Willingness to pay for routine immunization services in Kano State: A contingent valuation survey

Usman Sunusi Usman 1, 6, *, Peter Njiforti 2, Maryam Adamu 2, Auwal Yahaya 7, Aliyu Muhammad Maigoro 4, Ado Shehu 8, Kabir Sabitu 3, Gana Muhammad Lawan 1, Abubakar Muhammad Kurfi 5, Jibrin Adamu Damazai 1 and Ibrahim Adam Abdullahi 4

1 Department of Community Medicine, Faculty of Clinical Sciences, College of Medical Sciences, Yobe State University, Damaturu, Nigeria,
2 Department of Economics, Ahmadu Bello University, Zaria, Nigeria.
3 Department of Community Medicine, Ahmadu Bello University, Zaria, Nigeria.
4 Department of Public Health, Faculty of Basic Medical Sciences, Bauchi State University, Gadau, Nigeria.
5 Department of Planning, Research and Statistics, National Health Insurance Authority (NHIA) Headquaters, FCT Abuja, Nigeria.
6 Department of Community Medicine, Federal Medical Center Birnin Kudu, Jigawa State, Nigeria.
7 Department of Economics, Faculty of Social Sciences, Bauchi State University Gadau, Nigeria.
8 Himalayan University, India.
 
Research Article
World Journal of Advanced Research and Reviews, 2023, 19(01), 302–314
Article DOI: 10.30574/wjarr.2023.19.1.1320
 
Publication history: 
Received on 25 May 2023; revised on 02 July 2023; accepted on 04 July 2023
 
Abstract: 
Background: willingness to pay for routine immunization services is the maximum amount a household or individual is hypothetically prepared to give up to benefit from routine immunization services. Determining the monetary value of given healthcare services such as vaccinations create challenges to health policymakers, particularly in developing countries.
Objective: to determine the amount residents of urban areas in Kano State are willing to pay for routine immunization and its associated determinants.
Method: a cross-sectional descriptive study was carried out among 418 residents of urban areas in Kano State. Contingent Valuation Method and Logit regression was used to estimate the respondent’s willingness to pay for routine immunization services and its associated determinants.
Results: about 50.5% of the respondents were willing to pay for routine immunization services. Respondents were willing to pay an average of twenty two thousand one hundred and six Naira eighty Kobo with standard deviation of twelve thousand nine hundred and ninety seven Naira eighty Kobo only. (N22106.8 ± 12997.8). The determinants of WTP for routine immunization services include educational status, monthly income, place of delivery, health care expenditure and knowledge on benefit of routine immunization services and the age of the head of household. Also, the pseudo-adjusted coefficient of determination revealed was 0.235.
Conclusion: health care providers and other relevant stakeholders should sensitize people in order to increase awareness on the importance of routine immunization services; this will improve the overall health status of children below the age of five years.
 
Keywords: 
Willingness to pay; Routine immunization; Contingent valuation method; Monetary value
 
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