Application of the double bounded dichotomous choice model to the estimation of parent's willingness to pay for the hand foot mouth disease vaccination: a survey in Selangor, Malaysia

Hand foot and mouth disease (HFMD) is a notifiable viral disease in Malaysia, and is transmitted primarily among young children. Although vaccines for enteroviruses 71 (EV-71) were approved in China against HFMD, the availability and the acceptance of the vaccine in the Malaysia are unknown. This st...

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Main Authors: Rajamoorthy, Yogambigai, Mohd Taib, Niazlin, Harapan, Harapan, Wagner, Abram Luther, Munusamy, Subramaniam
Format: Article
Published: Public Library of Science 2023
Online Access:http://psasir.upm.edu.my/id/eprint/106646/
https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0286924
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spelling my.upm.eprints.1066462024-08-08T02:45:50Z http://psasir.upm.edu.my/id/eprint/106646/ Application of the double bounded dichotomous choice model to the estimation of parent's willingness to pay for the hand foot mouth disease vaccination: a survey in Selangor, Malaysia Rajamoorthy, Yogambigai Mohd Taib, Niazlin Harapan, Harapan Wagner, Abram Luther Munusamy, Subramaniam Hand foot and mouth disease (HFMD) is a notifiable viral disease in Malaysia, and is transmitted primarily among young children. Although vaccines for enteroviruses 71 (EV-71) were approved in China against HFMD, the availability and the acceptance of the vaccine in the Malaysia are unknown. This study investigated and ascertained the determinants of willingness-to-pay (WTP) for HFMD vaccination in Selangor Malaysia. This study adopted a cross-sectional, contingent valuation method involving 390 parents of young children aged six and below. The double bounded dichotomous choice (DBDC) approach was employed to assess the WTP for HFMD vaccine among respondents. A bivariate probit model was used to assess the key determinants of WTP for HFMD vaccine, while the mean WTP was measured using the Krinsky and Robb procedure. We found that 279 (71.5%) of parents were willing to pay for the HFMD vaccination. The estimated single bounded mean WTP was MYR460.23 (equivalent to US$ 102.17) for two doses of HFMD vaccination. The double bounded analysis revealed that the vaccine’s price, poor education background and lower income were the key factors that significantly affected the WTP, with the estimated mean WTP being MYR394.00 (US$ 87.47). In conclusion, most Malaysian parents are willing to pay for the HFMD vaccination. The estimated WTP identifies the optimal price point for HFMD vaccination in Malaysia. Furthermore, the government should focus on an awareness programme for the HFMD vaccination among parents who have lower income or education level. Public Library of Science 2023 Article PeerReviewed Rajamoorthy, Yogambigai and Mohd Taib, Niazlin and Harapan, Harapan and Wagner, Abram Luther and Munusamy, Subramaniam (2023) Application of the double bounded dichotomous choice model to the estimation of parent's willingness to pay for the hand foot mouth disease vaccination: a survey in Selangor, Malaysia. PLoS One, 18 (6). pp. 1-12. ISSN 1932-6203; ESSN: 1932-6203 https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0286924 10.1371/journal.pone.0286924
institution Universiti Putra Malaysia
building UPM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Putra Malaysia
content_source UPM Institutional Repository
url_provider http://psasir.upm.edu.my/
description Hand foot and mouth disease (HFMD) is a notifiable viral disease in Malaysia, and is transmitted primarily among young children. Although vaccines for enteroviruses 71 (EV-71) were approved in China against HFMD, the availability and the acceptance of the vaccine in the Malaysia are unknown. This study investigated and ascertained the determinants of willingness-to-pay (WTP) for HFMD vaccination in Selangor Malaysia. This study adopted a cross-sectional, contingent valuation method involving 390 parents of young children aged six and below. The double bounded dichotomous choice (DBDC) approach was employed to assess the WTP for HFMD vaccine among respondents. A bivariate probit model was used to assess the key determinants of WTP for HFMD vaccine, while the mean WTP was measured using the Krinsky and Robb procedure. We found that 279 (71.5%) of parents were willing to pay for the HFMD vaccination. The estimated single bounded mean WTP was MYR460.23 (equivalent to US$ 102.17) for two doses of HFMD vaccination. The double bounded analysis revealed that the vaccine’s price, poor education background and lower income were the key factors that significantly affected the WTP, with the estimated mean WTP being MYR394.00 (US$ 87.47). In conclusion, most Malaysian parents are willing to pay for the HFMD vaccination. The estimated WTP identifies the optimal price point for HFMD vaccination in Malaysia. Furthermore, the government should focus on an awareness programme for the HFMD vaccination among parents who have lower income or education level.
format Article
author Rajamoorthy, Yogambigai
Mohd Taib, Niazlin
Harapan, Harapan
Wagner, Abram Luther
Munusamy, Subramaniam
spellingShingle Rajamoorthy, Yogambigai
Mohd Taib, Niazlin
Harapan, Harapan
Wagner, Abram Luther
Munusamy, Subramaniam
Application of the double bounded dichotomous choice model to the estimation of parent's willingness to pay for the hand foot mouth disease vaccination: a survey in Selangor, Malaysia
author_facet Rajamoorthy, Yogambigai
Mohd Taib, Niazlin
Harapan, Harapan
Wagner, Abram Luther
Munusamy, Subramaniam
author_sort Rajamoorthy, Yogambigai
title Application of the double bounded dichotomous choice model to the estimation of parent's willingness to pay for the hand foot mouth disease vaccination: a survey in Selangor, Malaysia
title_short Application of the double bounded dichotomous choice model to the estimation of parent's willingness to pay for the hand foot mouth disease vaccination: a survey in Selangor, Malaysia
title_full Application of the double bounded dichotomous choice model to the estimation of parent's willingness to pay for the hand foot mouth disease vaccination: a survey in Selangor, Malaysia
title_fullStr Application of the double bounded dichotomous choice model to the estimation of parent's willingness to pay for the hand foot mouth disease vaccination: a survey in Selangor, Malaysia
title_full_unstemmed Application of the double bounded dichotomous choice model to the estimation of parent's willingness to pay for the hand foot mouth disease vaccination: a survey in Selangor, Malaysia
title_sort application of the double bounded dichotomous choice model to the estimation of parent's willingness to pay for the hand foot mouth disease vaccination: a survey in selangor, malaysia
publisher Public Library of Science
publishDate 2023
url http://psasir.upm.edu.my/id/eprint/106646/
https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0286924
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