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Market for Artemether‐Lumefantrine to treat childhood malaria in a district of southern Mozambique

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  • Sergi Alonso
  • Khátia Munguambe
  • Elisa Sicuri

Abstract

Malaria is one of the leading causes of death in sub‐Saharan Africa. Artemisinin‐based combination therapies are used as first‐line treatment drugs, but their market is far from competitive. Market failures include limited availability, low quality, lack of information, and high costs of access. We estimated the theoretical demand for one of the most common artemisinin‐based combination therapies, artemether‐lumefantrine (AL), and its determinants among caregivers of children with malaria seeking care at public health facilities, thus, entitled to receive drugs for free, in southern Mozambique (year 2012). The predicted theoretical demand was contrasted with international and local private market AL prices. Respondents stated high willingness to pay but lower ability to pay (ATP), which was defined as the theoretical demand. The ATP was on average of 0.94 USD for the treatment of a malaria episode. This implied an average gap of 1.04 USD between average local private prices and theoretical demand. Predicted ATP decreased by 14% for every additional malaria episode that the child had suffered during the malaria season. The market price was unaffordable for a large share of our sample, highlighting an unequal welfare distribution between suppliers and potential consumers, as well as issues of inequity in the private delivery of AL.

Suggested Citation

  • Sergi Alonso & Khátia Munguambe & Elisa Sicuri, 2017. "Market for Artemether‐Lumefantrine to treat childhood malaria in a district of southern Mozambique," Health Economics, John Wiley & Sons, Ltd., vol. 26(12), pages 345-360, December.
  • Handle: RePEc:wly:hlthec:v:26:y:2017:i:12:p:e345-e360
    DOI: 10.1002/hec.3514
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    1. Philipson Tomas J & Jena Anupam B, 2006. "Who Benefits from New Medical Technologies? Estimates of Consumer and Producer Surpluses for HIV/AIDS Drugs," Forum for Health Economics & Policy, De Gruyter, vol. 9(2), pages 1-33, January.
    2. Fion De Vletter, 2007. "Migration and development in Mozambique: poverty, inequality and survival," Development Southern Africa, Taylor & Francis Journals, vol. 24(1), pages 137-153.
    3. Jessica Cohen & Pascaline Dupas & Simone Schaner, 2015. "Price Subsidies, Diagnostic Tests, and Targeting of Malaria Treatment: Evidence from a Randomized Controlled Trial," American Economic Review, American Economic Association, vol. 105(2), pages 609-645, February.
    4. Barofsky, Jeremy & Anekwe, Tobenna D. & Chase, Claire, 2015. "Malaria eradication and economic outcomes in sub-Saharan Africa: Evidence from Uganda," Journal of Health Economics, Elsevier, vol. 44(C), pages 118-136.
    5. Mas-Colell, Andreu & Whinston, Michael D. & Green, Jerry R., 1995. "Microeconomic Theory," OUP Catalogue, Oxford University Press, number 9780195102680.
    6. Pascaline Dupas, 2014. "Short‐Run Subsidies and Long‐Run Adoption of New Health Products: Evidence From a Field Experiment," Econometrica, Econometric Society, vol. 82(1), pages 197-228, January.
    7. Grossman, Michael, 1972. "On the Concept of Health Capital and the Demand for Health," Journal of Political Economy, University of Chicago Press, vol. 80(2), pages 223-255, March-Apr.
    8. Hoyt Bleakley, 2010. "Malaria Eradication in the Americas: A Retrospective Analysis of Childhood Exposure," American Economic Journal: Applied Economics, American Economic Association, vol. 2(2), pages 1-45, April.
    9. Paul McNamee & Laura Ternent & Adjima Gbangou & David Newlands, 2010. "A game of two halves? Incentive incompatibility, starting point bias and the bidding game contingent valuation method," Health Economics, John Wiley & Sons, Ltd., vol. 19(1), pages 75-87, January.
    10. Laura Anselmi & Mylène Lagarde & Kara Hanson, 2015. "Health service availability and health seeking behaviour in resource poor settings: evidence from Mozambique," Health Economics Review, Springer, vol. 5(1), pages 1-13, December.
    11. Vincenzo Salvucci, 2014. "Health provider choice and implicit rationing in healthcare: Evidence from Mozambique," Development Southern Africa, Taylor & Francis Journals, vol. 31(3), pages 427-451, May.
    12. Beth P Kangwana & Sarah V Kedenge & Abdisalan M Noor & Victor A Alegana & Andrew J Nyandigisi & Jayesh Pandit & Greg W Fegan & James E Todd & Simon Brooker & Robert W Snow & Catherine A Goodman, 2011. "The Impact of Retail-Sector Delivery of Artemether–Lumefantrine on Malaria Treatment of Children under Five in Kenya: A Cluster Randomized Controlled Trial," PLOS Medicine, Public Library of Science, vol. 8(5), pages 1-14, May.
    13. Bhattacharya Jay & Isen Adam, 2009. "On Inferring Demand for Health Care in the Presence of Anchoring and Selection Biases," Forum for Health Economics & Policy, De Gruyter, vol. 12(2), pages 1-24, July.
    14. David Cutler & Winnie Fung & Michael Kremer & Monica Singhal & Tom Vogl, 2010. "Early-Life Malaria Exposure and Adult Outcomes: Evidence from Malaria Eradication in India," American Economic Journal: Applied Economics, American Economic Association, vol. 2(2), pages 72-94, April.
    15. Jerry Hausman, 2012. "Contingent Valuation: From Dubious to Hopeless," Journal of Economic Perspectives, American Economic Association, vol. 26(4), pages 43-56, Fall.
    16. Alan Diener & Bernie O'Brien & Amiram Gafni, 1998. "Health care contingent valuation studies: a review and classification of the literature," Health Economics, John Wiley & Sons, Ltd., vol. 7(4), pages 313-326, June.
    17. Jeffrey Sachs & Pia Malaney, 2002. "The economic and social burden of malaria," Nature, Nature, vol. 415(6872), pages 680-685, February.
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