Public acceptance and willingness-to-pay for a future dengue vaccine: a community-based survey in Bandung, Indonesia.

<h4>Background</h4>All four serotypes of dengue virus are endemic in Indonesia, where the population at risk for infection exceeds 200 million people. Despite continuous control efforts that were initiated more than four decades ago, Indonesia still suffers from multi-annual cycles of de...

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Autores principales:	Panji Fortuna Hadisoemarto, Marcia C Castro
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2013
Materias:	Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/7bc48aca59ba40ae8462b86dd5fad0c3
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spelling	oai:doaj.org-article:7bc48aca59ba40ae8462b86dd5fad0c32021-11-18T09:16:52ZPublic acceptance and willingness-to-pay for a future dengue vaccine: a community-based survey in Bandung, Indonesia.1935-27271935-273510.1371/journal.pntd.0002427https://doaj.org/article/7bc48aca59ba40ae8462b86dd5fad0c32013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24069482/pdf/?tool=EBIhttps://doaj.org/toc/1935-2727https://doaj.org/toc/1935-2735<h4>Background</h4>All four serotypes of dengue virus are endemic in Indonesia, where the population at risk for infection exceeds 200 million people. Despite continuous control efforts that were initiated more than four decades ago, Indonesia still suffers from multi-annual cycles of dengue outbreak and dengue remains as a major public health problem. Dengue vaccines have been viewed as a promising solution for controlling dengue in Indonesia, but thus far its potential acceptability has not been assessed.<h4>Methodology/principal findings</h4>We conducted a household survey in the city of Bandung, Indonesia by administering a questionnaire to examine (i) acceptance of a hypothetical pediatric dengue vaccine; (ii) participant's willingness-to-pay (WTP) for the vaccine, had it not been provided for free; and (iii) whether people think vector control would be unnecessary if the vaccine was available. A proportional odds model and an interval regression model were employed to identify determinants of acceptance and WTP, respectively. We demonstrated that out of 500 heads of household being interviewed, 94.2% would agree to vaccinate their children with the vaccine. Of all participants, 94.6% were willing to pay for the vaccine with a median WTP of US$1.94. In addition, 7.2% stated that vector control would not be necessary had there been a dengue vaccination program.<h4>Conclusions/significance</h4>Our results suggest that future dengue vaccines can have a very high uptake even when delivered through the private market. This, however, can be influenced by vaccine characteristics and price. In addition, reduction in community vector control efforts may be observed following vaccine introduction but its potential impact in the transmission of dengue and other vector-borne diseases requires further study.Panji Fortuna HadisoemartoMarcia C CastroPublic Library of Science (PLoS)articleArctic medicine. Tropical medicineRC955-962Public aspects of medicineRA1-1270ENPLoS Neglected Tropical Diseases, Vol 7, Iss 9, p e2427 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270
spellingShingle	Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Panji Fortuna Hadisoemarto Marcia C Castro Public acceptance and willingness-to-pay for a future dengue vaccine: a community-based survey in Bandung, Indonesia.
description	<h4>Background</h4>All four serotypes of dengue virus are endemic in Indonesia, where the population at risk for infection exceeds 200 million people. Despite continuous control efforts that were initiated more than four decades ago, Indonesia still suffers from multi-annual cycles of dengue outbreak and dengue remains as a major public health problem. Dengue vaccines have been viewed as a promising solution for controlling dengue in Indonesia, but thus far its potential acceptability has not been assessed.<h4>Methodology/principal findings</h4>We conducted a household survey in the city of Bandung, Indonesia by administering a questionnaire to examine (i) acceptance of a hypothetical pediatric dengue vaccine; (ii) participant's willingness-to-pay (WTP) for the vaccine, had it not been provided for free; and (iii) whether people think vector control would be unnecessary if the vaccine was available. A proportional odds model and an interval regression model were employed to identify determinants of acceptance and WTP, respectively. We demonstrated that out of 500 heads of household being interviewed, 94.2% would agree to vaccinate their children with the vaccine. Of all participants, 94.6% were willing to pay for the vaccine with a median WTP of US$1.94. In addition, 7.2% stated that vector control would not be necessary had there been a dengue vaccination program.<h4>Conclusions/significance</h4>Our results suggest that future dengue vaccines can have a very high uptake even when delivered through the private market. This, however, can be influenced by vaccine characteristics and price. In addition, reduction in community vector control efforts may be observed following vaccine introduction but its potential impact in the transmission of dengue and other vector-borne diseases requires further study.
format	article
author	Panji Fortuna Hadisoemarto Marcia C Castro
author_facet	Panji Fortuna Hadisoemarto Marcia C Castro
author_sort	Panji Fortuna Hadisoemarto
title	Public acceptance and willingness-to-pay for a future dengue vaccine: a community-based survey in Bandung, Indonesia.
title_short	Public acceptance and willingness-to-pay for a future dengue vaccine: a community-based survey in Bandung, Indonesia.
title_full	Public acceptance and willingness-to-pay for a future dengue vaccine: a community-based survey in Bandung, Indonesia.
title_fullStr	Public acceptance and willingness-to-pay for a future dengue vaccine: a community-based survey in Bandung, Indonesia.
title_full_unstemmed	Public acceptance and willingness-to-pay for a future dengue vaccine: a community-based survey in Bandung, Indonesia.
title_sort	public acceptance and willingness-to-pay for a future dengue vaccine: a community-based survey in bandung, indonesia.
publisher	Public Library of Science (PLoS)
publishDate	2013
url	https://doaj.org/article/7bc48aca59ba40ae8462b86dd5fad0c3
work_keys_str_mv	AT panjifortunahadisoemarto publicacceptanceandwillingnesstopayforafuturedenguevaccineacommunitybasedsurveyinbandungindonesia AT marciaccastro publicacceptanceandwillingnesstopayforafuturedenguevaccineacommunitybasedsurveyinbandungindonesia
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Public acceptance and willingness-to-pay for a future dengue vaccine: a community-based survey in Bandung, Indonesia.

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