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Am. J. Trop. Med. Hyg., 75(3), 2006, pp. 421-429
Copyright © 2006 by The American Society of Tropical Medicine and Hygiene

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SOCIO-ECONOMIC DIFFERENCES IN PREFERENCES AND WILLINGNESS TO PAY FOR DIFFERENT PROVIDERS OF MALARIA TREATMENT IN SOUTHEAST NIGERIA

OBINNA ONWUJEKWE*, JULIANA OJUKWU, NKOLI EZUMAH, BENJAMIN UZOCHUKWU, NKEM DIKE, AND EZE SOLUDO
Gates Malaria Partnership, London School of Hygiene and Tropical Medicine, London, UK; Department of Health Administration and Management, College of Medicine, University of Nigeria, Enugu; Health Policy Research Unit, Department of Pharmacology and Therapeutics, College of Medicine, University of Nigeria, Enugu; Department of Paediatrics, Ebonyi State University Teaching Hospital, Abakaliki; Department of Sociology and Anthropology, University of Nigeria, Nsukka; Department of Community Medicine, College of Medicine, University of Nigeria, Enugu

This article determined whether there are links between socio-economic status (SES) and preferences of consumers for different strategies for improving timely and appropriate management of malaria. Ranking of preferences and willingness to pay (WTP) for 5 different strategies for improving the management of malaria in Enugu State, southeast Nigeria were elicited from randomly selected respondents. The results showed that the people were also willing to pay for improved management of malaria, though the levels of WTP was dependent on the SES of the respondents, with the poorest SES group willing to pay the least amount of money. Also, the respondents generally mostly preferred timely and appropriate management of malaria through formal public healthcare system. Hence, to decrease the inequity in malaria management and ensure the ready availability of appropriate treatment to the poorest households, the government should increase the availability and accessibility of publicly owned healthcare services, complemented by community-based health services.

Received January 6, 2006. Accepted for publication April 1, 2006.

Acknowledgments: We are very grateful to our research collaborators, field manager, and field workers. We are also grateful to the various community participants, especially the chiefs and malaria control people that participated in the study. The authors thank the anonymous reviewers for very helpful comments.

Financial support: This study received financial support from the UNDP/World Bank/UNICEF/WHO Special Programme for Research and Training in Tropical Diseases.

* Address correspondence to Obinna Onwujekwe, Gates Malaria Partnership, London School of Hygiene and Tropical Medicine, 49/51 Bedford Square, London, UK WC1B 3DP. E-mail: onwujekwe{at}yahoo.co.uk

Authors’ addresses: Obinna Onwujekwe, Department of Health Administration and Management, College of Medicine, University of Nigeria, PMB 01129, Enugu, Nigeria, E-mail: onwujekwe{at}yahoo.co.uk. Juliana Ojukwu, Department of Paediatrics, Ebonyi State University Teaching Hospital, Abakaliki, Ebonyi State, Nigeria. Nkoli Exumah, Department of Sociology and Anthropology, University of Nigeria, Nsukka, Nigeria. Benjamin Uzochukwu, Department of Community Medicine, College of Medicine, University of Nigeria, PMB 01129, Enugu Nigeria. Nkem Dike and Eze Soludo, Health Policy Research Unit, Department of Pharmacology and Therapeutics, College of Medicine, University of Nigeria, PMB 01129, Enugu, Nigeria.






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Copyright © 2006 by the American Society of Tropical Medicine and Hygiene.