Measuring the benefits of health promotion programmes: Application of the contingent valuation method
Economic evaluation of health promotion programmes presents well documented challenges. These programmes often generate significant non-health benefits which are typically ignored within economic evaluation. This study explored the use of the contingent valuation (CV) method to value the broader benefits of a women's group programme to improve maternal and newborn health in Nepal. Interviews were conducted with 93 women's group members, 70 women non-members and 33 men. Respondents were asked to give reasons for their willingness-to-pay (WTP) in terms of health and/or non-health benefits. WTP was regressed against socio-economic and demographic variables using ordinary least squares. Seventy eight percent of respondents were willing-to-pay for the women's groups. There was no significant difference between the WTP of women's group members compared to female non-members. Men were willing-to-pay significantly more than women. WTP reflected non-health benefits in over 80% of cases. At least 11% of women attending meetings and 38% of those not attending were WTP for altruistic motives. Future research should address the relative value of non-health compared to health benefits; and motivations behind non-user values and their consistency across settings.
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- Jorge E. Araña & Carmelo J. León, 2002. "Willingness to pay for health risk reduction in the context of altruism," Health Economics, John Wiley & Sons, Ltd., vol. 11(7), pages 623-635.
- Robert H. Haveman & Barbara L. Wolfe, 1984. "Schooling and Economic Well-Being: The Role of Nonmarket Effects," Journal of Human Resources, University of Wisconsin Press, vol. 19(3), pages 377-407.
- Jones-Lee, M W, 1992. "Paternalistic Altruism and the Value of Statistical Life," Economic Journal, Royal Economic Society, vol. 102(410), pages 80-90, January.
- Wutzke, Sonia E. & Shiell, Alan & Gomel, Michelle K. & Conigrave, Katherine M., 2001. "Cost effectiveness of brief interventions for reducing alcohol consumption," Social Science & Medicine, Elsevier, vol. 52(6), pages 863-870, March.
- 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.
- Andreoni, James, 1990. "Impure Altruism and Donations to Public Goods: A Theory of Warm-Glow Giving?," Economic Journal, Royal Economic Society, vol. 100(401), pages 464-477, June.
- Onwujekwe, Obinna, 2004. "Criterion and content validity of a novel structured haggling contingent valuation question format versus the bidding game and binary with follow-up format," Social Science & Medicine, Elsevier, vol. 58(3), pages 525-537, February.
- Macmillan, Douglas C. & Philip, Lorna & Hanley, Nick & Alvarez-Farizo, Begona, 2002. "Valuing the non-market benefits of wild goose conservation: a comparison of interview and group based approaches," Ecological Economics, Elsevier, vol. 43(1), pages 49-59, November.
- Shackley, Phil & Cairns, John, 1996. "Evaluating the benefits of antenatal screening: an alternative approach," Health Policy, Elsevier, vol. 36(2), pages 103-115, May.
- Phillips, Kathryn A. & Homan, Rick K. & Luft, Harold S. & Hiatt, Patricia H. & Olson, Kent R. & Kearney, Thomas E. & Heard, Stuart E., 1997. "Willingness to pay for poison control centers," Journal of Health Economics, Elsevier, vol. 16(3), pages 343-357, June.
- Jacobsson, Fredric & Carstensen, John & Borgquist, Lars, 2005. "Caring externalities in health economic evaluation: how are they related to severity of illness?," Health Policy, Elsevier, vol. 73(2), pages 172-182, August.
- Borghi, Josephine & Shrestha, Daya L. & Shrestha, Deepa & Jan, Stephen, 2007. "Using focus groups to develop contingent valuation scenarios--A case study of women's groups in rural Nepal," Social Science & Medicine, Elsevier, vol. 64(3), pages 531-542, February.
- Nunes, Paulo A. L. D. & Schokkaert, Erik, 2003. "Identifying the warm glow effect in contingent valuation," Journal of Environmental Economics and Management, Elsevier, vol. 45(2), pages 231-245, March.
- Obinna Onwujekwe & Benjamin Uzochukwu, 2004. "Stated and actual altruistic willingness to pay for insecticide-treated nets in Nigeria: validity of open-ended and binary with follow-up questions," Health Economics, John Wiley & Sons, Ltd., vol. 13(5), pages 477-492.
- Swallow, B. M. & Woudyalew, M., 1994. "Evaluating willingness to contribute to a local public good: Application of contingent valuation to tsetse control in Ethiopia," Ecological Economics, Elsevier, vol. 11(2), pages 153-161, November.
- Ryan, Mandy, 1999. "Using conjoint analysis to take account of patient preferences and go beyond health outcomes: an application to in vitro fertilisation," Social Science & Medicine, Elsevier, vol. 48(4), pages 535-546, February.
- Jan Abel Olsen & Richard D. Smith, 2001. "Theory versus practice: a review of 'willingness-to-pay' in health and health care," Health Economics, John Wiley & Sons, Ltd., vol. 10(1), pages 39-52.