Households' willingness to pay and associated factors for the nutrition services provided to pregnant women at maternity waiting homes in East Wollega, Western Ethiopia Willingness to pay and associated factors for nutrition services at maternity waiting homes
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Abstract
Background: In Ethiopia, most of the maternity waiting homes had no budget allocated from government funds and thus have to rely on communities’ contribution. However, the willingness of the household to pay for the nutrition service has not been the subject of many studies up to this point.
Objective: Thus, this study estimated maximum households’ willingness to pay and associated factors among households in East Wollega Zone of Oromia National regional state, Ethiopia, 2022.
Methodology: A community based cross sectional study using double bounded dichotomous choice contingent valuation method was done on 845 households. Data was entered using Epi-Data version 3.1 and analyzed using SPSS for Windows version 20. Binary and multivariable logistic regression analysis were performed. The associations between explanatory variables and outcome variable were presented by an Adjusted Odd Ratio and confidence interval.
Results: The annual median maximum willingness to pay was 15ETB (US$0.55) per household. Marital status (AOR=3.533, 95% CI=1.007-12.39) and average monthly income (AOR=3.287, 95%CI=1.194-9.049). Moreover, distance from the health facility (AOR = 3.64, 95%CI = 1.256-10.55) and availability of food (AOR=3.714, 95%CI=1.331-10.364), enough beddings (AOR=5.353, 95%CI=2.207-13.010) and cooking utensils (AOR=4.044, 95%CI=1.353-12.088) at a housing facility were found to be predictors.
Conclusion and Recommendation: The households’ maximum willingness to pay for the program is higher than the currently applied membership fee. Demographic, socioeconomic and institutional factors affect households’ willingness to pay. Therefore, health facility managers should avail supplies and equipment at a housing facility to sustain the provision of the service.
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maternity waiting home, willingness to pay, associated factors, Ethiopia.
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