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Willingness to pay for dengue vaccine among parents of elementary school students in Denpasar


Background and purpose: The incidence of Dengue Hemorrhagic Fever (DHF) in Bali, especially in Denpasar, remains high. Efforts to eradicate mosquito nests have been carried out but did not give a significant reduction in the incidence number. The dengue vaccine is now available and can be a way of prevention. The dengue vaccine has not been included in the mandatory immunization program by the government so people who want to get vaccinated have to pay for it by themselves. This study aims to determine the relationship between socio-demographic factors and perceptions with the willingness to pay for the dengue vaccine among parents of elementary school students in Denpasar.

Methods: This study used a cross sectional design involving 100 mothers of students from grade 3 to grade 6 at Dauh Puri 5 Elementary School and Dauh Puri 6 Elementary School who were selected with systematic random sampling. Data collected included education level, income, respondents' perceptions and willingness to pay for dengue vaccine. Data were collected by interview using a questionnaire, the results were analyzed using a multivariate logistic regression.

Results: The average willingness of parents to pay for the dengue vaccine per dose was IDR 131,170. Percentage of respondents who were willing to pay for the dengue vaccine was 31%. The results of analysis showed that variables associated with parents’ willingness to pay for the dengue vaccine were education level (OR=4.06; 95%CI: 1.19-13.76), perceived susceptibility (OR=1.59; 95%CI: 0.58-4.37) and perceived benefits (OR=2.60; 95%CI: 1.00-6.81).

Conclusion: Parents' willingness to pay for the dengue vaccine remains very low compared to the current price of vaccine per dose. The government needs to provide subsidies so that the dengue vaccine can be included in the national immunization program and be accessed by all people. Further research is needed with a broader scope and more varied population’s characteristics to obtain a willingness to pay value that can represent society in general.



  1. Bhatt S, Gething PW, Brady OJ, Messina JP, Farlow AW, Moyes CL, et al. The global distribution and burden of dengue. Nature. 2013; 496 (7446): 504–507.
  2. Ministry of Health of The Republic of Indonesia. Buletin Jendela Epidemiologi [Epidemilogy Bulletin) Volume 2. Jakarta: Kementerian Kesehatan Republik Indonesia; 2010.
  3. Bali Province Health Office. Profil Kesehatan Provinsi Bali Tahun 2017 [The 2017 Bali Province Health Profile]. Bali Province Health Office. Denpasar; 2018.
  4. Denpasar City Health Office. Laporan Tahunan Dinas Kesehatan Kota Denpasar Tahun 2018 [The 2018 Annual Report of Denpasar City Health Office]. Denpasar: Dinas Kesehatan Kota Denpasar; 2018.
  5. Satari HI, Adilla SF. Keamanan Vaksin Dengue Pada Anak [The safety of Dengue Vaccine among Children]. Sari Pediatri. 2019, 21(2): 129-138.
  6. World Health Organization. Dengue Vaccine: WHO Position Paper–September 2018. Weekly Epidemiological Record. 2018; 93(36): 457-519.
  7. Becker MH. 1974. The Health Belief Model and Personal Health Behavior. Health Education Monographs. 2, 324–508.
  8. Lee JS, Mogasale V, Lim JK, Carabali M, Sirivichayakul C, Anh DD, et al. A Multi-country Study of the Household Willingness-to-Pay for Dengue Vaccines: Household Surveys in Vietnam, Thailand, and Colombia. PLOS Neglected Tropical Diseases. 2015; 9(6): 1-15.
  9. Hadisoemarto PF, Castro MC. Public Acceptance and Willingness-to-Pay for a Future Dengue Vaccine: A Community-Based Survey in Bandung, Indonesia. PLOS Neglected Tropical Diseases. 2013; 7(9): 1-11
  10. Harapan H, Anwar S, Bustamam A, Radiansyah A, Angraini P, Fasli R. Willingness to pay for a dengue vaccine and its associated determinants in Indonesia: A community-based, cross-sectional survey in Aceh. Acta Tropica. 2017; 166:249-256
  11. Karneli NK. Hubungan Antara Persepsi Tentang Kanker Serviks, Pendidikan dan Pekerjaan Orang Tua Siswi dengan Kesediaan Membayar Vaksinasi di Sekolah Menengah Umum Kabupaten Badung (Tesis) [The association between perception on cervical cancer, education and job of female students’ parents with willingness to pay for vaccination at high schools in Badung District (Thesis)]. Universitas Udayana; 2013.
  12. Fitzpatrick C, Haines A, Bangert M, Farlow A, Hemingway J, Velayudhan R. An Economic Evaluation of Vector Control in the Age of A Dengue Vaccine. PLOS Neglected Tropical Diseases. 2017; 11(8): 1-27.
  13. Quevedo JFM, Hernandez IC, Espinosa JG, Escudero GS. The Willingness-to-pay Concept in Question. Rev Saude Publica. 2009; 43(2): 1-7.
  14. Wong LP, Alias H, Hassan J, AbuBakar S. Attitudes Towards Zika Screening and Vaccination Acceptability Among Pregnant Women in Malaysia. Vaccine. 2017. 35(43):5912-5917
  15. Aryani MA, Muqorrobin M. Determinan Willingness to Pay (WTP) Iuran Peserta BPJS Kesehatan [Determinats of willingness to pay for insurance premium among the participants of The National Health Insurance]. Jurnal Ekonomi dan Studi Pembangunan. 2013, 14(1): 44-14.
  16. Suhardi, Shaluhiyah Z, Patriajati S. Analisis Faktor-faktor yang Berpengaruh terhadap Kemauan Masyarakat Menjadi Peserta JPKM Mandiri di Wilayah Kota Salatiga [Analysis on factors influencing the willingness of community to be the participants of Independent Community Health Insurance in Salatiga City]. Jurnal Promosi Kesehatan Indonesia. 2014; 9(1): 90-13.
  17. Christell H, Gullberg J, Nilsson K, Olofsson SH, Lindh C, Davidson T. Willingness to Pay for Osteoporosis Risk Assessment in Primary Dental Care. Health Economics Review. 2019, 9(14): 1-8.

How to Cite

Indraswari, N. L. A., Wirawan, D. N., Kardiwinata, M. P., & Januraga, P. P. (2021). Willingness to pay for dengue vaccine among parents of elementary school students in Denpasar. Public Health and Preventive Medicine Archive, 9(2), 120–125.




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Ni Luh Astri Indraswari
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Dewa Nyoman Wirawan
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Made Pasek Kardiwinata
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Pande Putu Januraga
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