Quantifying the economic burden of malaria in Nigeria using the willingness to pay approach

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Quantifying the economic burden of malaria in Nigeria using the willingness to pay approach Ayodele Jimoh*†1, Oluyemi Sofola†2, Amos Petu†3 and Tuoyo Okorosobo†4 Address: 1Department of Economics, University of Ilorin, Ilorin, Nigeria, 2National Malaria Control Programme, Federal Ministry of Health, Abuja, Nigeria, 3World Health Organization, Abuja, Nigeria and 4Regional Office for Africa, World Health Organization, Harare, Zimbabwe Email: Ayodele Jimoh* - [email protected]; Oluyemi Sofola - [email protected]; Amos Petu - [email protected]; Tuoyo Okorosobo - [email protected] * Corresponding author †Equal contributors

Published: 22 May 2007 Cost Effectiveness and Resource Allocation 2007, 5:6

doi:10.1186/1478-7547-5-6

Received: 29 September 2006 Accepted: 22 May 2007

This article is available from: http://www.resource-allocation.com/content/5/1/6 © 2007 Jimoh et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract Background: Malaria illness imposes great burden on the society as it has adverse effects on the physical, mental and social well being of the people as well as on the economic development of the nation. Methods: The study uses the Willingness To Pay (WTP) approach to evaluate the burden of malaria in Nigeria. Results: The results indicate that households would be prepared to pay an average of about Naira 1,112 (USD 9.3) per month for the treatment of malaria. This is about Naira 427 (USD 3.6) in excess of the average expenditure they currently make on malaria treatment per month. Similarly, households are willing to pay on the average a sum of Naira 7,324 (USD 61) per month for the control of malaria. Again, this is an excess of about Naira 2,715 (USD 22.6) over the cost they currently bear (protection, treatment and indirect costs), and it represents households' average valuation of their intangible costs of malaria illness. This amount represents about Naira 611.7 (USD 5.1) per head per month and Naira 7,340 (USD 61.2) per year. For a country with a population of about 120 million this translates to about Naira 880,801 million per annum representing about 12.0 per cent of Gross Domestic Product. Hence, the malaria burden in Nigeria is enormous and has a devastating impact on economic growth. Conclusion: In the long term, it is important to recognize that health and poverty are closely linked. Reducing the burden of malaria in Nigeria will help to contribute to the economic well-being of communities; and poverty-reduction will be an essential input into improving health. National malaria control programme in Nigeria and their partners need to recognize these links, and identify mechanisms for ensuring that the poorest have access to essential health interventions.

Background Malaria d