Acceptability of the once-a-month injectable contraceptives Cyclofem and Mesigyna in Egypt

Hassan, Ezzeldin Osman; El-Nahal, N.; El-Hussein, M.

doi:10.1016/0010-7824(94)90005-1

Cited by 22 publications

(7 citation statements)

References 3 publications

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“…This is due to the absence of any publicly funded sickness insurance fund at national level and to the limited population coverage of governmental insurance schemes. Similar proofs of the theoretical validity of CV in assessing health care in developing countries were already available from previous CV studies (Hassan et al, 1994;Asenso-Okyere et al, 1997;Onwujekwe et al, 2001Onwujekwe et al, , 2002. Moreover, similar strong validity results have been obtained with stated preferences techniques applied to assess the value of recreational commodities in which the common payment vehicle is a hypothetical "fee" for the facility (Teasley et al, 1994).…”

Section: Wtp Distribution and CV Methodssupporting

confidence: 53%

A stated preference approach to assessing health care-quality improvements in Palestine: from theoretical validity to policy implications

Mataria

Donaldson

Luchini

et al. 2004

Journal of Health Economics

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Section: Wtp Distribution and CV Methodssupporting

confidence: 53%

A stated preference approach to assessing health care-quality improvements in Palestine: from theoretical validity to policy implications

Mataria

Donaldson

Luchini

et al. 2004

Journal of Health Economics

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“…Moreover, the effects of the different explanatory variables on demand, as suggested by the Weibull regression analysis, are highly comparable to results previously obtained using Tobit regression analysis (Mataria et al, 2004). Beside being an evidence for the appropriateness of the Weibull distribution, the latter do also provide new insights on the applicability of CV in the context of developing countries (Mataria et al, 2004), and on the validity of the stated WTP results (Hassan et al, 1994;Asenso-Okyere et al, 1997;Onwujekwe et al, 2002).…”

Section: Discussionsupporting

confidence: 79%

Demand assessment and price‐elasticity estimation of quality‐improved primary health care in palestine: a contribution from the contingent valuation method

et al. 2007

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This paper proposes a new methodology to assess demand and price-elasticity for health care, based on patients' stated willingness to pay (WTP) values for certain aspects of health care quality improvements. A conceptual analysis of how respondents consider contingent valuation (CV) questions allowed us to specify a probability density function of stated WTP values, and consequently, to model a demand function for quality-improved health care, using a parametric survival approach. The model was empirically estimated using a CV study intended to assess patients' values for improving the quality of primary health care (PHC) services in Palestine. A random sample of 499 individuals was interviewed following medical consultation in four PHC centers. Quality was assessed using a multi-attribute approach; and respondents valued seven specific quality improvements using a decomposed valuation scenario and a payment card elicitation technique. Our results suggest an inelastic demand at low user fees levels, and when the price-increase is accompanied with substantial quality-improvements. Nevertheless, demand becomes more and more elastic if user fees continue to rise. On the other hand, patients' reactions to price-increase turn out to depend on their level of income. Our results can be used to design successful health care financing strategies that include a consideration of patients' preferences and financial capacities.

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“…However, research in resource poor countries has suggested that people living in poverty are willing to pay for services they value, such as family planning, and perceive as high quality [13], [17], [18]. One study in Egypt found that 45% of women surveyed were willing to pay for injectable contraceptives [19]. More research is needed to build consensus around the impact of price increases on demand and to determine the factors that impact one’s WTP for specific services or commodities.…”

Section: Introductionmentioning

confidence: 99%

Potential for Cost Recovery: Women’s Willingness to Pay for Injectable Contraceptives in Tigray, Ethiopia

et al. 2013

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ObjectiveTo investigate factors associated with a woman’s willingness to pay (WTP) for injectable contraceptives in Tigray, Ethiopia.MethodsWe used a multistage random sampling design to generate a representative sample of reproductive age women from the Central Zone of Tigray, Ethiopia to participate in a survey (N = 1490). Respondents who had ever used injectable contraceptives or who were interested in using them were asked whether they would be willing to pay, and if so, how much. Logistic regression odds ratios (ORs) with 95% confidence intervals (CIs) and p-values were used to assess which factors were associated with WTP in our final model.FindingsOn average, respondents were willing to pay 11 birr ($0.65 USD) per injection. Being married, completing any amount of education, having given birth, and having visited a health facility in the last 12 months (whether received family planning information or not) were associated with statistically significantly increased odds of WTP. Having initiated sexual activity and having 1–2 children (compared to 0 children) were associated with statistically significantly decreased odds of WTP. We also detected two significant interactions. Among women who prefer injectable contraceptives, their odds of WTP for injectable contraceptives vary across length of time they have used them. And among women who work for pay, their odds of WTP for injectable contraceptives vary by whether they agree with their husband/partner about the ideal number of children.ConclusionIn a sector that continually struggles with funding, cost recovery for contraceptive services may offer a means of improved financial sustainability while increasing rural access to injectable contraceptives. Results indicate there are opportunities for cost recovery in rural Tigray, Ethiopia and highlight factors that could be leveraged to increase WTP for injectable contraceptives.

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Acceptability of the once-a-month injectable contraceptives Cyclofem and Mesigyna in Egypt

Cited by 22 publications

References 3 publications

A stated preference approach to assessing health care-quality improvements in Palestine: from theoretical validity to policy implications

A stated preference approach to assessing health care-quality improvements in Palestine: from theoretical validity to policy implications

Demand assessment and price‐elasticity estimation of quality‐improved primary health care in palestine: a contribution from the contingent valuation method

Potential for Cost Recovery: Women’s Willingness to Pay for Injectable Contraceptives in Tigray, Ethiopia

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