Abstract

ObjectiveIs to determine willingness to pay(WTP)/demand for the retreatment of Insecticide treated mosquito nets for malaria control in Ethiopia.MethodsA community based cross-sectional study was conducted in Gursum district in Eastern Ethiopia. A total of 335 households were surveyed using a pre-tested structured questionnaire. Multivariable regression analyses using the Tobit model were used to test the theoretical validity of elicited WTP.ResultsAbout 159(76.4 %) of them have received a treated insecticide when they obtained. One hundred twenty five (60.4 %) know that the net should be retreated. Around 110(50.7 %), 80(36.9 %) and 27(12.4 %) of the participants feel that the current price of ITNs as negotiable/ not as such expensive, expensive and cheap. About 306(96.5 %) of them reported that they support that ITNs be given freely and 257(82.9 %) were mentioned that the retreatment service should be provided without charge. The WTP amounts ranged from 0 to 10.4 USD. The mean with SD of the respondents from open ended elicitation method for willingness to pay was 1 USD and 1.53 USD. The reduced tobit regression models showed that average income more than 10.4 USD per month and those household who live within a distance in 30 min to the health facility were the determinant for willingness to pay.ConclusionThe mean with SD of the respondents for willingness to pay was 1 USD and 1.53 USD. Average monthly income and those household who live within a distance in 30 min to the health facility were determinant for willingness to pay. Government and other development partners should seek a mechanism to make a subsidy or free of charge for the retreatment services. Differential treatment from the public to address the poor and vulnerable households and those who are living far distance from the local health facility is warranted.

Highlights

  • According to WHO, there were an estimated 219 million cases of malaria and 660 000 deaths in 2010 [1]

  • Insecticidetreated mosquito nets (ITNs) use has been limited due to the cost outlay households require to make towards the purchase of nets, households’ inability to Biadgilign et al International Journal for Equity in Health (2015) 14:99 associate the effectiveness of the net with the insecticide leading to low re-treatment rates in most settings and the seasonality associated with the spread of malaria [3]

  • Rating and determinant to willingness to pay for ITN retreatment Around 110(50.7 %), 80(36.9 %) and 27(12.4 %) of the participants feel that the current price of ITNs as negotiable/not as such expensive, expensive and cheap

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Summary

Introduction

According to WHO, there were an estimated 219 million cases of malaria (range 154–289 million) and 660 000 deaths (range 610 000–971 000) in 2010 [1]. Insecticidetreated mosquito nets (ITNs) have been shown to be an effective and cost-effective means for the control of malaria, especially among children under 5 years [2]. The use of insecticide treated nets is effective in reducing all cause malaria mortality and morbidity between 17 and 43 % in children under 5 years and provides protection. ITN use has been limited due to the cost outlay households require to make towards the purchase of nets, households’ inability to Biadgilign et al International Journal for Equity in Health (2015) 14:99 associate the effectiveness of the net with the insecticide leading to low re-treatment rates in most settings and the seasonality associated with the spread of malaria [3]. Consumer preferences should guide resource allocation decisions so that people preferences and potential demand for the different tools are satisfied [6]

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