Socio-economic inequity in demand for insecticide-treated nets, in-door residual house spraying, larviciding and fogging in Sudan

<p>Abstract</p> <p>Background</p> <p>In order to optimally prioritize and use public and private budgets for equitable malaria vector control, there is a need to determine the level and determinants of consumer demand for different vector control tools.</p> <p&...

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Main Authors: Mustafa Sara, Malik El-Fatih, Onwujekwe Obinna, Mnzava Abraham
Format: Article
Language:English
Published: BMC 2005-12-01
Series:Malaria Journal
Online Access:http://www.malariajournal.com/content/4/1/62
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author Mustafa Sara
Malik El-Fatih
Onwujekwe Obinna
Mnzava Abraham
author_facet Mustafa Sara
Malik El-Fatih
Onwujekwe Obinna
Mnzava Abraham
author_sort Mustafa Sara
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>In order to optimally prioritize and use public and private budgets for equitable malaria vector control, there is a need to determine the level and determinants of consumer demand for different vector control tools.</p> <p>Objectives</p> <p>To determine the demand from people of different socio-economic groups for indoor residual house-spraying (IRHS), insecticide-treated nets (ITNs), larviciding with chemicals (LWC), and space spraying/fogging (SS) and the disease control implications of the result.</p> <p>Methods</p> <p>Ratings and levels of willingness-to-pay (WTP) for the vector control tools were determined using a random cross-sectional sample of 720 householdes drawn from two states. WTP was elicited using the bidding game. An asset-based socio-economic status (SES) index was used to explore whether WTP was related to SES of the respondents.</p> <p>Results</p> <p>IRHS received the highest proportion of highest preferred rating (41.0%) followed by ITNs (23.1%). However, ITNs had the highest mean WTP followed by IRHS, while LWC had the least. The regression analysis showed that SES was positively and statistically significantly related to WTP across the four vector control tools and that the respondents' rating of IRHS and ITNs significantly explained their levels of WTP for the two tools.</p> <p>Conclusion</p> <p>People were willing to pay for all the vector-control tools, but the demand for the vector control tools was related to the SES of the respondents. Hence, it is vital that there are public policies and financing mechanisms to ensure equitable provision and utilisation of vector control tools, as well as protecting the poor from cost-sharing arrangements.</p>
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spelling doaj.art-0e2f4c51e4eb4541a8d7aca44a93f5ed2022-12-22T02:11:42ZengBMCMalaria Journal1475-28752005-12-01416210.1186/1475-2875-4-62Socio-economic inequity in demand for insecticide-treated nets, in-door residual house spraying, larviciding and fogging in SudanMustafa SaraMalik El-FatihOnwujekwe ObinnaMnzava Abraham<p>Abstract</p> <p>Background</p> <p>In order to optimally prioritize and use public and private budgets for equitable malaria vector control, there is a need to determine the level and determinants of consumer demand for different vector control tools.</p> <p>Objectives</p> <p>To determine the demand from people of different socio-economic groups for indoor residual house-spraying (IRHS), insecticide-treated nets (ITNs), larviciding with chemicals (LWC), and space spraying/fogging (SS) and the disease control implications of the result.</p> <p>Methods</p> <p>Ratings and levels of willingness-to-pay (WTP) for the vector control tools were determined using a random cross-sectional sample of 720 householdes drawn from two states. WTP was elicited using the bidding game. An asset-based socio-economic status (SES) index was used to explore whether WTP was related to SES of the respondents.</p> <p>Results</p> <p>IRHS received the highest proportion of highest preferred rating (41.0%) followed by ITNs (23.1%). However, ITNs had the highest mean WTP followed by IRHS, while LWC had the least. The regression analysis showed that SES was positively and statistically significantly related to WTP across the four vector control tools and that the respondents' rating of IRHS and ITNs significantly explained their levels of WTP for the two tools.</p> <p>Conclusion</p> <p>People were willing to pay for all the vector-control tools, but the demand for the vector control tools was related to the SES of the respondents. Hence, it is vital that there are public policies and financing mechanisms to ensure equitable provision and utilisation of vector control tools, as well as protecting the poor from cost-sharing arrangements.</p>http://www.malariajournal.com/content/4/1/62
spellingShingle Mustafa Sara
Malik El-Fatih
Onwujekwe Obinna
Mnzava Abraham
Socio-economic inequity in demand for insecticide-treated nets, in-door residual house spraying, larviciding and fogging in Sudan
Malaria Journal
title Socio-economic inequity in demand for insecticide-treated nets, in-door residual house spraying, larviciding and fogging in Sudan
title_full Socio-economic inequity in demand for insecticide-treated nets, in-door residual house spraying, larviciding and fogging in Sudan
title_fullStr Socio-economic inequity in demand for insecticide-treated nets, in-door residual house spraying, larviciding and fogging in Sudan
title_full_unstemmed Socio-economic inequity in demand for insecticide-treated nets, in-door residual house spraying, larviciding and fogging in Sudan
title_short Socio-economic inequity in demand for insecticide-treated nets, in-door residual house spraying, larviciding and fogging in Sudan
title_sort socio economic inequity in demand for insecticide treated nets in door residual house spraying larviciding and fogging in sudan
url http://www.malariajournal.com/content/4/1/62
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AT malikelfatih socioeconomicinequityindemandforinsecticidetreatednetsindoorresidualhousesprayinglarvicidingandfogginginsudan
AT onwujekweobinna socioeconomicinequityindemandforinsecticidetreatednetsindoorresidualhousesprayinglarvicidingandfogginginsudan
AT mnzavaabraham socioeconomicinequityindemandforinsecticidetreatednetsindoorresidualhousesprayinglarvicidingandfogginginsudan