| Peer-Reviewed

Willingness to Pay for Oral Health Care for 350 Users of Public Dental Offices in Abidjan in Côte d'Ivoire

Received: 10 August 2019     Accepted: 5 September 2019     Published: 19 September 2019
Views:       Downloads:
Abstract

In Côte d'Ivoire, the financial difficulties experienced by the population represent obstacles to the consumption of oral health care. Thus, insurance mechanisms based on the principle of cost sharing are recommended to improve financial accessibility to this care. The cross-sectional study was conducted with users of three public dental practices in the city of Abidjan. The data were collected using a questionnaire. The numbers and frequencies related to the modalities of the use of oral health care, as well as the users' perception of their costs were calculated. Also, the willingness of users to pay for oral care has been measured. 350 users participated in the study. More than one third of users (36%) felt that the cost of dental services was high. 80.1% and 57.1% of respondents reported spending less than 5 $ US to honor the cost of oral consultation and the purchase of medicines respectively. 74% of users were in favor of setting up an insurance system with a willingness to pay less than 10 $ US per month. This willingness to pay has been estimated for all users at 2 $ US per month. The willingness of populations to contribute to the financing of oral health care has been proven. Achieving universal health coverage based on solidarity requires the establishment of prepayment mechanisms by adjusting the amounts of contributions to each person's ability to pay.

Published in International Journal of Health Economics and Policy (Volume 4, Issue 3)
DOI 10.11648/j.hep.20190403.14
Page(s) 89-94
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), 2019. Published by Science Publishing Group

Keywords

Oral Health, Affordability, Willingness to Pay, Prepayment, Côte d'Ivoire

References
[1] Petersen PE, Kwan S. The 7th WHO Global Conference on Health Promotion - towards integration of oral health (Nairobi, Kenya 2009). Community Dent Health. 2010, 27: 129-135.
[2] World Health Organization-Africa Regional Office. Regional Strategy for Oral Health 2016-2025: Combating oral diseases as part of the fight against non-communicable diseases. AFR/RC66/6 AUGUST 2016.
[3] World Health Organization. The Bamako Initiative: Some General Principles, Brazzaville 1989.
[4] Samba M, Guinan J C, Da-Danho V T, Nzore K S, Maroua G T, Manie S O, Ane E H, Bakayoko-Ly R. Study of the attendance at the dental care centre of the odonto-Stomatology UFR of Abidjan. Rev. Col Odonto-Stomatol. Afr. Chir. Maxillo-fac. 2002; 9 (4): 44-48.
[5] Hanley N, Ryan M, Wright R. Estimating the monetary value of health care: lessons from environmental economics. Health Econ. 2003; 12 (1): 3-16.
[6] Olsen J, Smith R. Theory versus practice: a review of «willingness to pay» in health and health care. Health Econ 2001; 10: 39.52.
[7] Carlsson F, Martinsson P. Do hypothetical and actual marginal willingness to pay differ in choice experiments? I Environ Econom Management 2001; 41: 179-92.
[8] Tan SHX, Vernazza CR, Nair R. Critical review of willingness to pay for clinical oral health interventions. J Dent. 2017; 64: 1-12.
[9] National Institute of Statistics. First final results of the General Population and Housing Census (RGPH-98). Abidjan RCI, 2000.
[10] Nyamuryekunge KK, Lahti SM, Tuominen RJ. Patients' willingness to pay for dental services in a population with limited restorative services. Community Dent Health. 2018; 35 (3): 167-172.
[11] Widström E, Seppälä T. Willingness and ability to pay for unexpected dental expenses by Finnish adults. BMC Oral Health. 2012; 12: 35.
[12] Soumahoro L. Evaluation of the economic accessibility of care in two community-based health centres. Thesis in Medicine, UFR of Medical Sciences, Cocody University, Abidjan 2003.
[13] Escalon E, Barbe T, Ortiz C, et al. what to expect from private non-profit management? The example of the FSU-COM in Abidjan. In Brunet J., Jailly, eds. Health in capitals, the dynamics of health systems in West African capitals. Abidjan: CEDA, 1999: 241-259.
[14] Samba M, Kouadio NGA, Guinan JC, et al. The renunciation of oral health care in Abidjan. Rev Col Odonto-Stomatol Afr Chir Maxillo-fac. 2003; 10: 52‒57.
[15] Lo CM, Cissé D, Faye D et al. Factors associated with the abandonment of oral health care in Senegal. Lettre de Santé Publique bucco-dentaire. 2010; 1: 8‒11.
[16] Sangaré AD, Samba M, Guinan JC et al. Socio demographic factors associated with renunciation to oral care in Côte d’Ivoire. MOJ Public Health. 2017; 6 (1): 241‒248.
[17] Samba M., Guinan J C., Kouadio N. G. A., Da-Danho V., Bakayoko-Ly R. Oral health care costs in Abidjan. Rev. Col. Odonto-Stomatol. Afr. Chir. Maxillo-fac. 2005; 12: 26-31.
[18] Ministry of Health and AIDS Control - Côte d'Ivoire. National Health Accounts 2013.
[19] Dumoulin J, Kaddar M. Payment for care by users in sub-Saharan African countries: economic rationality and other subsequent issues. In: Sciences sociales et santé 1993; 11: 81-119.
[20] Aballea P. Is the measurement of household capacity to pay useful for the implementation of community financing of health services? in: CIE, 1992.
[21] Tianviwat S, Chongsuvivatwong V, Birch S. Prevention versus cure: measuring parental preferences for sealants and fillings as treatments for childhood caries in Southern Thailand. Health Policy 2008; 86: 64-71.
[22] World Health Organization. Financing system: how to reduce catastrophic health expenditure; technical summary N°2, WHO/EIP/HSF/PB/05.02. F; 2005.
Cite This Article
  • APA Style

    Samba Mamadou, Sangare Abou Dramane, Meless Guanga David, Nzore Kangah Serge, Guinan Jean-Claude, et al. (2019). Willingness to Pay for Oral Health Care for 350 Users of Public Dental Offices in Abidjan in Côte d'Ivoire. International Journal of Health Economics and Policy, 4(3), 89-94. https://doi.org/10.11648/j.hep.20190403.14

    Copy | Download

    ACS Style

    Samba Mamadou; Sangare Abou Dramane; Meless Guanga David; Nzore Kangah Serge; Guinan Jean-Claude, et al. Willingness to Pay for Oral Health Care for 350 Users of Public Dental Offices in Abidjan in Côte d'Ivoire. Int. J. Health Econ. Policy 2019, 4(3), 89-94. doi: 10.11648/j.hep.20190403.14

    Copy | Download

    AMA Style

    Samba Mamadou, Sangare Abou Dramane, Meless Guanga David, Nzore Kangah Serge, Guinan Jean-Claude, et al. Willingness to Pay for Oral Health Care for 350 Users of Public Dental Offices in Abidjan in Côte d'Ivoire. Int J Health Econ Policy. 2019;4(3):89-94. doi: 10.11648/j.hep.20190403.14

    Copy | Download

  • @article{10.11648/j.hep.20190403.14,
      author = {Samba Mamadou and Sangare Abou Dramane and Meless Guanga David and Nzore Kangah Serge and Guinan Jean-Claude and Bakayoko-Ly Ramata},
      title = {Willingness to Pay for Oral Health Care for 350 Users of Public Dental Offices in Abidjan in Côte d'Ivoire},
      journal = {International Journal of Health Economics and Policy},
      volume = {4},
      number = {3},
      pages = {89-94},
      doi = {10.11648/j.hep.20190403.14},
      url = {https://doi.org/10.11648/j.hep.20190403.14},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.hep.20190403.14},
      abstract = {In Côte d'Ivoire, the financial difficulties experienced by the population represent obstacles to the consumption of oral health care. Thus, insurance mechanisms based on the principle of cost sharing are recommended to improve financial accessibility to this care. The cross-sectional study was conducted with users of three public dental practices in the city of Abidjan. The data were collected using a questionnaire. The numbers and frequencies related to the modalities of the use of oral health care, as well as the users' perception of their costs were calculated. Also, the willingness of users to pay for oral care has been measured. 350 users participated in the study. More than one third of users (36%) felt that the cost of dental services was high. 80.1% and 57.1% of respondents reported spending less than 5 $ US to honor the cost of oral consultation and the purchase of medicines respectively. 74% of users were in favor of setting up an insurance system with a willingness to pay less than 10 $ US per month. This willingness to pay has been estimated for all users at 2 $ US per month. The willingness of populations to contribute to the financing of oral health care has been proven. Achieving universal health coverage based on solidarity requires the establishment of prepayment mechanisms by adjusting the amounts of contributions to each person's ability to pay.},
     year = {2019}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - Willingness to Pay for Oral Health Care for 350 Users of Public Dental Offices in Abidjan in Côte d'Ivoire
    AU  - Samba Mamadou
    AU  - Sangare Abou Dramane
    AU  - Meless Guanga David
    AU  - Nzore Kangah Serge
    AU  - Guinan Jean-Claude
    AU  - Bakayoko-Ly Ramata
    Y1  - 2019/09/19
    PY  - 2019
    N1  - https://doi.org/10.11648/j.hep.20190403.14
    DO  - 10.11648/j.hep.20190403.14
    T2  - International Journal of Health Economics and Policy
    JF  - International Journal of Health Economics and Policy
    JO  - International Journal of Health Economics and Policy
    SP  - 89
    EP  - 94
    PB  - Science Publishing Group
    SN  - 2578-9309
    UR  - https://doi.org/10.11648/j.hep.20190403.14
    AB  - In Côte d'Ivoire, the financial difficulties experienced by the population represent obstacles to the consumption of oral health care. Thus, insurance mechanisms based on the principle of cost sharing are recommended to improve financial accessibility to this care. The cross-sectional study was conducted with users of three public dental practices in the city of Abidjan. The data were collected using a questionnaire. The numbers and frequencies related to the modalities of the use of oral health care, as well as the users' perception of their costs were calculated. Also, the willingness of users to pay for oral care has been measured. 350 users participated in the study. More than one third of users (36%) felt that the cost of dental services was high. 80.1% and 57.1% of respondents reported spending less than 5 $ US to honor the cost of oral consultation and the purchase of medicines respectively. 74% of users were in favor of setting up an insurance system with a willingness to pay less than 10 $ US per month. This willingness to pay has been estimated for all users at 2 $ US per month. The willingness of populations to contribute to the financing of oral health care has been proven. Achieving universal health coverage based on solidarity requires the establishment of prepayment mechanisms by adjusting the amounts of contributions to each person's ability to pay.
    VL  - 4
    IS  - 3
    ER  - 

    Copy | Download

Author Information
  • Department of Public Health, UFR Odonto-Stomatology, University FHB, Abidjan, C?te d’Ivoire

  • Department of Public Health, UFR Odonto-Stomatology, University FHB, Abidjan, C?te d’Ivoire

  • Department of Public Health, UFR Odonto-Stomatology, University FHB, Abidjan, C?te d’Ivoire

  • Laboratory of Public Health and Medicinal Plants, UFR Odonto-Stomatology, University FHB, Abidjan, C?te d’Ivoire

  • Department of Public Health, UFR Odonto-Stomatology, University FHB, Abidjan, C?te d’Ivoire

  • Department of Public Health, UFR Odonto-Stomatology, University FHB, Abidjan, C?te d’Ivoire

  • Sections