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Please use this identifier to cite or link to this item: http://hdl.handle.net/123456789/599

Title: WILLINGNESS TO PAY FOR FAMILY PLANNING SERVICES IN NORTH GONDAR ZONE
Authors: Habtamu, Ayalneh
Advisors: DAMEN HAILEMARIAM (MD, MPH, PHD)
Copyright: 2007
Date Added: 19-Apr-2008
Publisher: Addis Ababa University
Abstract: ABSTRACT Background: The demand for family planning service in sub-Saharan Africa is high and rising. Meeting current need for family planning would require spending more than twice the amount spent today. Future needs and funding requirements will be even greater, since the population of women of reproductive age will increase and a higher proportion of these women will want to use contraception. The fact that family planning programs in the region are overwhelmingly donor supported implies that governments and consumers contribute very little. Objectives: To assess clients’ willingness to pay for family planning service and the factors affecting it in North Gondar zone, Amhara region. Methodology: Facility based cross sectional study was used to assess clients WTP for family planning services. The study had both quantitative and qualitative components. Data were collected in five randomly selected health facilities in north Gondar zone, in January 2006. Structured, pre-tested and translated questionnaire was used for the exit interview during the collection of quantitative data. Contingent valuation (bidding game) method was used to assess respondents’ hypothetical willingness to pay for family planning services. Results: A total of 596 FP clients were interviewed. Four hundred and thirty nine (73.3%), 155 (26%) and 2 (0.3%) used injectables, Oral contraceptive pills and norplant respectively. Three hundred and fifty two (80.2%) and 261 (74.1%) of clients were willing to pay a price of 3 ETB and 6 ETB respectively for one cycle injectables. The mean WTP expressed was 6 ETB for injectables and 1.7 ETB for OCP. For oral contraceptive pills 116 (74.8%), 99(85.3%) of clients were willing to pay a price of 0.5 ETB and 1.00 ETB respectively for one month's supply from those who used the service. The most important predictors of WTP for FP services found in this study are, location of the facility, any form of expenditure, number of visits, waiting time in the facility and whether the husband is paid for his work or not. Conclusion: Relatively a higher proportion of clients expressed their WTP for both methods for the least offered prices. The concerned bodies can evaluate this expressed WTP with large-scale studies. For improved quality services, respondents are willing to pay more. Different proxy- indicators of income were found as determinant factors for clients WTP for FP services. However, there is low awareness of waiver and exemption mechanisms by the respondents.
Description: A THESIS SUBMITTED TO THE SCHOOL OF GRADUATE STUDIES OF ADDIS ABABA UNIVERSITY IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE DEGREE OF MASTER’S OF PUBLIC HEALTH (MPH)
URI: http://hdl.handle.net/123456789/599
Appears in:Thesis - Public Health

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