Willingness to Pay for the COVID-19 Vaccine and Its Correlates in Bangladesh: Cross-Sectional Study
Abstract BackgroundThe Government of Bangladesh offers COVID-19 vaccines at no cost; however, sustaining this free vaccination program for a large population poses significant challenges. Thus, assessing the willingness to pay (WTP) for the COVID-19 vaccine is essential for un...
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| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
JMIR Publications
2025-08-01
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| Series: | JMIRx Med |
| Online Access: | https://xmed.jmir.org/2025/1/e69827 |
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| Summary: | Abstract
BackgroundThe Government of Bangladesh offers COVID-19 vaccines at no cost; however, sustaining this free vaccination program for a large population poses significant challenges. Thus, assessing the willingness to pay (WTP) for the COVID-19 vaccine is essential for understanding potential pricing strategies, subsidy requirements, and vaccine demand.
ObjectiveThis study aimed to assess the prevalence of WTP for the COVID-19 vaccine and its correlates.
MethodsA cross-sectional design was used to collect data from 1497 respondents through web-based platform and face-to-face interviews. Multivariable logistic regression was used to analyze the correlates of the WTP.
ResultsThe results showed that 772 of 1497 (51.6%) participants were willing to pay for the COVID-19 vaccine, with a median of 300 BDT (IQR 150-500 BDT; a currency exchange rate of 1 BDT=US $0.008 is applicable). The WTP was significantly higher among individuals with a graduate degree (adjusted odds ratio [aOR] 1.98, 95% CI 1.14-3.45) or master’s and MPhil or PhD-level education (aOR 1.93, 95% CI 1.07-3.48) and those with higher knowledge about the vaccine (aOR 1.09, 95% CI 1.02-1.15), positive behavioral practices (aOR 1.11, 95% CI 1.06-1.17), stronger subjective norms regarding COVID-19 vaccine (aOR 1.25, 95% CI 1.08-1.46), and higher anticipated regret of getting infected with COVID-19 (aOR 1.17, 95% CI 1.04-1.32). Conversely, WTP was lower among participants with negative attitudes toward vaccines (aOR 0.91, 95% CI 0.88‐0.95) and high perceived behavioral control regarding COVID-19 vaccination (aOR 0.86, 95% CI 0.76‐0.96; P
ConclusionsWith nearly half of the respondents unwilling to pay, this study highlights the need to improve vaccine-related knowledge and enhance income-based affordability to increase WTP. Health promotion efforts should focus on disseminating knowledge about vaccines and addressing negative perceptions. Additionally, a subsidized program for low-income groups can help mitigate financial barriers and promote equitable access to vaccines. |
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| ISSN: | 2563-6316 |