Willingness to pay for haemodialysis among patients with chronic kidney disease in Abuja, Nigeria
Abstract Background Evidence of willingness to pay for kidney replacement therapy is scarce in low-middle-income countries, including Nigeria’s Formal Sector Social Health Insurance Programme. The study, therefore, assessed the willingness to pay for haemodialysis among chronic kidney disease patien...
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| Format: | Article |
| Language: | English |
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BMC
2024-01-01
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| Series: | BMC Nephrology |
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| Online Access: | https://doi.org/10.1186/s12882-024-03459-4 |
| _version_ | 1827329280897449984 |
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| author | Yakubu Adole Agada-Amade Daniel Chukwuemeka Ogbuabor Eric Obikeze Ejemai Eborieme Obinna Emmanuel Onwujekwe |
| author_facet | Yakubu Adole Agada-Amade Daniel Chukwuemeka Ogbuabor Eric Obikeze Ejemai Eborieme Obinna Emmanuel Onwujekwe |
| author_sort | Yakubu Adole Agada-Amade |
| collection | DOAJ |
| description | Abstract Background Evidence of willingness to pay for kidney replacement therapy is scarce in low-middle-income countries, including Nigeria’s Formal Sector Social Health Insurance Programme. The study, therefore, assessed the willingness to pay for haemodialysis among chronic kidney disease patients in Abuja, Nigeria. Methods The study adopted a cross-sectional survey design. We used the contingent valuation method to estimate the maximum stated willingness to pay (WTP) for haemodialysis among end-stage kidney disease (ESKD) patients. We obtained informed written consent from respondents before data collection. The socio-demographic characteristics and willingness to pay data were summarized using descriptive statistics. We evaluated the mean differences in respondents’ WTP using Mann-Whitney and Kruskal-Wallis tests. All variables that had p < 0.25 in the bivariate analysis were included in the Generalized Linear Model (gamma with link function) to determine the predictors of the WTP for one’s and another’s haemodialysis. The level of significance in the final model was ρ < 0.05. Results About 88.3% and 64.8% of ESKD patients were willing to pay for personal and altruistic haemodialysis, correspondingly. The mean annual WTP for haemodialysis for one’s and altruistic haemodialysis was USD25,999.06 and USD 1539.89, respectively. Private hospital patients were likelier to pay for their haemodialysis (β = 0.39, 95%CI: 0.21 to 0.57, p < 0.001). Patients attending public-private partnership hospitals were less likely to pay for altruistic haemodialysis than those attending public hospitals (β = -1.65, 95%CI: -2.51 to -0.79, p < 0.001). Conclusions The willingness to pay for haemodialysis for themselves and others was high. The type of facility ESKD patients attended influenced their willingness to pay for haemodialysis. The findings highlight the need for policies to enhance affordable and equitable access to haemodialysis in Nigeria through pre-payment mechanisms and altruistic financing strategies. |
| first_indexed | 2024-03-07T15:31:39Z |
| format | Article |
| id | doaj.art-5b6ed62fe41c4c1cbc728fdfeea206d4 |
| institution | Directory Open Access Journal |
| issn | 1471-2369 |
| language | English |
| last_indexed | 2024-03-07T15:31:39Z |
| publishDate | 2024-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Nephrology |
| spelling | doaj.art-5b6ed62fe41c4c1cbc728fdfeea206d42024-03-05T16:22:40ZengBMCBMC Nephrology1471-23692024-01-012511910.1186/s12882-024-03459-4Willingness to pay for haemodialysis among patients with chronic kidney disease in Abuja, NigeriaYakubu Adole Agada-Amade0Daniel Chukwuemeka Ogbuabor1Eric Obikeze2Ejemai Eborieme3Obinna Emmanuel Onwujekwe4Department of Health Administration and Management, University of NigeriaDepartment of Health Administration and Management, University of NigeriaDepartment of Health Administration and Management, University of NigeriaDepartment of Psychiatry, Faculty of Medicine, Dalhousie UniversityDepartment of Health Administration and Management, University of NigeriaAbstract Background Evidence of willingness to pay for kidney replacement therapy is scarce in low-middle-income countries, including Nigeria’s Formal Sector Social Health Insurance Programme. The study, therefore, assessed the willingness to pay for haemodialysis among chronic kidney disease patients in Abuja, Nigeria. Methods The study adopted a cross-sectional survey design. We used the contingent valuation method to estimate the maximum stated willingness to pay (WTP) for haemodialysis among end-stage kidney disease (ESKD) patients. We obtained informed written consent from respondents before data collection. The socio-demographic characteristics and willingness to pay data were summarized using descriptive statistics. We evaluated the mean differences in respondents’ WTP using Mann-Whitney and Kruskal-Wallis tests. All variables that had p < 0.25 in the bivariate analysis were included in the Generalized Linear Model (gamma with link function) to determine the predictors of the WTP for one’s and another’s haemodialysis. The level of significance in the final model was ρ < 0.05. Results About 88.3% and 64.8% of ESKD patients were willing to pay for personal and altruistic haemodialysis, correspondingly. The mean annual WTP for haemodialysis for one’s and altruistic haemodialysis was USD25,999.06 and USD 1539.89, respectively. Private hospital patients were likelier to pay for their haemodialysis (β = 0.39, 95%CI: 0.21 to 0.57, p < 0.001). Patients attending public-private partnership hospitals were less likely to pay for altruistic haemodialysis than those attending public hospitals (β = -1.65, 95%CI: -2.51 to -0.79, p < 0.001). Conclusions The willingness to pay for haemodialysis for themselves and others was high. The type of facility ESKD patients attended influenced their willingness to pay for haemodialysis. The findings highlight the need for policies to enhance affordable and equitable access to haemodialysis in Nigeria through pre-payment mechanisms and altruistic financing strategies.https://doi.org/10.1186/s12882-024-03459-4Willingness-to-payAltruistic willingness-to-payContingent valuation methodEconomic evaluationHaemodialysisEnd-stage kidney disease |
| spellingShingle | Yakubu Adole Agada-Amade Daniel Chukwuemeka Ogbuabor Eric Obikeze Ejemai Eborieme Obinna Emmanuel Onwujekwe Willingness to pay for haemodialysis among patients with chronic kidney disease in Abuja, Nigeria BMC Nephrology Willingness-to-pay Altruistic willingness-to-pay Contingent valuation method Economic evaluation Haemodialysis End-stage kidney disease |
| title | Willingness to pay for haemodialysis among patients with chronic kidney disease in Abuja, Nigeria |
| title_full | Willingness to pay for haemodialysis among patients with chronic kidney disease in Abuja, Nigeria |
| title_fullStr | Willingness to pay for haemodialysis among patients with chronic kidney disease in Abuja, Nigeria |
| title_full_unstemmed | Willingness to pay for haemodialysis among patients with chronic kidney disease in Abuja, Nigeria |
| title_short | Willingness to pay for haemodialysis among patients with chronic kidney disease in Abuja, Nigeria |
| title_sort | willingness to pay for haemodialysis among patients with chronic kidney disease in abuja nigeria |
| topic | Willingness-to-pay Altruistic willingness-to-pay Contingent valuation method Economic evaluation Haemodialysis End-stage kidney disease |
| url | https://doi.org/10.1186/s12882-024-03459-4 |
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