Onwujekwe O E, Shu E N, Okonkwo P O
Health Policy Research Unit, Department of Pharmacology and Therapeutics, University of Nigeria, College of Medicine, PMB 01129, Enugu, Nigeria.
Public Health. 1999 Jul;113(4):193-4.
The willingness to pay (WTP) for the maintenance of equity in a local ivermectin distribution scheme in the context of a community financing framework was determined in Toro, Northern Nigeria, using 214 randomly selected heads of households, or their representatives. Though WTP of the respondents for their own households was elicited, the focus of this paper is on WTP to maintain equity in a community financing scheme. Contingent valuation was used for the exercise, and WTP was elicited using an open-ended question. 97.2% of the respondents were in favour of allowing those that lack the ability to pay, to benefit from the scheme and the maximum WTP amounts they were willing to contribute annually so that those who lack the ability to pay could benefit from the scheme ranged from 5 Naira ($0. 06) to 100 Naira ($1.25). The mean WTP to maintain equity was 29.00 Naira ($0.36) while the median was 20.00 Naira ($0.25). This study shows that a community financing scheme for local ivermectin distribution will not be inequitable, since enough funds will be realised from well-to-do community members to cover the costs for those who are unable to pay.
在尼日利亚北部的托罗，采用随机选取的214户家庭户主或其代表，确定了在社区融资框架下，为维持当地伊维菌素分配计划公平性的支付意愿（WTP）。尽管已得出受访者对其自身家庭的支付意愿，但本文重点在于维持社区融资计划公平性的支付意愿。此次调查采用了条件估值法，通过开放式问题得出支付意愿。97.2%的受访者赞成让无力支付者从该计划中受益，他们每年愿意为使无力支付者受益而贡献的最高支付意愿金额从5奈拉（0.06美元）到100奈拉（1.25美元）不等。维持公平性的平均支付意愿为29.00奈拉（0.36美元），中位数为20.00奈拉（0.25美元）。本研究表明，当地伊维菌素分配的社区融资计划不会不公平，因为富裕的社区成员将提供足够资金，以支付无力支付者的费用。
