Willingness to pay for cataract surgeries among patients visiting eye care facilities in Dhaka, Bangladesh
This article was published in the Applied Health Economics and Health Policy [© Springer Nature Switzerland AG 2019] and the definite version is available at: https://doi.org/10.1007/s40258-019-00478-3 The Journal's website is at: https://link.springer.com/content/pdf/10.1007/s40258-019-00478-3...
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10361-164742022-03-22T05:22:02Z Willingness to pay for cataract surgeries among patients visiting eye care facilities in Dhaka, Bangladesh Islam, Muhammed Nazmul Engels, Thomas Hossain, Shafayet Sarker, Malabika Rabbani, Atonu Brac James P. Grant School of Public Health Cataract surgery Eyes Vision Eye Care Facilities in Dhaka Bangladesh This article was published in the Applied Health Economics and Health Policy [© Springer Nature Switzerland AG 2019] and the definite version is available at: https://doi.org/10.1007/s40258-019-00478-3 The Journal's website is at: https://link.springer.com/content/pdf/10.1007/s40258-019-00478-3.pdf Background Cataract is the leading cause of avoidable blindness globally. It is estimated that 89% of people with visual impairment live in low- and middle-income countries where the cost of cataract surgery represents a major barrier for accessing these services. Developing self-sustaining healthcare programs to cater the unmet demands warrants a better understanding of patients’ willingness to pay (WTP) for their services. Objectives Using a sample of patients visiting eye care facilities in Dhaka, Bangladesh, we estimate WTP for two diferent cataract extraction techniques, namely small incision cataract surgery (SICS) and phacoemulsifcation. Methods We used contingent valuation (CV) approach and elicited WTP through double-bounded dichotomous choice experiments. We interviewed 556 randomly selected patients (283 for SICS and 273 for phacoemulsifcation) from fve diferent eye care hospitals of Dhaka. In this paper, we estimated the mean and marginal WTP using interval regression models. We also compared the estimated WTP and stated demand for cataract surgeries against the prevailing market prices of SICS and phacoemulsifcation. Results We found the mean WTP of BDT 7579 (US$93) for SICS and BDT 10,208 (US$126) for phacoemulsifcation are equivalent to 12 and 16 days of household income, respectively. Household income and assets appeared as the major determinants of WTP for cataract surgeries. However, we did not fnd any signifcant association with gender, occupation, and household size among other socioeconomic characteristics. Comparisons between market prices and average WTP suggest it is possible to have a viable market for SICS, but a subsidy-based model for phacoemulsifcation will be fnancially challenging because of low WTP and high costs. Conclusion Our fndings suggest lower-cost SICS can potentially provide patients access to surgeries to treat cataract conditions. Moreover, price discrimination and cross-subsidization could be a viable strategy to increase the service-uptake as well as ensure fnancial sustainability Published 2022-03-21T05:05:44Z 2022-03-21T05:05:44Z 2019 2019-05-07 Journal Article Islam, M. N., Engels, T., Hossain, S., Sarker, M., & Rabbani, A. (2019). Willingness to pay for cataract surgeries among patients visiting eye care facilities in Dhaka, Bangladesh. Applied Health Economics and Health Policy, 17(4), 545-554. doi:10.1007/s40258-019-00478-3 http://hdl.handle.net/10361/16474 https://doi.org/10.1007/s40258-019-00478-3 en_US https://link.springer.com/article/10.1007/s40258-019-00478-3#citeas Applied Health Economics and Health Policy application/pdf Springer Link |
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Brac University |
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Institutional Repository |
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en_US |
| topic |
Cataract surgery Eyes Vision Eye Care Facilities in Dhaka Bangladesh |
| spellingShingle |
Cataract surgery Eyes Vision Eye Care Facilities in Dhaka Bangladesh Islam, Muhammed Nazmul Engels, Thomas Hossain, Shafayet Sarker, Malabika Rabbani, Atonu Willingness to pay for cataract surgeries among patients visiting eye care facilities in Dhaka, Bangladesh |
| description |
This article was published in the Applied Health Economics and Health Policy [© Springer Nature Switzerland AG 2019] and the definite version is available at: https://doi.org/10.1007/s40258-019-00478-3 The Journal's website is at: https://link.springer.com/content/pdf/10.1007/s40258-019-00478-3.pdf |
| author2 |
Brac James P. Grant School of Public Health |
| author_facet |
Brac James P. Grant School of Public Health Islam, Muhammed Nazmul Engels, Thomas Hossain, Shafayet Sarker, Malabika Rabbani, Atonu |
| format |
Journal Article |
| author |
Islam, Muhammed Nazmul Engels, Thomas Hossain, Shafayet Sarker, Malabika Rabbani, Atonu |
| author_sort |
Islam, Muhammed Nazmul |
| title |
Willingness to pay for cataract surgeries among patients visiting eye care facilities in Dhaka, Bangladesh |
| title_short |
Willingness to pay for cataract surgeries among patients visiting eye care facilities in Dhaka, Bangladesh |
| title_full |
Willingness to pay for cataract surgeries among patients visiting eye care facilities in Dhaka, Bangladesh |
| title_fullStr |
Willingness to pay for cataract surgeries among patients visiting eye care facilities in Dhaka, Bangladesh |
| title_full_unstemmed |
Willingness to pay for cataract surgeries among patients visiting eye care facilities in Dhaka, Bangladesh |
| title_sort |
willingness to pay for cataract surgeries among patients visiting eye care facilities in dhaka, bangladesh |
| publisher |
Springer Link |
| publishDate |
2022 |
| url |
http://hdl.handle.net/10361/16474 https://doi.org/10.1007/s40258-019-00478-3 |
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