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Altruistic willingness to pay in community-based sales of insecticide-treated nets exists in Nigeria

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Listed:
  • Onwujekwe, Obinna
  • Chima, Reginald
  • Shu, Elvis
  • Nwagbo, Douglas
  • Akpala, Cyril
  • Okonkwo, Paul

Abstract

The objective of this study was to determine whether households who are willing to pay for insecticide-treated nets (ITNs) for themselves are prepared to contribute for the ITNs to be purchased for the indigent community members who cannot afford the nets. This was in the framework of community-based and directed sales for ITNs. The study was conducted in four malaria holoendemic communities in south-eastern Nigeria. Contingent valuation method was used to determine the altruistic willingness to pay (WTP) from randomly selected household heads or their representatives, which was elicited using an open-ended question. Theoretical validity was assessed using the Tobit model. Median altruistic WTP ranged from $0.11 to $0.21 across the four communities (95 Naira=$1). However, using a pooled data from the four communities, the mean was $0.34. In Tobit estimation, altruistic WTP varied significantly with two of the communities; the respondents were resident in, sex, marital status and the amount of savings of the respondent. It also varied significantly with the respondents' WTP for their own ITNs and average monthly household expenditures to treat malaria (p

Suggested Citation

  • Onwujekwe, Obinna & Chima, Reginald & Shu, Elvis & Nwagbo, Douglas & Akpala, Cyril & Okonkwo, Paul, 2002. "Altruistic willingness to pay in community-based sales of insecticide-treated nets exists in Nigeria," Social Science & Medicine, Elsevier, vol. 54(4), pages 519-527, February.
    • Handle: RePEc:eee:socmed:v:54:y:2002:i:4:p:519-527
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    Cited by:

    1. Mehmet Kutluay & Roy Brouwer & Richard S. J. Tol, 2019. "Valuing malaria morbidity: results from a global meta-analysis," Journal of Environmental Economics and Policy, Taylor & Francis Journals, vol. 8(3), pages 301-321, July.
    2. Sato, Azusa, 2012. "Do Inequalities in Health Care Utilization in Developing Countries Change When We Take into Account Traditional Medicines?," World Development, Elsevier, vol. 40(11), pages 2275-2289.
    3. Olivier Chanel & Stéphane Luchini & Alain Paraponaris & Christel Protière & Jean-Christophe Vergnaud, 2004. "Les consentements à payer pour des programmes de prévention sanitaire incluent-ils de l'altruisme ?. Enseignements d'une enquête sur la fièvre Q," Revue économique, Presses de Sciences-Po, vol. 55(5), pages 923-945.
    4. Josephine Borghi, 2008. "Aggregation rules for cost–benefit analysis: a health economics perspective," Health Economics, John Wiley & Sons, Ltd., vol. 17(7), pages 863-875, July.
    5. Mataria, Awad & Donaldson, Cam & Luchini, Stephane & Moatti, Jean-Paul, 2004. "A stated preference approach to assessing health care-quality improvements in Palestine: from theoretical validity to policy implications," Journal of Health Economics, Elsevier, vol. 23(6), pages 1285-1311, November.
    6. Awad Mataria & Stéphane Luchini & Yousef Daoud & Jean-Paul Moatti, 2007. "Demand assessment and price-elasticity estimation of quality-improved primary health care in palestine: a contribution from the contingent valuation method," Health Economics, John Wiley & Sons, Ltd., vol. 16(10), pages 1051-1068.
    7. M. Trapero‐Bertran & H. Mistry & J. Shen & J. Fox‐Rushby, 2013. "A Systematic Review And Meta‐Analysis Of Willingness‐To‐Pay Values: The Case Of Malaria Control Interventions," Health Economics, John Wiley & Sons, Ltd., vol. 22(4), pages 428-450, April.
    8. Obinna Onwujekwe & Benjamin Uzochukwu, 2004. "Stated and actual altruistic willingness to pay for insecticide‐treated nets in Nigeria: validity of open‐ended and binary with follow‐up questions," Health Economics, John Wiley & Sons, Ltd., vol. 13(5), pages 477-492, May.
    9. Awad Mataria & Stéphane Luchini & Yousef Daoud & Jean‐Paul Moatti, 2007. "Demand assessment and price‐elasticity estimation of quality‐improved primary health care in palestine: a contribution from the contingent valuation method," Health Economics, John Wiley & Sons, Ltd., vol. 16(10), pages 1051-1068, October.
    10. Onwujekwe, Obinna, 2005. "Inequities in healthcare seeking in the treatment of communicable endemic diseases in Southeast Nigeria," Social Science & Medicine, Elsevier, vol. 61(2), pages 455-463, July.
    11. Marcello Basili & Filippo Belloc, 2012. "How to Measure the Economic Impact of Vector-Borne Diseases at a Country Level: An Assessment," Department of Economics University of Siena 648, Department of Economics, University of Siena.

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