Measuring the benefits of health promotion programmes: Application of the contingent valuation method.


Borghi, J; Jan, S; (2008) Measuring the benefits of health promotion programmes: Application of the contingent valuation method. Health policy (Amsterdam, Netherlands), 87 (2). pp. 235-48. ISSN 0168-8510 DOI: https://doi.org/10.1016/j.healthpol.2008.01.004

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Abstract

Economic evaluation of health promotion programmes presents well documented challenges. These programmes often generate significant non-health benefits which are typically ignored within economic evaluation. This study explored the use of the contingent valuation (CV) method to value the broader benefits of a women's group programme to improve maternal and newborn health in Nepal. Interviews were conducted with 93 women's group members, 70 women non-members and 33 men. Respondents were asked to give reasons for their willingness-to-pay (WTP) in terms of health and/or non-health benefits. WTP was regressed against socio-economic and demographic variables using ordinary least squares. Seventy eight percent of respondents were willing-to-pay for the women's groups. There was no significant difference between the WTP of women's group members compared to female non-members. Men were willing-to-pay significantly more than women. WTP reflected non-health benefits in over 80% of cases. At least 11% of women attending meetings and 38% of those not attending were WTP for altruistic motives. Future research should address the relative value of non-health compared to health benefits; and motivations behind non-user values and their consistency across settings.

Item Type: Article
Faculty and Department: Faculty of Public Health and Policy > Dept of Global Health and Development
Research Centre: Centre for Maternal, Reproductive and Child Health (MARCH)
PubMed ID: 18295926
Web of Science ID: 257829100010
URI: http://researchonline.lshtm.ac.uk/id/eprint/8160

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