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Willingness to Pay for Universal Health Coverage Scheme for Maternal and Child Health Care and Services in Benin

Received: 27 April 2021    Accepted: 12 May 2021    Published: 27 May 2021
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Abstract

Enrolment in a universal health coverage scheme is a way to access health care and services and to reduce the catastrophic health expenditures that plunge already vulnerable populations into extreme poverty. As part of the analysis of the availability and operational capacity of health services in Benin (SARA 2018), an analysis of recipients’ satisfaction and their willingness to pay for Universal Health Coverage scheme was carried out in 2018. This is a cross-sectional study with an analytical focus that covered 475 health facilities and 956 recipients of health care and services selected at random in health care structures and in the community. The dependent variable studied was the willingness to pay for Universal Health Coverage scheme and the explanatory variables were those relating to socio-cultural and economic factors and the reception of the recipient in the care environment. The hybrid bidding game technique was used to estimate the amount to be paid for the Universal Health Coverage scheme. Univariate and multivariate analyses were carried out to analyse the data. The data showed that Beninese people do not have a culture of early care-seeking; they get care when the episode of illness induces a temporary incapacity for work. The results observed showed that the following factors significantly influenced willingness to pay: being able to talk to the doctor, the feeling of being valued and treated with respect, the individual’s ability to pay, access to pain management and temporary incapacity. In conjunction with the willingness to pay for Universal Health Coverage scheme, the payment amount, determined using the contingent valuation method, was 767 FCFA or US$1.43 per month per individual. In view of these results and taking into account the socio-economic realities of the country where approximately 38.5% of the population is poor according to monetary poverty (Benin 2020), the pooling of health insurance coverage appears to be the solution to eliminate the financial barrier and the risks of catastrophic health expenditure. State subsidies for the contributions of populations in extreme poverty also appear necessary to ensure the sustainability, equity and sustainability of the health insurance scheme.

Published in Central African Journal of Public Health (Volume 7, Issue 3)
DOI 10.11648/j.cajph.20210703.14
Page(s) 111-120
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Universal Health Coverage Scheme, Willingness to Pay, Enrolment, Payment Amount, Republic of Benin

References
[1] WHO, The World Health Report Health Systems Financing The path to universal coverage 2010, http://apps.who.int/iris/bitstream/handle/10665/44372/9789242564020_fre.pdf;jsessionid=7E793229C76F0A927607418266143768?sequence=1, consult the 04/27/2021 at 5 PM.
[2] Benin Républic and United nations Organization, Etude des impacts socio-économiques de la covid 19 au Bénin. 2020.
[3] Global Burden Deasis, Measuring universal health coverage based on an index of effective coverage of health services in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet, 2020. 1250 (84): p. 396.
[4] INSAE Bénin, ICF, Cinquième Enquête Démographique et de Santé (EDSB-V) 2017-2018, in Cotonou, Bénin et Rockville, Maryland, USA: INSAE et ICF. 2019, https://www.insae-bj.org/images/docs/insae-statistiques/enquetes-recensements/EDS/2017-2018/1.Benin_EDSBV_Rapport_final.pdf, consult the 04/27/2021 at 6:15 PM.
[5] INSAE Bénin, P., ENQUETE MODULAIRE INTEGREE SUR LES CONDITIONS DE VIE DES MENAGES 3ème ÉDITION (EMICoV-2015). 2016, file:///C:/Users/SOSSOU%20Justin%20A/Downloads/Rapport_pr%C3%A9liminaire_Emicov_2015(3).pdf, consult the le 04/27/2021 at 5:50 PM.
[6] Union Africaine, O., Abuja +12 Construire l’avenir de la santé en Afrique. 2013., https://www.unaids.org/sites/default/files/media_asset/JC2524_Abuja_report_fr.pdf, consult at le 04/28/2021 at 7:05 PM.
[7] Lu C, C. B., Lewandowski JL, Basinga P, Hirschhorn LR, Hill K, Murray M, Binagwaho A, Towards Universal Health Coverage: An Evaluation of Rwanda Mutuelles in Its First Eight Years. PLoS ONE 2012. 7 (6).
[8] Adebayo EF, U. O., Wiysonge CS, Erin A. Stern EA, Lamont KT and Ataguba JE, A systematic review of factors that affect uptake of community-based health insurance in low-income and middleincome countries. BMC Health Services Research 2015. 15 p. 543.
[9] Panda P, D. I., Koehlmoos TP, Hossain SAS, John D, Khan JAM and Dror DM, Factors affecting uptake of voluntary and community-based health insurance schemes in low-and middle-income countries: a systematic review, 27. London: International Initiative for Impact Evaluation (3ie). 3ie Systematic Review, 2016. 27 (London: International Initiative for Impact Evaluation (3ie)).
[10] Pavel, S., Chakrabarty, S., Gow, J., Assessing willingness to pay for health care quality improvements. BMC Health Serv Res, 2015. 15: p. 43.
[11] Bénin, A., Protéger les démunies et réduire la précarité 2017.
[12] Dieng, A., Comparaison de trois techniques d’évaluation contingente: Le cas de la défaillance d’ovulation au Québec. 2018, https://savoirs.usherbrooke.ca/bitstream/handle/11143/12213/Dieng_Aissata_MSc_2018.pdf?sequence=5&isAllowed=y, consult the le 04/17/2021 at 5:13 PM.
[13] Parajuli Ashok., Application of Contingent Valuation Method in Natural Resource Management in Nepal. 2016. https://www.researchgate.net/publication/315201030, consult the 04/25/2021.
[14] Lopez-Feldman, A., Introduction to contingent valuation using Stata. 2012., https://mpra.ub.uni-muenchen.de/41018/2/MPRA, consult the 03/05/2021.
[15] Bonato D, N. S., Tesler H., The Contingent Valuation Method in Health Care: An Economic Evaluation of Alzheimer's Disease. Institute of Economics, University of Bern 2001, https://www.researchgate.net/publication/8674311, consult the 08/24/2020.
[16] DONG H, K. B., CAIRNS J, SAUERBORNR Differential willingness of household heads to pay community-based health insurance premia for themselves and other household members. HEALTH POLICY AND PLANNING, 2004. 19 (2): p. 120–126.
[17] Molla, A. and N. Fentahun, Predictors of willingness to participate in health insurance services among the community of jimma town, southwest ethiopia. Health Serv Insights, 2014. 7: p. 31-7.
[18] Heale, W., Individualised and personalised QALYs in exceptional treatment decisions. J Med Ethics, 2016. 42 (10): p. 665-71.
[19] Babatunde OA, A. T., Salaudeen AG, Aderibigbe SA, Elegbede OE, Ayodele LM Willingness to Pay for Community Health Insurance and its Determinants among Household Heads in Rural Communities in North-Central Nigeria. ResearchGate, 2012. Vol. 2: p. pp. 133-142.
[20] Saleh, S. S., Alameddine, M. S., Natafgi, N. M., Acceptability of quality reporting and pay for performance among primary health centers in Lebanon. Int J Health Serv, 2013. 43 (4): p. 761-77.
[21] Khan, J., A. Shil, and S. K. Mohanty, Hepatitis B vaccination coverage across India: exploring the spatial heterogeneity and contextual determinants. BMC Public Health, 2019. 19 (1): p. 1263.
[22] Aizuddin NA, S. S., Aljunid MS, Factors influencing willingness to pay for healthcare. BMC Public Health 2, 2012, http://www.biomedcentral.com/1471-2458/12/S2/A37, consult the le 08/14/2020.
[23] Paul Bossyns, F. L., Valéry Ridde Une assurance maladie à grande échelle pour le secteur informel en Afrique subsaharienne Six ans d’expérience au Sénégal rural 2012 – 2017 Studies in Health Services Organization & Policy, 2018. 34.
[24] Al-Hanawi, M. K., O. Alsharqi, and K. Vaidya, Willingness to pay for improved public health care services in Saudi Arabia: a contingent valuation study among heads of Saudi households. Health Econ Policy Law, 2020. 15 (1): p. 72-93.
[25] Amiram Gafni, Willingness-to-pay as a measure of benefits. Relevant questions in the context of public decisionmaking about health care programs. Medical Care, 1991. 29 (12): p. 1246-5226.
[26] Cheng-Te Lin, Y.-S. H., Lu-Wen Liao & Chung-Te Ting Measuring Consumer Willingness to Pay to Reduce Health Risks of Contracting Dengue Fever. Int. J. Environ. Res. Public Health, 2020. 17, 1810.
[27] Brugiavin A., P. N., Extending health insurance in Ghana: effects of the National Health Insurance Scheme on maternity care Health Economics Review 2016. 6 (7).
[28] Gidey T. M., G. G. B., Hogan M. E. & Fenta T. G., Willingness to pay for social health insurance and its determinants among public servants in Mekelle City, Northern Ethiopia: a mixed methods study. Cost Ef Resour Alloc 2019. 17: 2.
[29] Bärnighausen T., L. Y., Zhang X & Sauerborn R., Willingness to pay for social health insurance among informal sector workers in Wuhan, China: a contingent valuation study. BMC Health Services Research, 2007. 7: 114.
[30] Basaza R., A. P. K., Kirabira P., Ogubi D. & Lako R. L. L, Willingness to pay for National Health Insurance Fund among public servants in Juba City, South Sudan: a contingent evaluation. International Journal for Equity in Health 2017. 16: 158.
[31] Acharya D., D. B., Wagle BP Factors Associated to the Enrollment in Health Insurance: An Experience from Selected Districts of Nepal Canadian Center of Science and Education 2018. 15 2019 (2): p. 90.
[32] Ministry of Health Benin, National health financing strategy 2016-2022. 2015.
[33] Cuellar C., C. A., Harris A., Korynski P., Évaluation du secteur privé de la santé au Bénin. Bethesda, MD: Projet de Renforcement des résultats de santé au moyen du secteur privé, Abt Associates Inc. 2013: p. 106.
[34] Bénin, CTRSS, Report of the technical commission in charge of reforms in the health sector in Benin. 2017.
[35] Paul E., S. N., JWangbe JP, Fecher F, Bourgeois M, Budgeting challenges on the path towards universal health coverage: the case of Benin. Health Economics Review, 2020. 10 (28).
Cite This Article
  • APA Style

    Adanmavokin Justin Sossou, Gilles Armand Sossou, Alphonse Kpozehoue, Babatounde Charlemagne Igue, Edgard-Marius Ouendo. (2021). Willingness to Pay for Universal Health Coverage Scheme for Maternal and Child Health Care and Services in Benin. Central African Journal of Public Health, 7(3), 111-120. https://doi.org/10.11648/j.cajph.20210703.14

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    ACS Style

    Adanmavokin Justin Sossou; Gilles Armand Sossou; Alphonse Kpozehoue; Babatounde Charlemagne Igue; Edgard-Marius Ouendo. Willingness to Pay for Universal Health Coverage Scheme for Maternal and Child Health Care and Services in Benin. Cent. Afr. J. Public Health 2021, 7(3), 111-120. doi: 10.11648/j.cajph.20210703.14

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    AMA Style

    Adanmavokin Justin Sossou, Gilles Armand Sossou, Alphonse Kpozehoue, Babatounde Charlemagne Igue, Edgard-Marius Ouendo. Willingness to Pay for Universal Health Coverage Scheme for Maternal and Child Health Care and Services in Benin. Cent Afr J Public Health. 2021;7(3):111-120. doi: 10.11648/j.cajph.20210703.14

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  • @article{10.11648/j.cajph.20210703.14,
      author = {Adanmavokin Justin Sossou and Gilles Armand Sossou and Alphonse Kpozehoue and Babatounde Charlemagne Igue and Edgard-Marius Ouendo},
      title = {Willingness to Pay for Universal Health Coverage Scheme for Maternal and Child Health Care and Services in Benin},
      journal = {Central African Journal of Public Health},
      volume = {7},
      number = {3},
      pages = {111-120},
      doi = {10.11648/j.cajph.20210703.14},
      url = {https://doi.org/10.11648/j.cajph.20210703.14},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cajph.20210703.14},
      abstract = {Enrolment in a universal health coverage scheme is a way to access health care and services and to reduce the catastrophic health expenditures that plunge already vulnerable populations into extreme poverty. As part of the analysis of the availability and operational capacity of health services in Benin (SARA 2018), an analysis of recipients’ satisfaction and their willingness to pay for Universal Health Coverage scheme was carried out in 2018. This is a cross-sectional study with an analytical focus that covered 475 health facilities and 956 recipients of health care and services selected at random in health care structures and in the community. The dependent variable studied was the willingness to pay for Universal Health Coverage scheme and the explanatory variables were those relating to socio-cultural and economic factors and the reception of the recipient in the care environment. The hybrid bidding game technique was used to estimate the amount to be paid for the Universal Health Coverage scheme. Univariate and multivariate analyses were carried out to analyse the data. The data showed that Beninese people do not have a culture of early care-seeking; they get care when the episode of illness induces a temporary incapacity for work. The results observed showed that the following factors significantly influenced willingness to pay: being able to talk to the doctor, the feeling of being valued and treated with respect, the individual’s ability to pay, access to pain management and temporary incapacity. In conjunction with the willingness to pay for Universal Health Coverage scheme, the payment amount, determined using the contingent valuation method, was 767 FCFA or US$1.43 per month per individual. In view of these results and taking into account the socio-economic realities of the country where approximately 38.5% of the population is poor according to monetary poverty (Benin 2020), the pooling of health insurance coverage appears to be the solution to eliminate the financial barrier and the risks of catastrophic health expenditure. State subsidies for the contributions of populations in extreme poverty also appear necessary to ensure the sustainability, equity and sustainability of the health insurance scheme.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - Willingness to Pay for Universal Health Coverage Scheme for Maternal and Child Health Care and Services in Benin
    AU  - Adanmavokin Justin Sossou
    AU  - Gilles Armand Sossou
    AU  - Alphonse Kpozehoue
    AU  - Babatounde Charlemagne Igue
    AU  - Edgard-Marius Ouendo
    Y1  - 2021/05/27
    PY  - 2021
    N1  - https://doi.org/10.11648/j.cajph.20210703.14
    DO  - 10.11648/j.cajph.20210703.14
    T2  - Central African Journal of Public Health
    JF  - Central African Journal of Public Health
    JO  - Central African Journal of Public Health
    SP  - 111
    EP  - 120
    PB  - Science Publishing Group
    SN  - 2575-5781
    UR  - https://doi.org/10.11648/j.cajph.20210703.14
    AB  - Enrolment in a universal health coverage scheme is a way to access health care and services and to reduce the catastrophic health expenditures that plunge already vulnerable populations into extreme poverty. As part of the analysis of the availability and operational capacity of health services in Benin (SARA 2018), an analysis of recipients’ satisfaction and their willingness to pay for Universal Health Coverage scheme was carried out in 2018. This is a cross-sectional study with an analytical focus that covered 475 health facilities and 956 recipients of health care and services selected at random in health care structures and in the community. The dependent variable studied was the willingness to pay for Universal Health Coverage scheme and the explanatory variables were those relating to socio-cultural and economic factors and the reception of the recipient in the care environment. The hybrid bidding game technique was used to estimate the amount to be paid for the Universal Health Coverage scheme. Univariate and multivariate analyses were carried out to analyse the data. The data showed that Beninese people do not have a culture of early care-seeking; they get care when the episode of illness induces a temporary incapacity for work. The results observed showed that the following factors significantly influenced willingness to pay: being able to talk to the doctor, the feeling of being valued and treated with respect, the individual’s ability to pay, access to pain management and temporary incapacity. In conjunction with the willingness to pay for Universal Health Coverage scheme, the payment amount, determined using the contingent valuation method, was 767 FCFA or US$1.43 per month per individual. In view of these results and taking into account the socio-economic realities of the country where approximately 38.5% of the population is poor according to monetary poverty (Benin 2020), the pooling of health insurance coverage appears to be the solution to eliminate the financial barrier and the risks of catastrophic health expenditure. State subsidies for the contributions of populations in extreme poverty also appear necessary to ensure the sustainability, equity and sustainability of the health insurance scheme.
    VL  - 7
    IS  - 3
    ER  - 

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Author Information
  • Adanmavokin Justin Sossou, Regional Institute of Public Health, University of Abomey Calavi, Ouidah, Benin Republic

  • Gilles Armand Sossou, Faculty of Economics and Management, University of Abomey Calavi, Abomey Calavi, Ouidah, Benin Republic

  • Alphonse Kpozehouè, Regional Institute of Public Health, University of Abomey Calavi, Benin Republic

  • Babatounde Charlemagne Igué, Faculty of Economics and Management, University of Abomey Calavi, Abomey Calavi, Benin Republic

  • Edgard-Marius Ouendo, Regional Institute of Public Health, University of Abomey Calavi, Ouidah, Benin Republic

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