.The study by Durosinmi-Etti et al.1 explored the willingness to pay (WTP) for HIV prevention commodities (i.e., HIV self-testing [HIVST], preexposure prophylaxis, and condoms) among 1,169 individuals identifying as key populations (KPs), which consisted of female sex workers and men who have sex with men (MSM) in 3 Nigerian states. The authors reported that 81% of the respondents were willing to pay for HIVST, 32% were willing to pay the retail market price of Nigerian Naira (N)1,600 (US$4.20), and the majority (42%) of KPs were willing to pay lower than the market price (i.e., N500–N1,500 (US$1.30–US$4.00). However, the study recognized certain limitations. The authors recommended integrating supply- and demand-side interventions, such as cross-subsidizing prevention commodities through government insurance, subsidy, the Basic Health Care Provision Fund, a tax waiver for imported commodities, and social marketing to accommodate the various market segments comprising a spectrum of incomes. This study has further advanced our understanding of self-reported WTP for these lifesaving HIV prevention tools and provided new insights that could guide HIV prevention policy development and program planning for KPs in Nigeria.Despite the laudable findings of this study, there are gaps and limitations that future studies need to address. First, the study did not address how WTP affects future purchasing and frequency of purchasing given that not all respondents may be willing to pay N1,600 (US$4.20) every 3 months (i.e., if experiencing frequent potential HIV exposures and/or retesting for preexposure prophylaxis). Initial or first-time WTP may not translate into WTP as often … ER -