19. Tiếp cận chẩn đoán và điều trị viêm gan C tại tuyến huyện: Quan điểm từ người bệnh đồng nhiễm viêm gan C/HIV

Abstract

This study evaluated the advantages, disadvantages, and feasibility of accessing diagnosis and treatment of HCV in patients with HIV co-infection at the district level: perspectives from patients. A qualitative study was conducted with 19 in-depth interviews with service users in 5 provinces from June to December 2022. The results showed that integrated HCV and ARV treatment services at district health facilities allow patients to access many services simultaneously, reducing travel costs and saving time. The facilities at hepatitis C treatment centers were well appreciated by the patients, the examination and treatment process were clear, testing procedures were speedy, and the waiting time was short. 100% of patients had their condition improved after completing the hepatitis C treatment protocols. However, viral load was tested at upper-level hospitals, causing many difficulties for patients to approach treatment and complete the regimen. More than 50% of patients are willing to pay the co-payment for medication with Health Insurance.