Podoconiosis patients’ willingness to pay for treatment services in Northwest Ethiopia: potential for cost recovery
Identifieur interne : 002688 ( Main/Exploration ); précédent : 002687; suivant : 002689Podoconiosis patients’ willingness to pay for treatment services in Northwest Ethiopia: potential for cost recovery
Auteurs : Abreham Tamiru [Éthiopie] ; Girmay Tsegay [Éthiopie] ; Moges Wubie [Éthiopie] ; Molla Gedefaw [Éthiopie] ; Sara Tomczyk [Belgique] ; Fasil Tekola-Ayele [États-Unis]Source :
- BMC Public Health [ 1471-2458 ] ; 2014.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Attitude envers la santé, Besoins et demandes de services de santé, Chaussures, Coûts des soins de santé, Dépenses de santé, Facteurs de l'âge, Facteurs sexuels, Femelle, Humains, Mâle, Revenu, Services de santé (économie), Éléphantiasis (), Éléphantiasis (économie), Éthiopie, Études transversales.
- MESH :
- économie : Services de santé, Éléphantiasis.
- Adulte, Adulte d'âge moyen, Attitude envers la santé, Besoins et demandes de services de santé, Chaussures, Coûts des soins de santé, Dépenses de santé, Facteurs de l'âge, Facteurs sexuels, Femelle, Humains, Mâle, Revenu, Éléphantiasis, Éthiopie, Études transversales.
- Wicri :
- geographic : Éthiopie.
English descriptors
- KwdEn :
- MESH :
- geographic : Ethiopia.
- economics : Elephantiasis, Health Services.
- therapy : Elephantiasis.
- Adult, Age Factors, Attitude to Health, Cross-Sectional Studies, Female, Health Care Costs, Health Expenditures, Health Services Needs and Demand, Humans, Income, Male, Middle Aged, Sex Factors, Shoes.
Abstract
Podoconiosis is non-filarial elephantiasis of the lower legs. It is more commonly found in tropical Africa, Central and South America, and northwest India. In Ethiopia, a few non-governmental organizations provide free treatment to podoconiosis patients, but sustainability of free treatment and scale-up of services to reach the huge unmet need is challenged by resource limitations. We aimed to determine podoconiosis patient’s willingness to pay (WTP) for a treatment package (composed of deep cleaning of limbs with diluted antiseptic solution, soap, and water, bandaging, application of emollient on the skin, and provision of shoes), and factors associated with WTP in northwestern Ethiopia.
A cross-sectional study was conducted among randomly selected untreated podoconiosis patients (n = 393) in Baso Liben
The majority of podoconiosis patients (72.8%) were willing to pay for treatment services. The median WTP amount was 64
The considerable WTP estimates showed that podoconiosis treatment could improve sustainability and service utilization. A subsidized cost recovery scheme could reduce treatment costs and more feasibility integrate podoconiosis treatment service with other NTDs and the government’s primary health care system.
Url:
DOI: 10.1186/1471-2458-14-259
PubMed: 24642085
PubMed Central: 4234032
Affiliations:
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<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p>Podoconiosis is non-filarial elephantiasis of the lower legs. It is more commonly found in tropical Africa, Central and South America, and northwest India. In Ethiopia, a few non-governmental organizations provide free treatment to podoconiosis patients, but sustainability of free treatment and scale-up of services to reach the huge unmet need is challenged by resource limitations. We aimed to determine podoconiosis patient’s willingness to pay (WTP) for a treatment package (composed of deep cleaning of limbs with diluted antiseptic solution, soap, and water, bandaging, application of emollient on the skin, and provision of shoes), and factors associated with WTP in northwestern Ethiopia.</p>
</sec>
<sec><title>Methods</title>
<p>A cross-sectional study was conducted among randomly selected untreated podoconiosis patients (n = 393) in Baso Liben <italic>woreda</italic>
, northwestern Ethiopia. The contingent valuation method was used with a pre-tested interviewer-administered questionnaire.</p>
</sec>
<sec><title>Results</title>
<p>The majority of podoconiosis patients (72.8%) were willing to pay for treatment services. The median WTP amount was 64 <italic>Birr</italic>
(US$ 3.28) per person per year. More than one-third of patients (36.7%) were willing to pay at least half of the full treatment cost and 76.2% were willing to pay at least half of the cost of shoes. A multivariate analysis showed that having a higher monthly income, being a woman, older age, being aware of the role of shoes to prevent podoconiosis, and possession of a functional radio were significantly associated with higher odds of WTP.</p>
</sec>
<sec><title>Conclusions</title>
<p>The considerable WTP estimates showed that podoconiosis treatment could improve sustainability and service utilization. A subsidized cost recovery scheme could reduce treatment costs and more feasibility integrate podoconiosis treatment service with other NTDs and the government’s primary health care system.</p>
</sec>
</div>
</front>
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<author><name sortKey="Mariam, Dh" uniqKey="Mariam D">DH Mariam</name>
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<author><name sortKey="Weidert, K" uniqKey="Weidert K">K Weidert</name>
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<author><name sortKey="Gessessew, A" uniqKey="Gessessew A">A Gessessew</name>
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<author><name sortKey="Mariam, Dh" uniqKey="Mariam D">DH Mariam</name>
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<author><name sortKey="Abrha, Th" uniqKey="Abrha T">TH Abrha</name>
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<author><name sortKey="Abebe, Y" uniqKey="Abebe Y">Y Abebe</name>
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<author><name sortKey="Shilane, D" uniqKey="Shilane D">D Shilane</name>
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<author><name sortKey="Lapping, K" uniqKey="Lapping K">K Lapping</name>
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<author><name sortKey="Amberbir, T" uniqKey="Amberbir T">T Amberbir</name>
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<author><name sortKey="Tamiru, A" uniqKey="Tamiru A">A Tamiru</name>
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<author><name sortKey="Davey, G" uniqKey="Davey G">G Davey</name>
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<author><name sortKey="Amberbir, T" uniqKey="Amberbir T">T Amberbir</name>
</author>
<author><name sortKey="Tamiru, A" uniqKey="Tamiru A">A Tamiru</name>
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<author><name sortKey="Davey, G" uniqKey="Davey G">G Davey</name>
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<author><name sortKey="Downs, R" uniqKey="Downs R">R Downs</name>
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<author><name sortKey="Daniel, T" uniqKey="Daniel T">T Daniel</name>
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<author><name sortKey="Ahrens, C" uniqKey="Ahrens C">C Ahrens</name>
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<author><name sortKey="Davey, G" uniqKey="Davey G">G Davey</name>
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<author><name sortKey="Alemu, G" uniqKey="Alemu G">G Alemu</name>
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<author><name sortKey="Davey, G" uniqKey="Davey G">G Davey</name>
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<author><name sortKey="Ahrens, C" uniqKey="Ahrens C">C Ahrens</name>
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<author><name sortKey="Petros, B" uniqKey="Petros B">B Petros</name>
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<author><name sortKey="Mcbride, Cm" uniqKey="Mcbride C">CM McBride</name>
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<author><name sortKey="De Heer, Hd" uniqKey="De Heer H">HD de Heer</name>
</author>
<author><name sortKey="Watanabe, E" uniqKey="Watanabe E">E Watanabe</name>
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<author><name sortKey="Gebreyesus, T" uniqKey="Gebreyesus T">T Gebreyesus</name>
</author>
<author><name sortKey="Tora, A" uniqKey="Tora A">A Tora</name>
</author>
<author><name sortKey="Tadele, G" uniqKey="Tadele G">G Tadele</name>
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</TEI>
<affiliations><list><country><li>Belgique</li>
<li>États-Unis</li>
<li>Éthiopie</li>
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<name sortKey="Tsegay, Girmay" sort="Tsegay, Girmay" uniqKey="Tsegay G" first="Girmay" last="Tsegay">Girmay Tsegay</name>
<name sortKey="Wubie, Moges" sort="Wubie, Moges" uniqKey="Wubie M" first="Moges" last="Wubie">Moges Wubie</name>
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<country name="Belgique"><noRegion><name sortKey="Tomczyk, Sara" sort="Tomczyk, Sara" uniqKey="Tomczyk S" first="Sara" last="Tomczyk">Sara Tomczyk</name>
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</record>
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