Willingness to Pay for Clinical Preventive Services of Patients Attending the GENERAL Out-Patient Clinic of a Tertiary Hospital in South-South Nigeria

Seiyefa Funakpa Brisibe; Best Ordinioha; Precious Kalamba Gbeneol

doi:doi:10.11648/j.ejpm.20150301.12

| Peer-Reviewed

Willingness to Pay for Clinical Preventive Services of Patients Attending the GENERAL Out-Patient Clinic of a Tertiary Hospital in South-South Nigeria

Seiyefa Funakpa Brisibe, Best Ordinioha, Precious Kalamba Gbeneol

Published in European Journal of Preventive Medicine (Volume 3, Issue 1)

Received: 19 December 2014 Accepted: 8 January 2015 Published: 26 January 2015

Views: Downloads:

Download PDF

Share This Article

Twitter
Linked In
Facebook

Abstract

The prevalences of non-communicable diseases in Nigeria are currently close to those of the developed countries, but the uptake of clinical preventive services (CPS) has been very poor. This study assessed the willingness of respondents to pay (WTP) for a packaged CPS, delivered in one service point. The study was conducted among patients attending the general out-patient clinic of a tertiary hospital in Port Harcourt, south-south Nigeria, using a descriptive cross-sectional study design. Data was collected using a semi-structured interviewer-administered questionnaire, and assessed the respondents’ attitude towards CPS and their WTP for the services, which was determined using the contingent valuation method. A total of 422 questionnaires were administered and analyzed. The respondents had an average age of 36.04 ±1.99 years; majority had at least secondary school education (90.05%), were Christians of Pentecostal denomination (50.95%), self employed (52.13%), with an monthly average income of more than $300 (56.64%). Most (89.57%) of the respondents were willing to pay for CPS; more than a quarter (25.93%) of them were willing to pay the prevailing cost of assessing the services, 33.84% were willing to pay less, while 34.28% were willing to pay more. The monthly income of the respondents significantly affected their willingness to pay for the services (p-value = 0.000).The respondents showed a willingness to pay for packaged CPS, the uptake of the services can therefore be improved, if the cost of the service is subsidized.

Published in	European Journal of Preventive Medicine (Volume 3, Issue 1)
DOI	10.11648/j.ejpm.20150301.12
Page(s)	6-10
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), 2015. Published by Science Publishing Group

Keywords

Non-Communicable Diseases, Clinical Preventive Services, Willingness-to-Pay, General Out-Patient Clinic, South-South Nigeria

References

[1]	Akinkugbe OO, editor. Final Report of National Survey on Non Communicable Diseases in Nigeria Series 1. Federal Ministry of Health and Social Services, Lagos; 1997.
[2]	Chinenye S, Uloko AE, Ogbera AO, Ofoegbu EN, Fasanmade OA, Fasanmade AA, et al. Profile of Nigerians with diabetes mellitus - Diabcare Nigeria study group (2008): Results of a multicenter study. Indian J Endocr Metab 2012; 16: 558 - 564.
[3]	Wokoma FS, Alasia DD. Blood pressure pattern in Barako: a rural community in Rivers State, Nigeria. The Nigerian Health Journal 2011; 11: 8 – 13.
[4]	Nigerian Heart Foundation, Federal Ministry of Health and Social Services. Health behavior monitor among Nigerian adult population. Lagos. Nigerian Heart Foundation, 2003.
[5]	Ulasi II, Ijoma CK, Onwubere BJ, Arodiwe E, Onodugo O, Okafor C. High Prevalence and Low Awareness of Hypertension in a Market Population in Enugu, Nigeria. International Journal of Hypertension; 2011, Article ID 869675, 5 pages doi:10.4061/2011/869675.
[6]	Ordinioha B. The prevalence of hypertension and its modifiable risk factors amongst lecturers of a medical school in Port Harcourt, south-south Nigeria: implications for control effort. Nigerian Journal of Clinical Practice 2013; 16 (1): 1 – 4.
[7]	Ordinioha B, Brisibe SF. The prevalence of hypertension and its modifiable risk factors amongst traditional chiefs of an oil bearing community in south-south Nigeria. Sahel Medical Journal 2013; 14: 24 – 27.
[8]	Unachukwu CN, Agomuoh DI, Alasia DD. Pattern of noncommunicable diseases among medical admissions in Port Harcourt, Nigeria. Nigerian Journal of Clinical Practice 2008; 11 (1): 14 – 17.
[9]	Odenigbo CU, Oguejiofor OC. Pattern of medical admissions at the Federal Medical center Asaba: a two year review. Nigerian Journal of Clinical Practice 2009; 12 (4): 395 – 397.
[10]	Olarinde OJ, Olatunji OY. Pattern of deaths in medical wards of a rurally situated tertiary health institution, Ido‑Ekiti, Nigeria. Nigerian Journal of Clinical Practice 2014; 17: 237 – 240.
[11]	Goudge J, Gilson L, Russel S, Gumede T, Mills A. Affordability, availability and acceptability barriers to health care for the chronically ill: Longitudinal case studies from South Africa BMC Health Services Research 2009, 9:75
[12]	World Health Organization. Current and future long-term needs. Geneva: World Health Organization, 2002.
[13]	Strong K, Mathers C, Leeder S, Beaglehole R. Preventing chronic diseases: how many lives can we save? Lancet 2005; 366: 1578 – 1582.
[14]	Salinsky E. Clinical preventive services: when is the juice worth the squeeze? National Health Policy Forum Issue Brief – No. 806. 2005.
[15]	Woolf SH, Atkins D. The evolving role of prevention in health care: Contributions of the U.S. Preventive Services Task Force,” American Journal of Preventive Medicine 2001; 20, suppl. 3: 13 – 20.
[16]	Babatunde S, Ikimalo J. Uptake of cervical cancer screening: awareness, willingness and practice among antenatal clinic attendees in Port Harcourt, Nigeria. Port Harcourt Medical Journal 2010; 4: 149 – 154.
[17]	Kotler P, Roberto EL. Social marketing: Strategies for changing public behaviour. New York. Free Press. 1989: 10 – 36.
[18]	Ordinioha B. Social marketing of insecticide-treated bed net for malaria control in a semi-urban community in South-South Nigeria. Port Harcourt Med J 2007; 1: 145 – 150.
[19]	Oni A, Eweka A, Otuaga P, Prefa V. The incidence and pattern of stroke in Bayelsa State, Nigeria. The Internet Journal of Third World Medicine. 2009; 8: (1)
[20]	Uzochukwu BS, Onwujekwe OE. Altruistic willingness to pay for family planning services: A study in southeast Nigeria. Niger J Community Med Prim Health Care 2003; 15: 47 ‑ 56.
[21]	Ughasoro MD, Udem ND, Chukwudi NK, Korie FC, Uzochukwu B, Onwujekwe EO. Caregivers' willingness-to-pay for a topical anesthetic cream for minor medical procedures in children. Niger J Clin Pract 2014; 17: 506 – 510.
[22]	Agurtoa I, Arrossib S, Whitea S et al. Involving the community in cervical cancer prevention programs. International Journal of Gynecology and Obstetrics 2005; 89: S38—S45
[23]	Grace C, Begum R, Subhani S, Kopelman P, Greenhalgh T.Prevention of type 2 diabetes in British Bangladeshis: qualitative study of community, religious, and professional perspectives. BMJ 2008; 337: a1931.
[24]	EngenderHealth. COPE handbook: a process for improving the quality in health services. Rev. ed. New York7 EngenderHealth; 2001.
[25]	Hensrud DD. Clinical Preventive Medicine in Primary Care: Background and Practice: 2. Delivering Primary Preventive Services. Mayo Clin Proc. 2000; 75: 255 – 264.
[26]	Maciosek MV, Coffield AB, Edwards NM, Flottemesch TJ, Goodman MJ, Solberg LI. Priorities Among Effective Clinical Preventive Services: Results of a Systematic Review and Analysis. Am J Prev Med 2006; 31(1): 52 – 61.
[27]	Lopes AB, Galleta DF. Consumer perceptions and willingness to pay for intrinsically motivated online content. J Manage Inf Syst 2006; 23: 203 ‑ 231.
[28]	Dupas P. Global Health Systems: Pricing and User Fees. Elsevier Encyclopedia of Health Economics. 2012: 1 – 17.
[29]	Ottersen T, Norheim OF. Making fair choices on the path to universal health coverage. Bull World Health Organ 2014; 92:389.

Cite This Article

Plain Text BibTeX RIS

APA Style

Seiyefa Funakpa Brisibe, Best Ordinioha, Precious Kalamba Gbeneol. (2015). Willingness to Pay for Clinical Preventive Services of Patients Attending the GENERAL Out-Patient Clinic of a Tertiary Hospital in South-South Nigeria. European Journal of Preventive Medicine, 3(1), 6-10. https://doi.org/10.11648/j.ejpm.20150301.12

Copy | Download

ACS Style

Seiyefa Funakpa Brisibe; Best Ordinioha; Precious Kalamba Gbeneol. Willingness to Pay for Clinical Preventive Services of Patients Attending the GENERAL Out-Patient Clinic of a Tertiary Hospital in South-South Nigeria. Eur. J. Prev. Med. 2015, 3(1), 6-10. doi: 10.11648/j.ejpm.20150301.12

Copy | Download

AMA Style

Seiyefa Funakpa Brisibe, Best Ordinioha, Precious Kalamba Gbeneol. Willingness to Pay for Clinical Preventive Services of Patients Attending the GENERAL Out-Patient Clinic of a Tertiary Hospital in South-South Nigeria. Eur J Prev Med. 2015;3(1):6-10. doi: 10.11648/j.ejpm.20150301.12

Copy | Download

@article{10.11648/j.ejpm.20150301.12,
  author = {Seiyefa Funakpa Brisibe and Best Ordinioha and Precious Kalamba Gbeneol},
  title = {Willingness to Pay for Clinical Preventive Services of Patients Attending the GENERAL Out-Patient Clinic of a Tertiary Hospital in South-South Nigeria},
  journal = {European Journal of Preventive Medicine},
  volume = {3},
  number = {1},
  pages = {6-10},
  doi = {10.11648/j.ejpm.20150301.12},
  url = {https://doi.org/10.11648/j.ejpm.20150301.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ejpm.20150301.12},
  abstract = {The prevalences of non-communicable diseases in Nigeria are currently close to those of the developed countries, but the uptake of clinical preventive services (CPS) has been very poor. This study assessed the willingness of respondents to pay (WTP) for a packaged CPS, delivered in one service point. The study was conducted among patients attending the general out-patient clinic of a tertiary hospital in Port Harcourt, south-south Nigeria, using a descriptive cross-sectional study design. Data was collected using a semi-structured interviewer-administered questionnaire, and assessed the respondents’ attitude towards CPS and their WTP for the services, which was determined using the contingent valuation method. A total of 422 questionnaires were administered and analyzed. The respondents had an average age of 36.04 ±1.99 years; majority had at least secondary school education (90.05%), were Christians of Pentecostal denomination (50.95%), self employed (52.13%), with an monthly average income of more than $300 (56.64%). Most (89.57%) of the respondents were willing to pay for CPS; more than a quarter (25.93%) of them were willing to pay the prevailing cost of assessing the services, 33.84% were willing to pay less, while 34.28% were willing to pay more. The monthly income of the respondents significantly affected their willingness to pay for the services (p-value = 0.000).The respondents showed a willingness to pay for packaged CPS, the uptake of the services can therefore be improved, if the cost of the service is subsidized.},
 year = {2015}
}

Copy | Download

TY  - JOUR
T1  - Willingness to Pay for Clinical Preventive Services of Patients Attending the GENERAL Out-Patient Clinic of a Tertiary Hospital in South-South Nigeria
AU  - Seiyefa Funakpa Brisibe
AU  - Best Ordinioha
AU  - Precious Kalamba Gbeneol
Y1  - 2015/01/26
PY  - 2015
N1  - https://doi.org/10.11648/j.ejpm.20150301.12
DO  - 10.11648/j.ejpm.20150301.12
T2  - European Journal of Preventive Medicine
JF  - European Journal of Preventive Medicine
JO  - European Journal of Preventive Medicine
SP  - 6
EP  - 10
PB  - Science Publishing Group
SN  - 2330-8230
UR  - https://doi.org/10.11648/j.ejpm.20150301.12
AB  - The prevalences of non-communicable diseases in Nigeria are currently close to those of the developed countries, but the uptake of clinical preventive services (CPS) has been very poor. This study assessed the willingness of respondents to pay (WTP) for a packaged CPS, delivered in one service point. The study was conducted among patients attending the general out-patient clinic of a tertiary hospital in Port Harcourt, south-south Nigeria, using a descriptive cross-sectional study design. Data was collected using a semi-structured interviewer-administered questionnaire, and assessed the respondents’ attitude towards CPS and their WTP for the services, which was determined using the contingent valuation method. A total of 422 questionnaires were administered and analyzed. The respondents had an average age of 36.04 ±1.99 years; majority had at least secondary school education (90.05%), were Christians of Pentecostal denomination (50.95%), self employed (52.13%), with an monthly average income of more than $300 (56.64%). Most (89.57%) of the respondents were willing to pay for CPS; more than a quarter (25.93%) of them were willing to pay the prevailing cost of assessing the services, 33.84% were willing to pay less, while 34.28% were willing to pay more. The monthly income of the respondents significantly affected their willingness to pay for the services (p-value = 0.000).The respondents showed a willingness to pay for packaged CPS, the uptake of the services can therefore be improved, if the cost of the service is subsidized.
VL  - 3
IS  - 1
ER  -

Copy | Download

Author Information

Seiyefa Funakpa Brisibe

Department of Family Medicine, Niger Delta University Teaching Hospital, Okolobiri, Bayelsa State, Nigeria
Best Ordinioha

Department of Community Medicine, University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria
Precious Kalamba Gbeneol

Department of Medical Services, University of Education, Port Harcourt, Nigeria

Download PDF

Sections

Plain Text BibTeX RIS

APA Style

Seiyefa Funakpa Brisibe, Best Ordinioha, Precious Kalamba Gbeneol. (2015). Willingness to Pay for Clinical Preventive Services of Patients Attending the GENERAL Out-Patient Clinic of a Tertiary Hospital in South-South Nigeria. European Journal of Preventive Medicine, 3(1), 6-10. https://doi.org/10.11648/j.ejpm.20150301.12

Copy | Download

ACS Style

Seiyefa Funakpa Brisibe; Best Ordinioha; Precious Kalamba Gbeneol. Willingness to Pay for Clinical Preventive Services of Patients Attending the GENERAL Out-Patient Clinic of a Tertiary Hospital in South-South Nigeria. Eur. J. Prev. Med. 2015, 3(1), 6-10. doi: 10.11648/j.ejpm.20150301.12

Copy | Download

AMA Style

Seiyefa Funakpa Brisibe, Best Ordinioha, Precious Kalamba Gbeneol. Willingness to Pay for Clinical Preventive Services of Patients Attending the GENERAL Out-Patient Clinic of a Tertiary Hospital in South-South Nigeria. Eur J Prev Med. 2015;3(1):6-10. doi: 10.11648/j.ejpm.20150301.12

Copy | Download

@article{10.11648/j.ejpm.20150301.12,
  author = {Seiyefa Funakpa Brisibe and Best Ordinioha and Precious Kalamba Gbeneol},
  title = {Willingness to Pay for Clinical Preventive Services of Patients Attending the GENERAL Out-Patient Clinic of a Tertiary Hospital in South-South Nigeria},
  journal = {European Journal of Preventive Medicine},
  volume = {3},
  number = {1},
  pages = {6-10},
  doi = {10.11648/j.ejpm.20150301.12},
  url = {https://doi.org/10.11648/j.ejpm.20150301.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ejpm.20150301.12},
  abstract = {The prevalences of non-communicable diseases in Nigeria are currently close to those of the developed countries, but the uptake of clinical preventive services (CPS) has been very poor. This study assessed the willingness of respondents to pay (WTP) for a packaged CPS, delivered in one service point. The study was conducted among patients attending the general out-patient clinic of a tertiary hospital in Port Harcourt, south-south Nigeria, using a descriptive cross-sectional study design. Data was collected using a semi-structured interviewer-administered questionnaire, and assessed the respondents’ attitude towards CPS and their WTP for the services, which was determined using the contingent valuation method. A total of 422 questionnaires were administered and analyzed. The respondents had an average age of 36.04 ±1.99 years; majority had at least secondary school education (90.05%), were Christians of Pentecostal denomination (50.95%), self employed (52.13%), with an monthly average income of more than $300 (56.64%). Most (89.57%) of the respondents were willing to pay for CPS; more than a quarter (25.93%) of them were willing to pay the prevailing cost of assessing the services, 33.84% were willing to pay less, while 34.28% were willing to pay more. The monthly income of the respondents significantly affected their willingness to pay for the services (p-value = 0.000).The respondents showed a willingness to pay for packaged CPS, the uptake of the services can therefore be improved, if the cost of the service is subsidized.},
 year = {2015}
}

Copy | Download

TY  - JOUR
T1  - Willingness to Pay for Clinical Preventive Services of Patients Attending the GENERAL Out-Patient Clinic of a Tertiary Hospital in South-South Nigeria
AU  - Seiyefa Funakpa Brisibe
AU  - Best Ordinioha
AU  - Precious Kalamba Gbeneol
Y1  - 2015/01/26
PY  - 2015
N1  - https://doi.org/10.11648/j.ejpm.20150301.12
DO  - 10.11648/j.ejpm.20150301.12
T2  - European Journal of Preventive Medicine
JF  - European Journal of Preventive Medicine
JO  - European Journal of Preventive Medicine
SP  - 6
EP  - 10
PB  - Science Publishing Group
SN  - 2330-8230
UR  - https://doi.org/10.11648/j.ejpm.20150301.12
AB  - The prevalences of non-communicable diseases in Nigeria are currently close to those of the developed countries, but the uptake of clinical preventive services (CPS) has been very poor. This study assessed the willingness of respondents to pay (WTP) for a packaged CPS, delivered in one service point. The study was conducted among patients attending the general out-patient clinic of a tertiary hospital in Port Harcourt, south-south Nigeria, using a descriptive cross-sectional study design. Data was collected using a semi-structured interviewer-administered questionnaire, and assessed the respondents’ attitude towards CPS and their WTP for the services, which was determined using the contingent valuation method. A total of 422 questionnaires were administered and analyzed. The respondents had an average age of 36.04 ±1.99 years; majority had at least secondary school education (90.05%), were Christians of Pentecostal denomination (50.95%), self employed (52.13%), with an monthly average income of more than $300 (56.64%). Most (89.57%) of the respondents were willing to pay for CPS; more than a quarter (25.93%) of them were willing to pay the prevailing cost of assessing the services, 33.84% were willing to pay less, while 34.28% were willing to pay more. The monthly income of the respondents significantly affected their willingness to pay for the services (p-value = 0.000).The respondents showed a willingness to pay for packaged CPS, the uptake of the services can therefore be improved, if the cost of the service is subsidized.
VL  - 3
IS  - 1
ER  -

Copy | Download