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. 2019 Aug 15:8:1441.
doi: 10.12688/f1000research.20144.3. eCollection 2019.

Willingness-to-pay for a hypothetical Ebola vaccine in Indonesia: A cross-sectional study in Aceh

Mudatsir Mudatsir  1   2   3 , Samsul Anwar  4 , Jonny Karunia Fajar  3 , Amanda Yufika  3   5 , Muhammad N Ferdian  3 , Salwiyadi Salwiyadi  3 , Aga S Imanda  3 , Roully Azhars  3 , Darul Ilham  3 , Arya U Timur  3 , Juwita Sahputri  6 , Ricky Yordani  7 , Setia Pramana  7 , Yogambigai Rajamoorthy  8 , Abram L Wagner  9 , Kurnia F Jamil  10 , Harapan Harapan  1   2   3
Affiliations

Willingness-to-pay for a hypothetical Ebola vaccine in Indonesia: A cross-sectional study in Aceh

Mudatsir Mudatsir et al. F1000Res. .

Abstract

Background: Some Ebola vaccines have been developed and tested in phase III clinical trials. However, assessment of whether public have willingness to purchase or not, especially in unaffected areas, is lacking. The aim of this study was to determine willingness to pay (WTP) for a hypothetical Ebola vaccine in Indonesia. Methods: A cross-sectional study was conducted from 1 August to 30 December 2015 in five cities in Aceh province of Indonesia. Patients' family members who visited outpatient departments were approached and interviewed about their sociodemographic characteristics, knowledge of Ebola, attitude towards vaccination practice and their WTP for a hypothetical Ebola vaccine. A multivariable linear regression model assessed the relationship between these explanatory variables and WTP. Results: During the study, 500 participants were approached and interviewed. There were 424 (84.8%) respondents who completed the interview and 74% (311/424) expressed their acceptance for an Ebola vaccine. There were 288 participants who were willing to pay for an Ebola vaccine (92.6% out of 311). The mean of WTP was US$2.08 (95% CI: 1.75-2.42). The final multivariable model indicated that young age, high educational attainment, working as a private employee, entrepreneur or civil servant (compared to farmers), being unmarried, and residing in a suburb (compared to a city) were associated with higher WTP. Conclusions: Although the proportion of the participants who would accept the Ebola vaccine was relatively high, the amount they were willing to pay for Ebola vaccine was very low. This finding would indicate the need of subsidies for Ebola vaccine in the country.

Keywords: Ebola vaccine; Ebola virus disease; Indonesia; vaccine acceptance; willingness-to-pay.

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Conflict of interest statement

No competing interests were disclosed.

Figures

Figure 1.
Figure 1.. Relationship between the presented vaccine price and proportion of participants who were willing to pay for an Ebola vaccine in Aceh, Indonesia.
Only those who were willing to pay for Ebola vaccine were included in this analysis.
See this image and copyright information in PMC

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