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

F1000Research ◽  
2020 ◽  
Vol 8 ◽  
pp. 1441 ◽  
Author(s):  
Mudatsir Mudatsir ◽  
Samsul Anwar ◽  
Jonny K. Fajar ◽  
Amanda Yufika ◽  
Muhammad N. Ferdian ◽  
...  

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.

F1000Research ◽  
2019 ◽  
Vol 8 ◽  
pp. 1441 ◽  
Author(s):  
Mudatsir Mudatsir ◽  
Samsul Anwar ◽  
Jonny K. Fajar ◽  
Amanda Yufika ◽  
Muhammad N. Ferdian ◽  
...  

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.


BMJ Open ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. e046265
Author(s):  
Shotaro Doki ◽  
Shinichiro Sasahara ◽  
Daisuke Hori ◽  
Yuichi Oi ◽  
Tsukasa Takahashi ◽  
...  

ObjectivesPsychological distress is a worldwide problem and a serious problem that needs to be addressed in the field of occupational health. This study aimed to use artificial intelligence (AI) to predict psychological distress among workers using sociodemographic, lifestyle and sleep factors, not subjective information such as mood and emotion, and to examine the performance of the AI models through a comparison with psychiatrists.DesignCross-sectional study.SettingWe conducted a survey on psychological distress and living conditions among workers. An AI model for predicting psychological distress was created and then the results were compared in terms of accuracy with predictions made by psychiatrists.ParticipantsAn AI model of the neural network and six psychiatrists.Primary outcomeThe accuracies of the AI model and psychiatrists for predicting psychological distress.MethodsIn total, data from 7251 workers were analysed to predict moderate and severe psychological distress. An AI model of the neural network was created and accuracy, sensitivity and specificity were calculated. Six psychiatrists used the same data as the AI model to predict psychological distress and conduct a comparison with the AI model.ResultsThe accuracies of the AI model and psychiatrists for predicting moderate psychological distress were 65.2% and 64.4%, respectively, showing no significant difference. The accuracies of the AI model and psychiatrists for predicting severe psychological distress were 89.9% and 85.5%, respectively, indicating that the AI model had significantly higher accuracy.ConclusionsA machine learning model was successfully developed to screen workers with depressed mood. The explanatory variables used for the predictions did not directly ask about mood. Therefore, this newly developed model appears to be able to predict psychological distress among workers easily, regardless of their subjective views.


Author(s):  
Matheus dos Santos Fernandez ◽  
Andreia Morales Cascaes ◽  
Francisco Wilker Mustafa Gomes Muniz ◽  
Nathalia Ribeiro Jorge da Silva ◽  
Camilla Hubner Bielavski ◽  
...  

Abstract Objective: To evaluate the knowledge of Brazilian dental students about biosafety measures that should be adopted in the clinical setting during the coronavirus disease-2019 (COVID-19) pandemic. Methods: A cross-sectional study with 1,050 dental students was conducted. A semi-structured questionnaire was shared with students. Mean knowledge score on biosafety guidelines during the COVID-19 pandemic was the outcome, with a maximum of 8 scores. Explanatory variables included sociodemographic and educational characteristics, aspects related to biosafety education, actions adopted by the dental schools during the pandemic, and sources of biosafety information. Multivariate linear regression analyses were performed. Results: Mean knowledge score was 5.19 (1.28). Female students (β=0.346; 95%CI:0.154–0.539), those enrolled in the intermediate (β=0.525; 95%CI:0.167–0.883) or final (β=0.569; 95%CI:0.200–0.937) stage of course, and those who had already received theoretical-practical training in biosafety (β=0.464; 95%CI:0.063–0.866) presented higher mean knowledge scores. Students who did not receive guidance on aerosol control measures before the pandemic (β=-0.324; 95%CI:-0.519–-0.130) had the lowest score. Conclusion: Students presented a medium level of knowledge about dental biosafety measures in the COVID-19 pandemic. Sociodemographic characteristics and those related to the institutional profile of the participants, and access to orientation and training in biosafety may influence their knowledge.


Vaccine ◽  
2020 ◽  
Vol 38 (43) ◽  
pp. 6800-6806 ◽  
Author(s):  
Harapan Harapan ◽  
Abram L. Wagner ◽  
Amanda Yufika ◽  
Abdul M. Setiawan ◽  
Samsul Anwar ◽  
...  

2020 ◽  
Vol 7 (2) ◽  
pp. 70-79
Author(s):  
Yulidar Yulidar ◽  
Asmaul Husna ◽  
Ulil Amri Manik ◽  
Veny Wilya

Filariasis termasuk penyakit parasit tular vektor. Kabupaten Aceh Jaya merupakan satu dari beberapa kabupaten di Provinsi Aceh sebagai wilayah endemis filariasis. Pelaksanaan program pengendalian filariasis pemberian obat massal pencegahan sudah dilakukan dari tahun 2011. Tujuan penelitian ini untuk mendapatkan gambaran pengetahuan kader dan tokoh masyarakat terhadap filariasis di Kabupaten Aceh Jaya. Penelitian ini bersifat cross sectional  yang pengumpulan data dilakukan pada Bulan Juli-Oktober 2017. Data dianalasis secara tematik kualitatif dan diinterpretasikan dalam bentuk narasi. Berdasarkan hasil analisis dari 5 pertanyaan yang diajukan tidak semua informan mampu menjelaskan dengan tepat. Dari 6 informan yang terlibat, semua informan tidak mengetahui istilah filariasis namun mengerti penyakitnya yang disebut barah atau entoet. Empat  informan berpendapat bahwa filariasis adalah penyakit akibat di gigit nyamuk  namun bukan penyakit menular, sedangkan 2 informan lainnya menyatakan filariasis adalah penyakit menular dan dapat ditularkan secara keturunan. Untuk infromasi bahwa filariasis tidak dapat di sembuhkan, 5 informan menyatakan tidak tahu. Namun, untuk informasi apakah filariasis berbahaya, ke 6 informan menyatakan berbahaya karena tidak bisa beraktivitas. Berdasarkan hasil analisis tersebut dapat dikatakan bahwa pengetahuan kader dan tokoh masyarakat kurang baik tentang filariasis. Oleh karena itu, kader dan tokoh masyarakat diharapkan dapat diberikan pelatihan atau penyuluhan tentang filariasis agar kader dan tokoh masyarakat dapat mendukung keberhasilan program filariasis.   Filariasis is a vector-borne parasitic disease. Aceh Jaya District is one of several districts in Aceh Province as a filariasis endemic area. The implementation of the filariasis control program for the provision of preventive mass drugs has been carried out since 2011. The purpose of this study was to obtain an overview of the knowledge of cadres and community leaders about filariasis in Aceh Jaya Regency. This study is a cross sectional study with data collection conducted in July-October 2017. Data analyzed thematic qualitatively and interpreted in a narrative form. Based on the results of the analysis of the 5 questions asked, not all informants were able to comment properly. Of the 6 informants involved, all informants did not know about filariasis but did know about a large and swollen foot disease called barrah or entoet. Four informants argued that filariasis is a disease caused by mosquito bites but not a contagious disease, while 2 other informants stated that filariasis is a contagious disease and can be transmitted by generations. For information that filariasis cannot be cured, 5 informants stated that they did not know. However, for information on whether filariasis is dangerous, the 6 informants stated that it is dangerous because they cannot do activities. Based on the results of the analysis, it can be said that the knowledge of cadres and community leaders is not good about filariasis. Therefore, cadres and community leaders are expected to be given training or counseling on filariasis so that cadres and community leaders can support the success of the filariasis program.


2019 ◽  
Author(s):  
Haile Woretaw Alemu ◽  
Anthony Carlson

Abstract Objective Cross-sectional study design were used to assess willingness to pay for spectacles among south Gondar presbyopic population.Results Of the total 322 people participating in the study, only 53.4% (172) were experienced by spectacles users. The median gross monthly income of participants was US$ 75.0 (ranged US$ 7.1 - 321.4) and the mean amount of money willing to pay for a pair of spectacles was US$ 17.9 (ranged US$ 1.1-107.1). Participants who were willing to pay US$ 12.5 for a pair of spectacles from a government optical accounted for 63.0% (95% CI: 57.8-68.3), while those willing to pay the minimum international pair of spectacle price US$ 5.6 were accounted 73.9% (95% CI: 68.9-79.2%) and spectacle from local private optical price US$ 17.8 accounted 46.6% (95% CI: 40.4-52.2). Multivariate logistic regression analysis indicated factors such as age (P=0.049), occupation (0.001), monthly income (0.001) and history of the previous spectacle wear (0.005) to be significantly associated with willingness to pay for a pair of spectacles. Public willingness to pay for a pair of spectacle has to be supported with the accessible provision of spectacles to increase spectacle coverage among presbyopic individuals.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Alem Deksisa ◽  
Meyrema Abdo ◽  
Ebrahim Mohamed ◽  
Daniel Tolesa ◽  
Sileshi Garoma ◽  
...  

Abstract Background Globally, Millions of people cannot use health services because of the fear of payment for the service at the time of service delivery. From the agenda of transformation and the current situation of urbanization as well as to ensure universal health coverage implementing this program to the urban resident is mandatory. The aim of this study is to assess the willingness of community-based health insurance (CBHI) uptake and associated factors among urban residents of Oromia regional state, Oromia, Ethiopia, 2018. Methods A community-based cross-sectional study was conducted. From the total of eighteen towns; six towns which account for 33% of the total were selected randomly for the study. One population proportion formula was employed to get a total of 845 households. A pre-tested, semi-structured interviewer-administered questionnaire was used to collect the required data. Double-Bounded Dichotomous Choice Variant of the contingent valuation method was used to assess the maximum willingness to pay for the scheme, and a multiple logistic regression model was used to determine the effect of various factors on the willingness to join and willingness to pay for the households. Result About 839 (99.3%) of the respondents participated. The mean ages of the respondents were 40.44(SD ± 11.12) years. 621 (74.1%) ever heard about CBHI with 473 (56.3%) knowing the benefits package. Out of 839, 724 (86.3%) were willing to uptake CBHI of which 704 (83.9%) were willing to pay if CBHI established in their town. Conclusion If CBHI established about 86.3% of the households would enroll in the scheme. Having education, with a family size between 3 & 6, having difficulty in paying for health care and less than 20mins it took to reach the nearest health facility were the independent predictors of the willingness of CBHI uptake. The Oromia and Towns Health Bureau should consider the availability of health facilities near to the community and establishing CBHI in the urban towns.


2019 ◽  
Vol 10 (2) ◽  
pp. 19-22
Author(s):  
Md Mohibur Rahman ◽  
Md Humayun Kabir Talukder

This descriptive type of cross sectional study was conducted in twelve medical colleges of Bangladesh to assess the views of teachers and students regarding the distribution of subjects in Phase II and Phase III of MBBS curriculum 2012. This study was conducted from July 2017 to Apr 2018 where views were collected from 91 teachers and 991 students. Study revealed that, 90.1% respondents mentioned for rearrangement of subjects and around 87.9% teachers and 90.3% students opined for addition of Pathology subjects in Phase II of MBBS course. Study also recommended that more extensive study is needed to get an unanimous opinion from the students and medical teachers regarding the subjects in Phase II and Phase III of MBBS course. Bangladesh Journal of Medical Education Vol.10(2) 2019: 19-22


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