Willingness to Pay and Associated Factors for Injectable Contraceptive among Women of Reproductive Age in Harar Town, Eastern Ethiopia

Abstract

Background: Ensuring modern family planning method is among the effective measures to prevent unwanted pregnancy which has an impact on maternal and child health. While the use of modern contraception specific to injectable in Ethiopia has grown and given incredible lifesaving benefits, family planning programme expenditure depends up on the support of those developmental partners. Objective: The purpose of this study was to determine the willingness to pay and associated factors for injectable contraceptive among women of reproductive age in Harar town, Eastern Ethiopia. Method: A community based cross-sectional study was conducted from January 1 to 15, 2018 G.C. About 843 women in reproductive age group selected using systematic random sampling technique. Data was collected via a face-to-face interviewer using a structured questionnaire. Single-bound dichotomous choice method was used to illicit the willingness to pay followed by open-ended questions. Data was entered in Epidata version 3.5.1, cleared and analyzed using SPSS version 20 statstical software. Bivariate and multivariable logistic analysis was done to see an association and factor influencing the dependent variable. (P-value < 0.05 with 95% CI level) was considered as a cut-off point for statistical significance. Results: Most women (77.1%) were willing to pay 16 birr for injectable contraceptive per each dose. Multivariate analysis revealed that variables such as Women whose age was 15-19 year [AOR = 0.350, 95% CI: (0.133,0.916)] and those of 20-24 year old [AOR = 0.469, 95% CI: (0.229, 0.960)],women who attend Primary education [AOR = 2.156, 95% CI: (1.107, 4.199)] and Secondary & above [AOR = 1.983, 95% CI: (1.040, 3.782)], women whose household monthly income greater than 1500birr [AOR = 2.391, 95% CI: (1.206, 4.741)], women who were married [AOR = 2.690, 95% CI: (1.205, 6.008)], who had using injectable contraceptive for above two years [AOR = 2.372, 95% CI: (1.048, 5.366)] were significantly associated with WTP. Conclusion & recommendation: Higher proportions of women in reproductive age group were willing to pay for injectable contraceptive. Policy-makers or planners should consider income, when making injectable contraceptive marketable goods. Health equity must be considerd to include those unable/not willing to pay for the service.