The economic valuation of maternal mortality and morbidity

The economic valuation of maternal mortality and morbidity

To compare the acceptability, consistency and validity of different Contingent Valuation (CV) methods, and to obtain data on the determinants of positive, zero and protest responses.

Although increasing attention is being paid to methodological criteria in order to guide choice of CV methods, there is still little evidence available to warrant use of one method rather than another in particular cultural contexts. In addition, there is little evidence with respect to convergent validity. This study assessed the acceptability, consistency and validity of the bidding-game and closed-ended methods.

Outcome and translation

We show that the CV methods are feasible and valid tools for the monetary valuation of maternal mortality and morbidity. We further demonstrate that factors such as starting-point bias and gender can influence individual values, but that their effects can be minimised through appropriate statistical modelling and knowledge of income. The valuation results themselves can be used to inform policy evaluations where a monetary valuation of outcomes is required.

HERU researchers involved in this research project: Paul McNamee

External Collaborators: W Graham (Division of Applied Health Sciences, University of Aberdeen) and D Newlands (University of Aberdeen Business School and Division of Applied Health Sciences, University of Aberdeen)

Publications

McNamee, P., Ternent, L., Gbangou, A. and Newlands, D. (2010) 'A game of two halves? Incentive incompatibility, starting point bias and the bidding game contingent valuation method', Health Economics, 19(1), 75-87.

Ternent, L., McNamee, P., Newlands, D., Belemsaga, D., Gbangou, A. and Cross, S. (2010) 'Willingness to pay for maternal health outcomes: are women willing to pay more than men?', Applied Health Economics and Health Policy, 8(2), 99-109.

Presentations

McNamee, P., Ternent, L., Belemsaga, D., Gbangou, A. and Newlands, D. (2007) 'A game of two halves? Startingpoint bias within the bidding-game method', HESG, Birmingham, January 2007.

Ternent, L., McNamee, P., Newlands, D., Belemsaga, D., Gbangou, A. and Coates, A. (2007) 'How important is gender in assessing the value of maternal health outcomes?' HESG, Birmingham, January 2007.

McNamee, P., Ternent, L., Belemsaga, D., Gbangou, A. and Newlands, D. (2006) 'Assessing the value of maternal health using contingent valuation methods', INDEPTH (International Network of field sites with continuous Demographic Evaluation of Populations and Their Health), Burkino Faso, September 2006.

Ternent, L., Daniels, A., Newlands, D., Asante, F. and McNamee, P. (2007) 'Using Discrete Choice Experiments to elicit preferences for maternal health care in Ghana.', IHEA, Copenhagen, 2007.

McNamee, P. (2008) 'The economic outcomes of maternal mortality and morbidity', Indian Institute of Management, Ahmedabad, India, 2008.

Ternent, L., McNamee, P. and Newlands, D. (2010) 'Exploring biases in the double bounded dichotomous choice (DBDC) and DBDC with open ended follow-up methods', UK Health Economists' Study Group (UKHESG) Meeting, Cork, 23rd-25th June 2010.