Ajay Mahal|David Canning|Kunle Odumosu|Prosper Okonkwo
Assessing the economic impact of HIV/AIDS on Nigerian households: a propensity score matching approach
National Agency for the Control of AIDS
objectives used novel approach assess impact hivaids individuals healthcare utilization spending oyo plateau states nigeria income foregone work time lost methods data 2004 random survey 6400 individuals compared sample 482 individuals living hivaids estimating effect hiv complicated fact sample hivpositive individuals nonrandom selection effects acquiring hiv sample hivpositive people based contacts nongovernmental organizations overcome compared hivpositive people control group similar observed characteristics using propensity score matching matched hivnegative individuals worse health greater health spending full hivnegative group suggests hiv sample would average outcomes even acquired hiv results compared matched control group hiv associated significantly increased morbidity healthcare utilization public health facility use lost work time family time devoted caregiving direct private healthcare costs indirect income loss per hivpositive individual 36 065 naira approximately 56 annual income per capita affected households approximately 40 costs income losses associated sickness caregiving 10 cost hiv accounted public subsidies health largest single cost representing 54 total economic burden hiv outofpocket expenses healthcare