Willingness to pay for hepatitis B vaccination in Selangor, Malaysia: A cross-sectional household survey.

<h4>Background</h4>In Malaysia, one million individuals are estimated to be infected with the hepatitis B virus. A vaccine for infants has been compulsory since 1989, whereas those born before 1989 need to spend their own money to be vaccinated in private clinics or hospitals. The aim of...

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Main Authors: Yogambigai Rajamoorthy, Alias Radam, Niazlin Mohd Taib, Khalid Ab Rahim, Subramaniam Munusamy, Abram Luther Wagner, Mudatsir Mudatsir, Abdullatif Bazrbachi, Harapan Harapan
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2019-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0215125
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author Yogambigai Rajamoorthy
Alias Radam
Niazlin Mohd Taib
Khalid Ab Rahim
Subramaniam Munusamy
Abram Luther Wagner
Mudatsir Mudatsir
Abdullatif Bazrbachi
Harapan Harapan
author_facet Yogambigai Rajamoorthy
Alias Radam
Niazlin Mohd Taib
Khalid Ab Rahim
Subramaniam Munusamy
Abram Luther Wagner
Mudatsir Mudatsir
Abdullatif Bazrbachi
Harapan Harapan
author_sort Yogambigai Rajamoorthy
collection DOAJ
description <h4>Background</h4>In Malaysia, one million individuals are estimated to be infected with the hepatitis B virus. A vaccine for infants has been compulsory since 1989, whereas those born before 1989 need to spend their own money to be vaccinated in private clinics or hospitals. The aim of this study was to investigate and ascertain the determinants of willingness to pay (WTP) for adult hepatitis B vaccine in Selangor, Malaysia.<h4>Methods</h4>In 2016, 728 households were selected through a stratified, two stage cluster sample and interviewed. Willingness to pay for hepatitis B vaccine was estimated using the Contingent Valuation Method, and factors affecting WTP were modelled with logit regression.<h4>Results</h4>We found that 273 (37.5%) of the households were willing to pay for hepatitis B vaccination. The mean and median of WTP was estimated at Ringgit Malaysia (RM)303 (approximately US$73) for the three dose series. The estimated WTP was significantly greater in those with higher levels of education, among Malays and Chinese (compared to others, predominantly Indians), and for those with greater perceived susceptibility to hepatitis B virus infection. Other factors-perceived severity, barriers, benefits and cues to action-were not significantly associated with WTP for adult hepatitis B vaccination.<h4>Conclusion</h4>Additional resources are needed to cover the households that are not willing to pay for hepatitis B vaccination. More awareness (particularly in regards to hepatitis B virus susceptibility) could change the national perception towards self-paid hepatitis B virus vaccination and increase hepatitis B vaccine coverage.
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spelling doaj.art-60f72b1c6bb64e7e92383738f2f990392022-12-21T20:39:25ZengPublic Library of Science (PLoS)PLoS ONE1932-62032019-01-01144e021512510.1371/journal.pone.0215125Willingness to pay for hepatitis B vaccination in Selangor, Malaysia: A cross-sectional household survey.Yogambigai RajamoorthyAlias RadamNiazlin Mohd TaibKhalid Ab RahimSubramaniam MunusamyAbram Luther WagnerMudatsir MudatsirAbdullatif BazrbachiHarapan Harapan<h4>Background</h4>In Malaysia, one million individuals are estimated to be infected with the hepatitis B virus. A vaccine for infants has been compulsory since 1989, whereas those born before 1989 need to spend their own money to be vaccinated in private clinics or hospitals. The aim of this study was to investigate and ascertain the determinants of willingness to pay (WTP) for adult hepatitis B vaccine in Selangor, Malaysia.<h4>Methods</h4>In 2016, 728 households were selected through a stratified, two stage cluster sample and interviewed. Willingness to pay for hepatitis B vaccine was estimated using the Contingent Valuation Method, and factors affecting WTP were modelled with logit regression.<h4>Results</h4>We found that 273 (37.5%) of the households were willing to pay for hepatitis B vaccination. The mean and median of WTP was estimated at Ringgit Malaysia (RM)303 (approximately US$73) for the three dose series. The estimated WTP was significantly greater in those with higher levels of education, among Malays and Chinese (compared to others, predominantly Indians), and for those with greater perceived susceptibility to hepatitis B virus infection. Other factors-perceived severity, barriers, benefits and cues to action-were not significantly associated with WTP for adult hepatitis B vaccination.<h4>Conclusion</h4>Additional resources are needed to cover the households that are not willing to pay for hepatitis B vaccination. More awareness (particularly in regards to hepatitis B virus susceptibility) could change the national perception towards self-paid hepatitis B virus vaccination and increase hepatitis B vaccine coverage.https://doi.org/10.1371/journal.pone.0215125
spellingShingle Yogambigai Rajamoorthy
Alias Radam
Niazlin Mohd Taib
Khalid Ab Rahim
Subramaniam Munusamy
Abram Luther Wagner
Mudatsir Mudatsir
Abdullatif Bazrbachi
Harapan Harapan
Willingness to pay for hepatitis B vaccination in Selangor, Malaysia: A cross-sectional household survey.
PLoS ONE
title Willingness to pay for hepatitis B vaccination in Selangor, Malaysia: A cross-sectional household survey.
title_full Willingness to pay for hepatitis B vaccination in Selangor, Malaysia: A cross-sectional household survey.
title_fullStr Willingness to pay for hepatitis B vaccination in Selangor, Malaysia: A cross-sectional household survey.
title_full_unstemmed Willingness to pay for hepatitis B vaccination in Selangor, Malaysia: A cross-sectional household survey.
title_short Willingness to pay for hepatitis B vaccination in Selangor, Malaysia: A cross-sectional household survey.
title_sort willingness to pay for hepatitis b vaccination in selangor malaysia a cross sectional household survey
url https://doi.org/10.1371/journal.pone.0215125
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