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Valuing the benefits of a health intervention using three different approaches to contingent valuation: re-treatment of mosquito bed-nets in Nigeria

机译:使用三种不同的或有估值方法评估卫生干预措施的好处:尼日利亚的蚊帐再处理

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摘要

Objectives: To determine the level of willingness to pay (WTP) for re-treatment of mosquito nets and to comparenthe theoretical validity of WTP estimates from three contingent valuation question formats: the bidding game,nbinary with follow-up technique, and a novel structured haggling technique that mimicked price-taking behaviour innthe study area.nMethods: WTP was elicited from randomly selected respondents from three villages in Southeast Nigeria, usingnpretested interviewer-administered questionnaires. Respondents’ WTP for insecticide-treated nets (ITNs) was . rstnelicited before their WTP for re-treatment of ITNs. Ordinary least-squares regression was used to assess theoreticalnvalidity.nResults: More than 95% of the respondents were willing to pay for re-treatment. The mean WTP was 37.1 Naira,n43.4 Naira and 49.2 Naira in the bidding game, binary with follow-up and structured haggling groups, respectivelyn(US$1.00 ˆ 120 Naira). The WTP estimates elicited across the three question formats were statistically differentn(P50.01). Ordinary least-squares estimation showed that WTP was positively related to many variables, especiallynstated WTP for ITNs (P50.05). Structured haggling generated the highest number of statistically signi. cantnvariables to explain WTP.nConclusions: The three contingent valuation approaches generated different distributions of WTP for net retreatment,npossibly due to their inherent differences. Structured haggling generated the most theoretically validnestimates of WTP. The levels of WTP identi. ed suggest that user fees exceeding 50 Naira per net re-treatmentmayndiscourage demand for the service. This is an important challenge for ITN programmes.
机译:目的:确定蚊帐再处理的支付意愿(WTP)的水平,并比较以下三种或有估值问题格式的WTP估计值的理论有效性:竞价博弈,具有后续技术的二进制和新颖的结构方法:从尼日利亚东南部三个村庄的随机选择的受访者中,使用预先测试的访调员管理的问卷,得出WTP。受访者的经杀虫剂处理的蚊帐(ITN)的WTP为。在他们的WTP之前注册了ITN的再处理服务。结果:超过95%的受访者愿意为再次治疗付费。在竞标博弈中,平均WTP分别为37.1奈拉,n43.4奈拉和49.2奈拉,分别是跟进和有组织的讨价还价小组二元(1.00美元ˆ 120奈拉)。三种问题格式引起的WTP估计值在统计上有差异(P50.01)。普通最小二乘估计表明,WTP与许多变量呈正相关,尤其是ITN的WTP呈正相关(P50.05)。有组织的讨价还价产生了最多的统计意义。结论:三种或有估值方法产生净处理的WTP分布不同,这可能是由于它们的固有差异所致。有条理的讨价还价产生了WTP的最有效的理论估计。 WTP身份级别。 ed建议,每笔净重新处理费用超过50奈拉的用户费用可能会削弱该服务的需求。这是ITN计划的一项重要挑战。

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  • 来源
    《Journal of Health Services Research & Policy》 |2004年第2期|p.67-75|共9页
  • 作者单位

    Obinna Onwujekwe PhD, Postdoctoral Research Fellow, Gates MalariaPartnership, Julia Fox-Rushby PhD, Senior Lecturer in HealthEconomics, Health Policy Unit, Kara Hanson PhD, Lecturer inHealth Economics, Health Policy Unit, London School of Hygieneand Tropical Medicine, Keppel Street, London WC1E 7HT, UK.Correspondence to: OO. Health Policy Research Unit, Department ofPharmacology and Therapeutics, University of Nigeria TeachingHospital, PMB 01129, Enugu, Nigeria.;

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  • 正文语种 eng
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  • 关键词

    WTP;

    机译:污水处理厂;

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