Duong Dat Van, Lee Andy H, Binns Colin W
Program for Appropriate Technology in Health in Hanoi, Vietnam.
Birth. 2005 Sep;32(3):194-202. doi: 10.1111/j.0730-7659.2005.00369.x.
The relatively low use of maternity services at the primary health care level in Vietnam has highlighted the need for economic evaluations of the current maternal health delivery network. This study measured willingness-to-pay for obstetric delivery preferences in rural Vietnam.
An interviewer-administered survey was conducted among 200 postpartum and 196 pregnant women, and 196 men in Quang Xuong district, Thanh Hoa province of Vietnam, using the payment card technique.
A kappa score of 0.98 showed very good agreement between the two interviewers administering the survey. An association was found between willingness-to-pay and satisfaction with the quality of maternity services. No significant differences were found in willingness-to-pay values between prenatal and postpartum groups, and between male and female participants.
The study demonstrates that the willingness-to-pay instrument is a feasible tool, and is relatively reliable to measure the benefit of different alternatives of delivery services in rural Vietnam. For wider application of the instrument, its validity should be investigated further. Meanwhile, health care managers and decision makers should be encouraged to apply the instrument in the evaluation of maternal health programs.
越南初级卫生保健层面产妇服务利用率相对较低，这凸显了对当前孕产妇保健服务网络进行经济评估的必要性。本研究衡量了越南农村地区对产科分娩偏好的支付意愿。
采用支付卡技术，对越南清化省广雄县的200名产后妇女、196名孕妇和196名男性进行了访谈式调查。
两位进行调查的访谈者之间的kappa评分为0.98，表明一致性非常好。研究发现支付意愿与对产妇服务质量的满意度之间存在关联。产前组与产后组之间以及男性与女性参与者之间的支付意愿值没有显著差异。
该研究表明，支付意愿工具是一种可行的工具，在衡量越南农村地区不同分娩服务替代方案的效益方面相对可靠。为使该工具得到更广泛应用，应进一步研究其有效性。同时，应鼓励医疗保健管理人员和决策者将该工具应用于孕产妇保健项目的评估。
