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|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|
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
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
|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)|
|Appears in:||Thesis - Public Health|
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