文章基本信息

标题：Ability and willingness to pay for family planning services in low resource settings: evidence from an operational research
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作者：Nazarius Mbona Tumwesigye ; Fredrick Makumbi ; Aggrey Mukose 等
期刊名称：African Health Sciences
印刷版ISSN：1680-6905
电子版ISSN：1729-0503
出版年度：2022
卷号：22
期号：1
页码：28-40
DOI：10.4314/ahs.v22i1.5
语种：English
出版社：Makerere University Medical School（Uganda)
摘要：Objective This paper establishes levels and patterns of ability and willingness to pay (AWTP) for contraceptives, and associated factors. Study design A three-stage cluster and stratified sampling was applied in selection of enumeration areas, households and individuals in a baseline survey for a 5-year Family planning programme. Multivariable linear and modified Poisson regressions are used to establish factors associated with AWTP. Results Ability to pay was higher among men (84%) than women (52%). A high proportion of women (96%) and men (82%) were able to pay at least Ug Shs 1000 ($0.27) for FP services while 93% of women and 83% of men who had never used FP services will in future be able to pay for FP services costed at least Shs 2000 ($0.55). The factors independently associated with AWTP were lower age group (<25 years), residence in urban areas, attainment of higher education level, and higher wealth quintiles. Conclusion AWTP for FP services varied by different measures. Setting the cost of FP services at Shs 1000 ($0.27) will attract almost all women (96%) and most of men (82%). Key determinants of low AWTP include residence in poor regions, being from rural areas and lack of/low education. Implications statement: Private providers should institute price discrimination for FP services by region, gender and socioeconomic levels. More economic empowerment for disadvantaged populations is needed if the country is to realise higher contraceptive uptake. More support for total market approach for FP services needed.
关键词：Ability-to-pay;willingness-to-pay;total market approach;market segmentation;family planning