title: Willingness to pay for the maintenance of equity in a local ivermectin distribution scheme in Toro, Northern Nigeria.
abstract: The willingness to pay (WTP) for the maintenance of equity in a local ivermectin distribution scheme in the context of a community financing framework was determined in Toro, Northern Nigeria, using 214 randomly selected heads of households, or their representatives. Though WTP of the respondents for their own households was elicited, the focus of this paper is on WTP to maintain equity in a community financing scheme. Contingent valuation was used for the exercise, and WTP was elicited using an open-ended question. 97.2% of the respondents were in favour of allowing those that lack the ability to pay, to benefit from the scheme and the maximum WTP amounts they were willing to contribute annually so that those who lack the ability to pay could benefit from the scheme ranged from 5 Naira ($0. 06) to 100 Naira ($1.25). The mean WTP to maintain equity was 29.00 Naira ($0.36) while the median was 20.00 Naira ($0.25). This study shows that a community financing scheme for local ivermectin distribution will not be inequitable, since enough funds will be realised from well-to-do community members to cover the costs for those who are unable to pay.
authors.affiliation: Health Policy Research Unit, Department of Pharmacology and Therapeutics, University of Nigeria, College of Medicine, PMB 01129, Enugu, Nigeria.
authors.forename: O E
authors.initials: OE
authors.lastname: Onwujekwe
authors.forename: E N
authors.initials: EN
authors.lastname: Shu
authors.forename: P O
authors.initials: PO
authors.lastname: Okonkwo
mesh_terms: D000328:Adult; D001294:Attitude to Health; D003153:Community Health Services / Q000191:economics*; D003430:Cross-Sectional Studies; D016527:Drug Costs; D005260:Female; D005369:Filaricides / Q000191:economics* / Q000627:therapeutic use*; D006801:Humans; D007182:Income; D007559:Ivermectin / Q000191:economics* / Q000627:therapeutic use*; D008297:Male; D008875:Middle Aged; D009549:Nigeria; D009790:Occupations; D009855:Onchocerciasis / Q000517:prevention & control*; D011897:Random Allocation; D011795:Surveys and Questionnaires
chemical_list: D005369:Filaricides; D007559:Ivermectin