Willingness to Pay for Antiretroviral Therapy for HIV Positive Individuals in India

With falling prices of antiretroviral drugs in countries like India, there has been an increasing awareness that antiretroviral therapy can be made available and accessible to a large number of HIV-positive individuals. Prices, however, still remain high enough to keep ART out of reach of a majority of affected individuals in India. This study analyses the demand for antiretroviral therapy (ART) using a contingent valuation approach, by estimating the willingness to pay for ART among a sample of HIV positive individuals in India. The study finds a very high willingness to be on ART, but substantially lower willingness to pay for it. To cover 70 percent of patients would require the price to be around Rs. 500 per month. Economic status generally and of females in particular have a positive relationship with the willingness to pay for drugs, whereas being a female exerts a downward pressure on the demand for ART.