title: Ability and willingness to pay for voluntary medical male circumcision: a cross-sectional survey in Kisumu County, Kenya.
abstract: Voluntary medical male circumcision is one of the most effective measures in preventing male acquisition of HIV during heterosexual intercourse. In Kenya, the voluntary medical male circumcision programme was launched in the year 2008 as part of a comprehensive national HIV prevention strategy. With the global challenge of funding HIV intervention programs, the sustainability of the programme beyond the donor periods need to be assessed. The purpose of this study was to determine the household ability and willingness to pay for voluntary medical male circumcision as an alternative method of funding the programme. The findings show that 62.2% of the households were "able" to pay for medical circumcision. However, 60.4% of them were not "willing" to pay for the service regardless of the cost. The findings indicate that ability to pay is not a significant predictor of willingness to pay for voluntary medical male circumcision within Kisumu County. Knowledge on the role of medical circumcision is a more important factor in determining willingness to pay for the service.
authors.affiliation: a Department of Health Management and Policy, School of Public Health , Moi University , Eldoret , Kenya.
authors.forename: Stephen
authors.initials: S
authors.lastname: Wandei
authors.affiliation: a Department of Health Management and Policy, School of Public Health , Moi University , Eldoret , Kenya.
authors.forename: Mabel
authors.initials: M
authors.lastname: Nangami
authors.affiliation: b Department of Anthropology and Human Ecology, School of Arts and Social Sciences , Moi University , Eldoret , Kenya.
authors.forename: Omar
authors.initials: O
authors.lastname: Egesa
mesh_terms: D000293:Adolescent; D000328:Adult; D002944:Circumcision, Male / Q000191:economics* / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D005191:Family Characteristics; D005249:Fees and Charges; D005382:Financing, Personal; D015658:HIV Infections / Q000191:economics / Q000517:prevention & control*; D017048:Health Care Costs; D007722:Health Knowledge, Attitudes, Practice; D020010:Heterosexuality; D006801:Humans; D007630:Kenya; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D035141:Voluntary Programs
keywords: ATP: ability to pay; Ability to pay; HIV; HIV: human immunodefiency virus; MOH: Ministry of Health; NASCOP: National Aids & STI Control Program; SPSS: Statistical Programme for Social Sciences; THI: total household income; VMMC; VMMC: voluntary medical male circumcision; WHO: World Health Organization; WTP: willingness to pay; total household income; willingness to pay