Willingness to Pay for Oral Cholera Vaccines in urban Bangladesh

Sarker, Abdur Razzaque, Islam, Ziaul, Sutana, Marufa, Sheikh, Nurnabi, Mahmud, Rashidul Alam, Islam, Md. Taufiqul, Van Der Meer, Robert, Morton, Alec, Khan, Ashraful Islam, Clemens, John David, Qadri, Firdausi and Khan, Jahangir ORCID: https://orcid.org/0000-0002-6151-764X (2020) 'Willingness to Pay for Oral Cholera Vaccines in urban Bangladesh'. PLoS ONE, Vol 15, Issue 4, e0232600.

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Abstract

Introduction: Cholera is a highly infectious disease and remains a serious public health burden in Bangladesh. The objective of the study was to measure the private demand for oral cholera vaccines (OCV) in Bangladesh and to investigate the key determinants of this demand, reflected in the household’s willingness to pay (WTP) for oral cholera vaccine.
Methods: A contingent valuation method was employed in an urban setting of Bangladesh during December 2015 to January 2016. All respondents (N= 1051) received a description of World Health Organization (WHO) prequalified OCV, Shanchol™. Interviews were conducted with either the head of households or their spouse or a major economic contributor of the households. Respondents were asked about how much at maximum they were willing to pay for OCV for their own and their household members’ protection. Results are presented as the average and median of the reported maximum WTP of the respondents with standard deviations and 95% confidence interval. Natural log-linear regression model was employed to examine the factors influencing participants’ WTP for OCV.
Results: About 99% of the respondents expressed WTP for OCV with a maximum mean and median WTP per vaccination (2 doses) of US$ 2.23 and US$ 1.92 respectively. On the household level with an average number of 4.62 members, the estimated mean WTP was US$ 10 (median: US$ 7.69) which represents the perceived demand for OCV of a household to vaccinate against cholera.
Conclusions: The demand of vaccination further indicates that there is a potential scope for recovering a certain portion of the expenditure of immunization program by introducing direct user fees for future cholera vaccination in Bangladesh. Findings from this study will be useful for the policy-makers to make decision on cost-recovery in future oral cholera vaccination programs in Bangladesh and in similar countries.

Item Type:	Article
Subjects:	W General Medicine. Health Professions > W 74 Medical economics. Health care costs QW Microbiology and Immunology > Immunotherapy and Hypersensitivity > QW 805 Vaccines. Antitoxins. Toxoids WA Public Health > Health Problems of Special Population Groups > WA 395 Health in developing countries WC Communicable Diseases > Infection. Bacterial Infections > Enteric Infections > WC 262 Cholera
Faculty: Department:	Clinical Sciences & International Health > Clinical Sciences Department
Digital Object Identifer (DOI):	https://doi.org/10.1371/journal.pone.0232600
Depositing User:	Rachel Dominguez
Date Deposited:	04 May 2020 10:22
Last Modified:	14 May 2020 09:06
URI:	https://archive.lstmed.ac.uk/id/eprint/14370

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