Wandei Stephen, Nangami Mabel, Egesa Omar
a Department of Health Management and Policy, School of Public Health , Moi University , Eldoret , Kenya.
b Department of Anthropology and Human Ecology, School of Arts and Social Sciences , Moi University , Eldoret , Kenya.
AIDS Care. 2016;28(4):471-4. doi: 10.1080/09540121.2015.1114998. Epub 2015 Dec 11.
Voluntary medical male circumcision is one of the most effective measures in preventing male acquisition of HIV during heterosexual intercourse. In Kenya, the voluntary medical male circumcision programme was launched in the year 2008 as part of a comprehensive national HIV prevention strategy. With the global challenge of funding HIV intervention programs, the sustainability of the programme beyond the donor periods need to be assessed. The purpose of this study was to determine the household ability and willingness to pay for voluntary medical male circumcision as an alternative method of funding the programme. The findings show that 62.2% of the households were "able" to pay for medical circumcision. However, 60.4% of them were not "willing" to pay for the service regardless of the cost. The findings indicate that ability to pay is not a significant predictor of willingness to pay for voluntary medical male circumcision within Kisumu County. Knowledge on the role of medical circumcision is a more important factor in determining willingness to pay for the service.
自愿男性医学包皮环切术是预防男性在异性性行为中感染艾滋病毒的最有效措施之一。在肯尼亚，自愿男性医学包皮环切术项目于2008年启动，作为国家全面艾滋病毒预防战略的一部分。面对为艾滋病毒干预项目提供资金的全球挑战，需要评估该项目在捐赠期之后的可持续性。本研究的目的是确定家庭支付自愿男性医学包皮环切术费用的能力和意愿，以此作为为该项目提供资金的一种替代方法。研究结果显示，62.2%的家庭“有能力”支付医学包皮环切术的费用。然而，其中60.4%的家庭无论费用多少都“不愿意”支付这项服务的费用。研究结果表明，支付能力并非基苏木县自愿男性医学包皮环切术支付意愿的重要预测指标。对医学包皮环切术作用的了解是决定支付该服务费用意愿的一个更重要因素。
