eprintid: 24306
rev_number: 12
eprint_status: archive
userid: 1589
dir: disk0/00/02/43/06
datestamp: 2018-04-25 08:21:53
lastmod: 2024-03-11 01:11:28
status_changed: 2018-04-25 08:21:53
type: article
metadata_visibility: show
creators_name: Tawiah, Theresa
creators_name: Malam, Keziah
creators_name: Kwarteng, Anthony
creators_name: Bart-Plange, Constance
creators_name: Febir, Lawrence
creators_name: Aubyn, Vivian
creators_name: Obermann, Konrad
creators_name: Owusu-Agyei, Seth
creators_name: Polu-Asante, Kwaku P
title: Improving the first-line treatment of febrile illnesses in Ghana: willingness to pay for malaria rapid diagnostic tests at licensed chemical shops in the Kintampo area
subjects: ddc-610
divisions: i-912800
abstract: Background: Use of malaria rapid diagnostic test (mRDT) enhances patient management and reduces costs associated with the inappropriate use of antimalarials. Despite its proven clinical effectiveness, mRDT is not readily available at licensed chemical shops in Ghana. Therefore, in order to improve the use of mRDT, there is the need to understand the willingness to pay for and sell mRDT. This study assessed patients’ willingness to pay and licensed chemical operators’ (LCS) willingness to sell mRDTs.

Methods: The study was a cross-sectional survey conducted in Kintampo North Municipality and Kintampo South District of Ghana. Contingent valuation method using the dichotomous approach was applied to explore patient’s willingness to pay. In-depth interviews (IDIs) were used to obtain information from licensed chemical operators’ willingness to sell.

Results: Majority 161 (97%) of the customers were willing to pay for mRDT while 100% of licensed chemical operators were also willing to sell mRDT. The average lowest amount respondents were willing to pay was Ghana cedis (GH¢) 1.1 (US$ 0.26) and an average highest amount of GH¢ 2.1 (US$ 0.49). LCS operators were willing to sell the test kit at an average lowest price of GH¢1 (US$ 0.23) and average highest price of GH¢2 (US$ 0.47).

Conclusion: Community members were willing to pay for mRDT and LCS operators are willing to sell mRDTs. However, the high cost of the mRDT is likely to prevent the widespread use of mRDT. There is a clear need to find system-compatible ways to subsidize the use of mRDT via National Health Insurance scheme.
date: 2018
publisher: BioMed Central
id_scheme: DOI
ppn_swb: 1655268813
own_urn: urn:nbn:de:bsz:16-heidok-243068
language: eng
bibsort: TAWIAHTHERIMPROVINGT2018
full_text_status: public
publication: Cost effectivenesss and ressource allocation
volume: 16
number: 4
place_of_pub: London
pagerange: 1-9
issn: 1478-7547
citation:   Tawiah, Theresa ; Malam, Keziah ; Kwarteng, Anthony ; Bart-Plange, Constance ; Febir, Lawrence ; Aubyn, Vivian ; Obermann, Konrad ; Owusu-Agyei, Seth ; Polu-Asante, Kwaku P  (2018) Improving the first-line treatment of febrile illnesses in Ghana: willingness to pay for malaria rapid diagnostic tests at licensed chemical shops in the Kintampo area.  Cost effectivenesss and ressource allocation, 16 (4).  pp. 1-9.  ISSN 1478-7547     
document_url: https://archiv.ub.uni-heidelberg.de/volltextserver/24306/1/12962_2018_Article_90.pdf