![]() ![]() 5–8 In addition to this, nutritional service is included in the essential health packages of Ethiopia. The 2016 global nutrition report develops the plan to end any form of malnutrition by 2030 and put some targets to be completed by 2025.Įthiopia has tried to initiate different programs and strategies at the national level to overcome this problem, like designing national nutrition policies. To overcome and solve this problem, different strategies have been designed by the global community and shared for member countries to be achieved. 1, global nutrition report revealed that investing $1 on nutrition will return $16, every additional centimetre of adult height is associated with a 4.5% increase in wage rate, and designs the strategy to end any form of malnutrition at the end of 2030. Keywords: willingness to pay, Tobit model, maternal and child nutritional services, northwest EthiopiaĪround $3.5 trillion per year were lost globally, and most African countries lose up to 16.5% of their Gross Domestic Product (GDP) due to malnutrition, and Ethiopia loses up to $2.78 billion annually. Therefore, strengthening awareness and improving the quality of nutritional services and maternal satisfaction may increase mothers’ willingness to pay an out-of-pocket payment. In addition, the Tobit econometric model analysis reveals that knowledge, mothers’ age, pregnancy status, mothers’ educational status, wealth status, and self-reported satisfaction were identified as significant factors.Ĭonclusion: The majority of mothers were willing to accept out-of-pocket payments for maternal and child nutritional services with an average of 19.6 ETB. Mothers with good knowledge, good perceived family health status, medium and high perceived quality of services, and satisfaction with maternal and child nutritional services were significant variables to accept an out-of-pocket payment. The average amount of money to pay per visit was 19.6 ETB (CI = 18.8, 20.4) (0.84 USD). The finding indicates that 88.8% of households were willing to pay for maternal and child nutrition services. Results: A total of 545 (response rate of 95.8%) study participants were included in the study. Adjusted odds ratio (AOR) and B-coefficient with 95% confidence interval (CI) and p-value were used. Bi-variate, multivariable logistic regression, and Tobit econometric analysis models were done. The sample size was 569, and a systematic random sampling technique was used. Methods: A community-based cross-sectional study design was conducted at Yilmana Densa district from March to May 2017. ![]() Therefore, this study was aimed to assess mothers’ willingness to pay an out-of-pocket payment for maternal and child nutritional services and associated factors in Northwest Ethiopia. Even if in Ethiopia nutrition services are delivered free of charge, specific public health programs may start to charge users of services that include maternal and child health services. Box 196, Gondar, Ethiopiaīackground: Around $3.5 trillion globally and up to $2.78 billion in Ethiopia, losses are reported annually due to malnutrition. Getasew Amare, Mezgebu Yitayal, Amare Minyihun, Ayal Debieĭepartment of Health Systems and Policy, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopiaĭepartment of Health Systems and Policy, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, P.O.
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