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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), 2021. Published by Science Publishing Group

Keywords

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

References
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Cite This Article
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    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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