Background: HIV drug resistance (HIVDR) threatens progress achieved in response to the HIV epidemic. Understanding the costs of implementing HIVDR testing programs for patient management and surveillance in resource-limited settings is critical in optimizing resource allocation. Here, we estimate the unit cost of HIVDR testing and identify major cost drivers while documenting challenges and lessons learnt in implementation of HIVDR testing at a tertiary level hospital in Kenya.

Abstract

Exposure to risk may be seen as one of the many dimensions of poverty. Household exposure to risk consequent upon different types of shocks often leads to undesirable welfare outcomes. A shock can push an already income-poor household further into poverty or drive a non-poor household below the income poverty line. Risk appears to be one of the major challenges many households face in developing economies especially in the Sub-Saharan Africa.

Abstract 

In contrast to a large body of literature linking agroecology to food security through sustainable agronomic practices, research on how agroecology enhances smallholder farmers’ access to productive resources, yet necessary for food security and nutrition, is sparse in Africa. Literature does not consider the fact that agroecology practices are often adopted via entering a group that provides corresponding knowledge, network and possibly markets. We investigate the case of an agroecology group operating parallel to the dominant agri-industrial food system in Southeast Nigeria.

PurposeThis study examined the influence of income and health insurance on the health-seeking behaviour of rural residents, addressing the concerns of endogeneity and heterogeneity bias.Design/methodology/approachA two-stage residual inclusion was utilised to correct self-selection-based endogeneity problems arising from health insurance membership.FindingsThis study provides support for Andersen's behavioural model (ABM).