Willingness to Pay for Maternal Health Outcomes

Ternent, Laura; McNamee, Paul; Newlands, David; Belemsaga, Danielle Yugbaré; Gbangou, Adjima; Cross, Suzanne

doi:10.2165/11313960-000000000-00000

Cited by 9 publications

(2 citation statements)

References 20 publications

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“…Previous studies found that Income and education for women affect WTP for maternal health [6,14]. Since maternal health information, education and communication materials are in English, women especially in the urban and rural areas who can read and write in English are likely to have more WTP for ANC in comparison to the women who do not have that ability.…”

Section: Discussionmentioning

confidence: 99%

Factors Affecting Women-Willingness to Pay for Maternal, Neonatal andChild Health Services (MNCH) in Gombe State, Nigeria

Yahya¹,

Pumpaibool²

2017

J Women's Health Care

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Background: Gombe State in North Eastern Nigeria is one of the states in the region that records the highest maternal and new-born death rates in the world. The region has a maternal mortality ratio of 1549/100,000, child mortality rate of 260/1,000 and neonatal mortality rate of 43/1,000. With a poverty incidence of 72.2% in the state and the displacement due to insurgency, a great deal of women in the villages is vulnerable to more poverty and maternal deaths. Establishing the factors that affect the willingness to pay (WTP) for maternal services will help to improve maternal health services thereby reducing maternal deaths in the state. This study looked at the factors that affect women's willingness to pay for maternal services in relation to antenatal care (ANC), delivery in health facilities and post-natal care (PNC) through a baseline survey.Methods: This study was cross sectional where data were collected from women groups (including women not registered with the groups) in two purposively selected Local Government Areas (LGAs) of the state. Seven hundred and fifty (750) women were sampled for the survey in the two LGAs. The main outcome variables are utilization of maternal service (specifically improved antenatal care attendance, facility delivery and postnatal care) and WTP for these services by the women. Descriptive statistics of the respondents were analysed using IBM SPSS 22 software. Logistic regression analysis was done to determine the factors affecting WTP for the maternal services. Results:The findings from this study have shown statistically significant association between WTP for maternal health care and several factors. Women are more likely to be willingness to pay for ANC and delivery in the health facility if they belong to the savings and loans group (p<0.05), had an average of 1-10 visits to a facility, married (p<0.05), can read and write in English (p<0.05) and live near health facilities (p<0.05). Income and employment (p<0.05) are additional factors affecting WTP for delivery. Post-natal care on the other hand was only associated with membership of savings and loans group. Conclusions:Factors associated with the willingness to pay ANC and delivery in health facilities according to the findings of this study were membership of savings and loans group, closeness to a health facility, education, income and marital status. Number of previous visits to the health facility and occupation were also found to be significant predictors of willingness to pay for maternal services. Further studies on the association of WTP and PNC are suggested in order to improve PNC in the state.

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Section: Discussionmentioning

confidence: 99%

Factors Affecting Women-Willingness to Pay for Maternal, Neonatal andChild Health Services (MNCH) in Gombe State, Nigeria

Yahya¹,

Pumpaibool²

2017

J Women's Health Care

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“…Unfortunately, the implicit assumption is that the economic value of intangible losses is zero, which many people, including, the authors would contest. We did not include the data on this variable, which can be obtained only through willingness-to-pay surveys [29–32]. …”

Section: Resultsmentioning

confidence: 99%

Indirect cost of maternal deaths in the WHO African Region in 2010

Kirigia

Mwabu

Orem

et al. 2014

BMC Pregnancy Childbirth

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BackgroundAn estimated 147,741 maternal deaths occurred in 2010 in 45 of the 47 countries in the African Region of the World Health Organization (WHO). The objective of this study was to estimate the indirect cost of maternal deaths in the Region to provide data for use in advocacy for increased domestic and external investment in multisectoral policy interventions to curb maternal mortality.MethodsThis study used the cost-of-illness method to estimate the indirect cost of maternal mortality, i.e. the loss in non-health gross domestic product (GDP) attributable to maternal deaths. Estimates on maternal mortality for 2010 from Trends in maternal mortality: 1990 to 2010 published by WHO, UNICEF, UNFPA and the World Bank were used in these calculations. Values for future non-health GDP lost were converted into their present values by applying a 3% discount rate. One-way sensitivity analysis at 5% and 10% discount rates assessed the impact on non-health GDP loss. Indirect cost analysis was undertaken for the countries, categorized under three income groups. Group 1 consisted of nine high and upper middle income countries, Group 2 of 12 lower middle income countries, and Group 3 of 26 low income countries. Estimates for Seychelles in Group 1 and South Sudan in Group 3 were not provided in the source used.ResultsThe 147,741 maternal deaths that occurred in 45 countries in the African Region in 2010 resulted in a total non-health GDP loss of Int$ 4.5 billion (PPP). About 24.5% of the loss was in Group 1 countries, 44.9% in Group 2 countries and 30.6% in Group 3 countries. This translated into losses in non-health GDP of Int$ 139,219, Int$ 35,440 and Int$ 16,397 per maternal death, respectively, for the three groups. Using discount rates of 5% and 10% reduced the total non-health GDP loss by 19.1% and 47.7%, respectively.ConclusionMaternal mortality is responsible for a noteworthy level of non-health GDP loss among the countries in the African Region. There is urgent need, therefore, to increase domestic and external investment to scale up coverage of existing cost-effective, multisectoral women’s health interventions to reduce maternal morbidity and mortality.Electronic supplementary materialThe online version of this article (doi:10.1186/1471-2393-14-299) contains supplementary material, which is available to authorized users.

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Determinants of willingness to pay for health services: a systematic review of contingent valuation studies

Steigenberger¹,

Flatscher-Thoeni²,

Siebert

et al. 2022

Eur J Health Econ

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Introduction Stated preference studies are a valuable tool to elicit respondents' willingness to pay (WTP) for goods or services, especially in situations where no market valuation exists. Contingent valuation (CV) is a widely used approach among stated-preference techniques for eliciting WTP if prices do not exist or do not reflect actual costs, for example, when services are covered by insurance. This review aimed to provide an overview of relevant factors determining WTP for health services to support variable selection. Methods A comprehensive systematic literature search and review of CV studies assessing determinants of WTP for health services was conducted, including 11 electronic databases. Two of the authors made independent decisions on the eligibility of studies. We extracted all determinants used and related p values for the effect sizes (e.g. reported in regression models with WTP for a health service as outcome variable). Determinants were summarised in systematic evidence tables and structured by thematic domains. ResultsWe identified 2082 publications, of which 202 full texts were checked for eligibility. We included 62 publications on 61 studies in the review. Across all studies, we identified 22 WTP determinants and other factors from 5 thematic domains: sociodemographic characteristics, perceived threat, perceived benefit, perceived barriers, and other information. ConclusionOur review provides evidence on 22 relevant determinants of WTP for health services, which may be used for variable selection and as guidance for planning CV surveys. Endogeneity should be carefully considered before interpreting these determinants as causal factors and potential intervention targets.

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Willingness to Pay for Maternal Health Outcomes

Cited by 9 publications

References 20 publications

Factors Affecting Women-Willingness to Pay for Maternal, Neonatal andChild Health Services (MNCH) in Gombe State, Nigeria

Factors Affecting Women-Willingness to Pay for Maternal, Neonatal andChild Health Services (MNCH) in Gombe State, Nigeria

Indirect cost of maternal deaths in the WHO African Region in 2010

Determinants of willingness to pay for health services: a systematic review of contingent valuation studies

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