Pattern and Determinants of Willingness to Pay for Antenatal and Postnatal Physiotherapy in Nigeria

Author(s)

Fatoye F1, Mbada C2, Gebrye T3, Tejumola OO2, Fatoye C4, Odele AC5, Oyewole OO6, Ogundele AO7, Akinwande OA8
1Manchester Metropolitan University, Manchester, LIN, UK, 2Obafemi Awolowo University, Ile-Ife,, Nigeria, 3Manchester Metropolitan University, Manchester, UK, 4Manchester Metropolitan University, Manchester, LAN, UK, 5University of Ibadan, Ibadan, Nigeria, 6Olabisi Onabanjo University Teaching Hospital, Sagamu, Nigeria, 7Olabisi Onabanjo University Teaching Hospital, Iwo, Nigeria, 8University College Hospital, Ibadan, Nigeria

OBJECTIVES: The aim of this study was to examined the willingness to pay (WTP) for antenatal and postnatal physiotherapy among pregnant women and nursing mothers in Nigeria.

METHODS: A total of 120 pregnant women were purposively recruited for this cross-sectional study. Ethical approval was sought from the Health Research and Ethical Review Committee of the Obafemi Awolowo University Teaching Hospitals Complex. A five-section WTP and short form 12 (SF-12) health survey were used to assess the determinants of willingness to pay for antenatal and postnatal physiotherapy, as well as mental health domains of the respondents. Data were analysed using descriptive and inferential statistics.

RESULTS: The mean age of the participants was 28.9 ± 5.02 years. A high ‘no WTP’ rate of 64.2% was found in the study. Significant associations were found between WTP for antenatal and postnatal physiotherapy and income (χ2 = 26.526, p = 0.001), education (χ2 = 30.404, p = 0.001), ethnicity (χ2 = 13.865, p = 0.001) and mental health domain of SF-12 (χ2 = 11.150, p = 0.004). Those in middle socio-economic status were not willing to pay for physiotherapy with a percentage of 87.0%, whereas, those in high economic status were WTP with a percentage of 20.93%. It was also observed that the participants with three number of visits to the clinic had the highest frequency for ‘no WTP’ at 9.09%.

CONCLUSIONS: The findings of this study suggest that there was a high prevalence of no WTP for physiotherapy among pregnant women and nursing mothers in Nigeria. Ethnicity, income, socio-economic class, and education influenced WTP for physiotherapy. This study may be of interest to decision makers when setting up and evaluating different interventions for pregnant women and nursing mothers.

Conference/Value in Health Info

2020-11, ISPOR Europe 2020, Milan, Italy

Value in Health, Volume 23, Issue S2 (December 2020)

Code

PIH6

Topic

Economic Evaluation

Topic Subcategory

Cost-comparison, Effectiveness, Utility, Benefit Analysis

Disease

Reproductive and Sexual Health

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