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Estimating the private benefits of vaccination against cholera in Beira, Mozambique: A travel cost approach


  • Jeuland, Marc
  • Lucas, Marcelino
  • Clemens, John
  • Whittington, Dale


This paper reports the results of the first study that estimates households' private demand for cholera vaccines using the travel cost method. We take advantage of an unusual natural experiment. In January 2004, more than 41,000 residents from various locations in Beira, Mozambique received two doses of oral cholera vaccine free of charge during the first vaccination trial to test its effectiveness in an endemic cholera zone of Africa. About 30,000 people participated from outside the target zone, resulting in long queues and an average waiting time of about 85Â min per dose. We estimated travel cost models of the revealed demand for cholera vaccines among households informed of the trial using information collected in in-person interviews conducted during the summer of 2005. To explore households' participation in the trial, we used standard and zero-inflated household count models for all household members and dichotomous choice models for the head of the household. Our analysis shows that the quantity of vaccines obtained by households and the likelihood of participation decreased as travel cost--in time and transport expenses--rose. Our best estimates of per capita willingness to pay for the two required doses of cholera vaccine are about 0.85Â USD. These estimates are sensitive to the assumed value of time spent acquiring vaccines.

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  • Jeuland, Marc & Lucas, Marcelino & Clemens, John & Whittington, Dale, 2010. "Estimating the private benefits of vaccination against cholera in Beira, Mozambique: A travel cost approach," Journal of Development Economics, Elsevier, vol. 91(2), pages 310-322, March.
  • Handle: RePEc:eee:deveco:v:91:y:2010:i:2:p:310-322

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    References listed on IDEAS

    1. Joseph Cook & Dale Whittington & Do Gia Canh & F. Reed Johnson & Andrew Nyamete, 2007. "Reliability Of Stated Preferences For Cholera And Typhoid Vaccines With Time To Think In Hue, Vietnam," Economic Inquiry, Western Economic Association International, vol. 45(1), pages 100-114, January.
    2. Brookshire, David S, et al, 1982. "Valuing Public Goods: A Comparison of Survey and Hedonic Approaches," American Economic Review, American Economic Association, vol. 72(1), pages 165-177, March.
    3. Philip M. Clarke, 2002. "Testing the convergent validity of the contingent valuation and travel cost methods in valuing the benefits of health care," Health Economics, John Wiley & Sons, Ltd., vol. 11(2), pages 117-127.
    4. Cropper, Maureen L. & Haile, Mitiku & Lampietti, Julian & Poulos, Christine & Whittington, Dale, 2004. "The demand for a malaria vaccine: evidence from Ethiopia," Journal of Development Economics, Elsevier, vol. 75(1), pages 303-318, October.
    5. Kenneth L. Leonard & Gilbert R. Mliga & Damen Haile Mariam, 2002. "Bypassing Health Centres in Tanzania: Revealed Preferences for Quality," Journal of African Economies, Centre for the Study of African Economies (CSAE), vol. 11(4), pages 441-471, December.
    6. Harris, Katherine M. & Keane, Michael P., 1998. "A model of health plan choice:: Inferring preferences and perceptions from a combination of revealed preference and attitudinal data," Journal of Econometrics, Elsevier, vol. 89(1-2), pages 131-157, November.
    7. Clarke, Philip M., 1998. "Cost-benefit analysis and mammographic screening: a travel cost approach," Journal of Health Economics, Elsevier, vol. 17(6), pages 767-787, December.
    8. W. Douglass Shaw & Peter Feather, 1999. "Possibilities for Including the Opportunity Cost of Time in Recreation Demand Systems," Land Economics, University of Wisconsin Press, vol. 75(4), pages 592-602.
    9. Richard T. Carson & Nicholas E. Flores & Kerry M. Martin & Jennifer L. Wright, 1996. "Contingent Valuation and Revealed Preference Methodologies: Comparing the Estimates for Quasi-Public Goods," Land Economics, University of Wisconsin Press, vol. 72(1), pages 80-99.
    10. Harris, Katherine & Schultz, Jennifer & Feldman, Roger, 2002. "Measuring consumer perceptions of quality differences among competing health benefit plans," Journal of Health Economics, Elsevier, vol. 21(1), pages 1-17, January.
    11. Englin Jeffrey & Shonkwiler J. S., 1995. "Modeling Recreation Demand in the Presence of Unobservable Travel Costs: Toward a Travel Price Model," Journal of Environmental Economics and Management, Elsevier, vol. 29(3), pages 368-377, November.
    12. Whittington, Dale & Sur, Dipika & Cook, Joseph & Chatterjee, Susmita & Maskery, Brian & Lahiri, Malay & Poulos, Christine & Boral, Srabani & Nyamete, Andrew & Deen, Jacqueline & Ochiai, Leon & Bhattac, 2009. "Rethinking Cholera and Typhoid Vaccination Policies for the Poor: Private Demand in Kolkata, India," World Development, Elsevier, vol. 37(2), pages 399-409, February.
    13. Kling, Catherine L., 1997. "Evaluation of the Gains from Combining Travel Cost and Contingent Valuation Data to Value Nonmarket Goods (An)," Staff General Research Papers Archive 1598, Iowa State University, Department of Economics.
    14. Wang'ombe, Joseph K., 1984. "Economic evaluation in primary health care: The case of Western Kenya community based health care project," Social Science & Medicine, Elsevier, vol. 18(5), pages 375-385, January.
    15. Joseph Cook, 2007. "Reliability Of Stated Preferences For Cholera And Typhoid Vaccines With Time To Think In Hue, Vietnam," EEPSEA Special and Technical Paper sp200701s1, Economy and Environment Program for Southeast Asia (EEPSEA), revised Jan 2007.
    16. Joseph Cook & Marc Jeuland & Brian Maskery & Donald Lauria & Dipika Sur & John Clemens & Dale Whittington, 2009. "Using private demand studies to calculate socially optimal vaccine subsidies in developing countries," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 28(1), pages 6-28.
    17. Trudy Ann Cameron, 1992. "Combining Contingent Valuation and Travel Cost Data for the Valuation of Nonmarket Goods," Land Economics, University of Wisconsin Press, vol. 68(3), pages 302-317.
    18. Robert W. Brown & R. Todd Jewell, 1996. "County-Level Alcohol Availability and Cirrhosis Mortality," Eastern Economic Journal, Eastern Economic Association, vol. 22(3), pages 291-301, Summer.
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    Cited by:

    1. Longo, Alberto & Hutchinson, W. George & Hunter, Ruth F. & Tully, Mark A. & Kee, Frank, 2015. "Demand response to improved walking infrastructure: A study into the economics of walking and health behaviour change," Social Science & Medicine, Elsevier, vol. 143(C), pages 107-116.
    2. Joseph Cook & Marc Jeuland & Brian Maskery & Dale Whittington, 2012. "Giving Stated Preference Respondents “Time to Think”: Results From Four Countries," Environmental & Resource Economics, Springer;European Association of Environmental and Resource Economists, vol. 51(4), pages 473-496, April.
    3. Probst, Lorenz & Houedjofonon, Elysée & Ayerakwa, Hayford Mensah & Haas, Rainer, 2012. "Will they buy it? The potential for marketing organic vegetables in the food vending sector to strengthen vegetable safety: A choice experiment study in three West African cities," Food Policy, Elsevier, vol. 37(3), pages 296-308.
    4. Whittington, Dale & Jeuland, Marc & Barker, Kate & Yuen, Yvonne, 2012. "Setting Priorities, Targeting Subsidies among Water, Sanitation, and Preventive Health Interventions in Developing Countries," World Development, Elsevier, vol. 40(8), pages 1546-1568.


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