Abstract:
Background: Insecticide-treated bed nets (ITNs) have been demonstrated to be of significant value
in reducing morbidity and mortality. Understanding the feasibility of achieving widespread coverage
with insecticide-treated nets (ITNs) has to be preceded by learning how people value the nets and
estimating the potential demand for the nets.
Objective: To determining Willingness to pay for insecticide-treated bed nets and a associated
factors among households in Berehet Woreda, Amhara region , Ethiopia, 2012.
Methods: A community based cross sectional study using both quantitative and qualitative was
conducted in five random selected malarious Kebeles of Berehet Woreda from January to February
2012. The individual willingness-to-pay was assessed by contingent valuation technique using open
ended with follow-up method. Qualitative data were also collected through focus group discussions
(FGDs), observation and analyzed thematically. Binary logistic regression analysis was used to
assess the association between independent and dependent variable by odds ratio (with 95%
confidence interval) SPSS version 16 Software. For every respondent three kind of ITN was prepared
for demonstration in order to elicit their preferences.
Results: The number individual of per net was 3.83. On average 1.75 sleeping place and 1.01 beds
net per household was observed. Nearly 93.8%, respondents decide to use ITN in the near future and
of these 68.5% were willing to buy ITN if supplied by the market. The median maximum amount
that a person is willing to pay for blue rectangular was 20ETB. For blue and white conical ITNs
people were willing to pay by 30ETB. Educational level and income was not significant influence
willing to pay for ITN. Knowledge, perceive benefit of ITN, perceived severity and susceptibility on
malaria was also found to be significantly associated with willingness to pay for ITN. Regarding to
respondent’s payment characteristics of ITNs, those who prefer Kebele as supplier rectangular
shape ITN were more likely to buy than other places [OR=1.92, CI= 1.07-3.92].
Conclusion: The number of individuals per net was lower than the required amount of
national strategy and a significant numbers of respondents had willingness to pay for ITN. So,
designing social marketing strategy that make an important contribution to household coverage and
that ensure a sustainable supply of ITNS into the future is mandatory
