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INTRODUCTION: The Human Immunodeficiency Virus (HIV) is one of the greatest public health challenges still facing communities worldwide, and until this moment, no vaccine is available for its prevention. In Brazil, the Rio de Janeiro State has stood out regarding the prevalence of this disease. As a result, an important state to consider the Willingness to Pay (WTP) for a hypothetical HIV vaccine to help with future pricing. METHODS: A cross-sectional study was conducted to assess the acceptability and WTP of individuals from Rio de Janeiro State for a hypothetical HIV vaccine with a 70% efficacy. RESULTS: 600 individuals were interviewed and the acceptability for this hypothetical vaccine was 77.2%. In addition, 452 participants were eligible for the WTP analysis and would accept a WTP US$79.37 (400 BRL) for this vaccine, a higher value than that found in another study (200 BRL) conducted in the Northern region of Brazil under the same methodological conditions. CONCLUSION: Economic studies such as WTP can contribute to discussions regarding the prices and specifications for future vaccines, particularly for a HIV vaccine in countries such as Brazil with over 5,000 municipalities spread across regions with diverse characteristics and challenges in terms of socioeconomic, epidemiological and cultural differences.

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This study presents a willingness-to-pay (WtP) questionnaire that was designed, validated, and applied to assess perceptions of air quality and self-reported health in two middle-income South American cities: Barcelona and its neighboring cities (Venezuela) and Guayaquil (Ecuador). These cities lack air quality monitoring and control measures. The questionnaire is a reliable tool to assess air quality based on citizens' perceptions, and the results reveal that both populations perceive low air quality and accurately identify emission sources and air pollutants (industrial emissions and particulate matter in Barcelona and vehicular emissions and carbon monoxide in Guayaquil). The study also evaluated the efforts made by both cities to improve air quality using the United Nations Environment Programme to strengthen air quality in South America. Based on this evaluation, strengths were identified for enhancing air quality in both cities. The study finds that in Barcelona and its surroundings, investment is needed to improve urban transport, waste management, and update the environmental legislation regarding air quality at the national level. In contrast, Guayaquil has already taken some measures to improve air quality, but more investment in public transport and measures to lower vehicle emissions are needed.

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RESUMEN Belén de los Andaquíes, Caquetá, ubicado en el piedemonte amazónico, es reconocido como municipio verde de Colombia, por su riqueza hídrica y paisajística. Es una zona con experiencia y potencial en la instauración de pagos por servicios ambientales PSA, como instrumento económico para incentivar la conservación de bosques, en la zona de influencia directa a la quebrada la Mono, una de las fuentes hídricas de relevancia en el suministro de agua, para el consumo humano en la población. Se empleó el método de valoración contingente, para hallar la disponibilidad a pagar DAP de los habitantes del área urbana, por la conservación de los bosques, para la protección del servicio ecosistémico de regulación hídrica. La DAP fue positiva y esto evidencia que la comunidad puede experimentar aumentos en el bienestar económico, a raíz de una medida de protección ambiental. Existe viabilidad económica y relevancia social al implementar estos instrumentos de política ambiental, para proteger servicios ecosistémicos importantes, en la mitigación y en la adaptación al cambio climático.

ABSTRACT Belén de los Andaquíes, Caquetá, located in the Amazon piedmont, is recognized as a green municipality of Colombia, for its wealth of water and landscapes. It is an area with experience and potential in the establishment of payments for environmental services PES, as an economic instrument to encourage the conservation of forests in the area of direct influence of the Mono stream, one of the most important sources of water for human consumption in the population. The contingent valuation method was used to find the willingness to pay WTPs of the inhabitants of the urban area for the conservation of forests for the protection of the ecosystem service of water regulation. The WTP was positive value, and this is evidence that the community can experience increases in economic welfare as a result of an environmental protection measure. There is economic viability and social relevance in implementing these environmental policy instruments to protect ecosystem services important for climate change mitigation and adaptation.

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Aim: Malaria is an infection caused by protozoa of genus Plasmodium, considered the one associated with increasingly large outbreaks. Methods: A cross-sectional study was conducted with residents in the northern region of Brazil on the willingness to pay (WTP) for a hypothetical vaccine against malaria (effective protection of 80%). Results: Of 616 people interviewed, most interviewees were female (61%) and were employed (97%). The median individual maximum WTP for a hypothetical malaria vaccine was US$11.90 (BRL 50). Conclusion: The northern region of Brazil is one of the largest markets for a malaria vaccine due to its epidemiological relevance. Consequently, economic studies will be important to assist in the assessment of the potential price and value of new vaccines.

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In order to encourage increased rates in respect of sorting, recycling and the diversion of construction and demolition waste (C&DW), the world's more advanced economies have developed innovative new technologies and studies to improve the creation of sustainable societies. To achieve this, it is important to dedicate greater efforts to the elaboration of tariff schemes and studies to determine society's disposition to improve the management of C&DW. This study analyzes willingness of construction companies in Chile to pay (WTP) to improve the C&DW management, through the contingent valuation method (CVM). This aims to provide analytical background and market information to circular business models and, in turn, provide information which can be used to define public policies governing the subject, as a contribution to future regulatory developments. The Chilean construction industry was surveyed and a total of 57 valid questionnaires were collected. The results show that the average WTP for inert C&DW, non-inert C&DW, mixed C&DW with a greater quantity of inert waste and mixed C&DW with a greater quantity of non-inert waste was 8.77 (US $/ton), 7.73 (US $/ton), 7.98 (US $/ton) and 8.22 (US $/ton), respectively. Additionally, the cost of waste removal and disposal had an average value of 9.68 (US $/ton). Through multiple regression analysis, it was discovered that the variables related to knowledge about circular economy, state actions, management of C&DW and productivity have a significant effect on WTP. These results provide new evidence for the development of appropriate public policies to address the problem of C&DW and improve management in Chile.

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INTRODUCTION: The new coronavirus pandemic has appreciably impacted morbidity and mortality, as well as having an economic impact worldwide. New vaccines are a potential way forward to reduce transmission rates and subsequent infection. In Brazil, vaccines are being distributed via the public sector; however, in the future, they will be available in the private market. Information about consumers' willingness to pay (WTP) for a hypothetical vaccine against SARS CoV-2 can help future price setting discussions. METHODS: A cross-sectional study was conducted with consumers in the five regions of Brazil regarding the WTP for a hypothetical vaccine against SARS CoV-2 with a 50% efficacy. RESULTS: A total of 1402 individuals over 18 years of age who declared not having COVID-19 at the time of the survey were interviewed. The acceptability for this hypothetical vaccine was 80.7%. In addition, the amount of WTP by Brazilian consumers for a hypothetical SARS CoV-2 vaccine was estimated at US$ 22.18(120.00 BRL). CONCLUSION: This study can contribute to decision-making to inform potential pricing for a hypothetical SARS CoV-2 vaccine.

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Many rural communities in developing countries experience severe water shortages, limiting their capacity for self-sustainability. This study used contingent valuation and choice experiment methods and in-person interviews to estimate household willingness to pay (WTP) for gray and green interventions to augment water supply in rural Costa Rica. In particular, we examined residents' preferences for well construction, as a form of gray intervention, and reforestation, as a form of green intervention, aimed at alleviating water shortages. Household WTP to reduce annual water shortage by one day varied between $0.85 (95% CI = 0.77-0.94) and $1.32 (95% CI = 1.08-2.56) per month depending on the project. The results also indicated that households were willing to pay $2.28 (95% CI = 1.36-3.21) and $3.51 (95% CI = 2.57-4.44) per month to increase forest cover in the watershed by 140-180 and 300-340 ha, respectively, assuming no additional water provision from the reforestation project. Nonwater-related benefits comprised 25-34% of the WTP for green intervention, depending on the acreage scenario. We also observed that, even without the nonwater-related ecosystem service benefits associated with reforestation, the value of water from green intervention exceeded the corresponding value of water from gray intervention. The disparity between preferences for water obtained from gray and green intervention may be due to differences in corresponding timing, uncertainty, quality of additional water made available from the considered projects, and differences in value elicitation methods.

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Aim: Chagas disease is a serious public health problem, endemic in 21 countries in Latin America. A future vaccine can contribute to decreasing the number of cases and its complications. Methods: A cross-sectional study was conducted with residents of the northern region of Brazil, on the willingness to pay for a hypothetical vaccine against Chagas disease (effective protection of 80%). Results: We interviewed 619 individuals and seven were excluded from the analysis and the value of willingness to pay was US$23.77 (100.00 BRL). Conclusion: The Northern region of Brazil is one of the largest markets for this vaccine, due to its epidemiological relevance, so economic studies with this vaccine will be important to assist in the assessment of technologies.

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The COVID-19 pandemic has not only had a negative impact on people's health and life behavior, but also on economies around the world. At the same time, laboratories and institutions are working hard to obtain a COVID-19 vaccine, which we hope will be available soon. However, there has been no assessment of whether an individual and society value ​​a vaccine monetarily, and what factors determine this value. Therefore, the objective of this research was to estimate the individual's willingness to pay (WTP) for a hypothetical COVID-19 vaccine and, at the same time, find the main factors that determine this valuation. For this, we used the contingent valuation approach, in its single and double-bounded dichotomous choice format, which was based on a hypothetical market for a vaccine. The sample used was obtained through an online survey of n = 566 individuals from Chile. The main results showed that the WTP depends on the preexistence of chronic disease (p≤0.05), knowledge of COVID-19 (p≤0.05), being sick with COVID-19 (p≤0.05), perception of government performance (p≤0.01), employment status (p≤0.01), income (p≤0.01), health care (p≤0.05), adaptation to quarantine with children at home (p≤0.01) and whether the person has recovered from COVID-19 (p≤0.10). According to our discrete choice model in double-bounded dichotomous format, it was concluded that the individuals' WTP is US$184.72 (CI: 165.52-203.92; p < 0.01). This implies a social valuation of approximately US$2232 million, corresponding to 1.09% of the GNP per capita.

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ABSTRACT  Background: Zika virus is a newly emerging infection, associated with increasingly large outbreaks especially in tropical countries such as Brazil. A future Zika vaccine can contribute to decreasing the number of cases and associated complications. Information about consumers' willingness to pay (WTP) for a hypothetical Zika vaccine can help price setting discussions in the future in Brazil, starting with the private market. METHODS: A cross-sectional study conducted among residents of Minas Gerais, Brazil, regarding their WTP for a hypothetical Zika Vaccine. The mean effective protection was 80%, with the possibility of some local and systemic side- effects. RESULTS: 517 people were interviewed. However, 28 would not be vaccinated even if the vaccine was free. Most of the resultant interviewees (489) were female (58.2%), had completed high school (49.7%), were employed (71.2%), had private health insurance (52.7%), and did not have Zika (96.9%). The median individual maximum WTP for this hypothetical Zika vaccine (one dose) was US$31.34 (BRL100.00). CONCLUSION: Such discussions regarding WTP can contribute to decision-making about prices once a Zika vaccine becomes available in Brazil alongside other ongoing programs to control the virus.

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The objectives of this study were to assess visitors attitudes, if visitors would be willing to pay to enter Lake Karagol, and what factors affect their decision to pay. The contingent valuation method was used to estimate the economic value of the lake by assessing willingness to pay (WTP). Double dichotomous questions were used in the survey. Respondents were first asked whether or not they would be willing to pay the starting bid. They could either answer in the affirmative (that is, accepted bid) or in the negative (that is, reject the starting bid). The average WTP for an entrance fee was found to be about USD 0.22 for all observations when zero bids were included, and about USD 4.40 when zero bids were excluded. Result of the probit model showed that respondents with a higher income, respondents who were young, and the working status of the respondents had significant impacts on the probability of the WTP.(AU)

O objetivo deste estudo foi analisar as atitudes dos visitantes e se eles estavam dispostos a pagar entrada no Lago Karago e quais eram os fatores que afetavam a sua decisão. O método de avaliação contingente foi usado para estimar o valor econômico do Lago usando a decisão dos visitantes de estarem dispostos a pagar entrada. Perguntas duplamente dicotômicas foram usadas no questionário. Os inquiridos foram questionados primeiro se estariam dispostos a pagar um valor inicial. Eles poderiam responder afirmativamente (aceitavam o valor) ou negativamente (rejeitavam o valor). O valor médio (vontade de pagar) de uma entrada foi de 0.22 dólares estadunidenses para todas as respostas, incluindo o mínimo de 0 e de 4.40 dólares estadunidenses excluindo o mínimo de 0. O resultado do modelo de lucro mostrou que os inquiridos com maior valor salarial e mais jovens com estatuto de trabalhadores tinham mais impacto na probabilidade de vontade de pagar.(AU)

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We estimated U.S. and Mexican citizens' willingness to pay (WTP) for protecting habitat for a transborder migratory species, the Mexican free-tailed bat (Tadarida brasiliensis mexicana), using the contingent valuation method. Few contingent valuation surveys have evaluated whether households in one country would pay to protect habitat in another country. This study addresses that gap. In our study, Mexican respondents were asked about their WTP for conservation of Mexican free-tailed bat habitat in Mexico and in the United States. Similarly, U.S. respondents were asked about their WTP for conservation in the United States and in Mexico. U.S. households would pay $30 annually to protect habitat in the United States and $24 annually to protect habitat in Mexico. Mexican households would pay $8 annually to protect habitat in Mexico and $5 annually to protect habitat in the United States. In both countries, these WTP amounts rose significantly for increasing the size of the bat population rather than simply stabilizing the current bat population. The ratio of Mexican household WTP relative to U.S. household WTP is nearly identical to that of Mexican household income relative to U.S. household income. This suggests that the perceived economic benefits received from the bats is similar in Mexico and the United States, and that scaling WTP by relative income in international benefit transfer may be plausible.

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ABSTRACT: The objectives of this study were to assess visitors' attitudes, if visitors would be willing to pay to enter Lake Karagol, and what factors affect their decision to pay. The contingent valuation method was used to estimate the economic value of the lake by assessing willingness to pay (WTP). Double dichotomous questions were used in the survey. Respondents were first asked whether or not they would be willing to pay the starting bid. They could either answer in the affirmative (that is, accepted bid) or in the negative (that is, reject the starting bid). The average WTP for an entrance fee was found to be about USD 0.22 for all observations when zero bids were included, and about USD 4.40 when zero bids were excluded. Result of the probit model showed that respondents with a higher income, respondents who were young, and the working status of the respondents had significant impacts on the probability of the WTP.

RESUMO: O objetivo deste estudo foi analisar as atitudes dos visitantes e se eles estavam dispostos a pagar entrada no Lago Karago e quais eram os fatores que afetavam a sua decisão. O método de avaliação contingente foi usado para estimar o valor econômico do Lago usando a decisão dos visitantes de estarem dispostos a pagar entrada. Perguntas duplamente dicotômicas foram usadas no questionário. Os inquiridos foram questionados primeiro se estariam dispostos a pagar um valor inicial. Eles poderiam responder afirmativamente (aceitavam o valor) ou negativamente (rejeitavam o valor). O valor médio (vontade de pagar) de uma entrada foi de 0.22 dólares estadunidenses para todas as respostas, incluindo o mínimo de 0 e de 4.40 dólares estadunidenses excluindo o mínimo de 0. O resultado do modelo de lucro mostrou que os inquiridos com maior valor salarial e mais jovens com estatuto de trabalhadores tinham mais impacto na probabilidade de vontade de pagar.

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Economic benefits are derived from sea turtle tourism all over the world. Sea turtles also add value to underwater recreation and convey non-use values. This study examines the non-market value of sea turtles in Tobago. We use a choice experiment to estimate the value of sea turtle encounters to recreational SCUBA divers and the contingent valuation method to estimate the value of sea turtles to international tourists. Results indicate that turtle encounters were the most important dive attribute among those examined. Divers are willing to pay over US$62 per two tank dive for the first turtle encounter. The mean WTP for turtle conservation among international visitors to Tobago was US$31.13 which reflects a significant non-use value associated with actions targeted at keeping sea turtles from going extinct. These results illustrate significant non-use and non-consumptive use value of sea turtles, and highlight the importance of sea turtle conservation efforts in Tobago and throughout the Caribbean region.

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CONTEXT: There is an established association between the provision of health care services and maternal mortality. In Ecuador, little is known if the societal value is greater than the resources expended in preventive medicine. AIMS: The purpose of this research is to investigate Ecuadorians' willingness to pay to prevent maternal death and disabilities due to complications of care during childbirth in the context of universal coverage. METHODS AND MATERIALS: The study elicited a "contingent" market on morbidity and mortality outcomes, specific to Ecuador's epidemiologic profiles between a hypothetical market that included a 50% reduction in the risk of maternal mortality from 100 to 50 per 100,000, and a market that included a 50% reduction in the risk of maternal morbidity from 4,000 to 2,000 per 100,000. RESULTS: The average amount participants are willing to pay (WTP) to prevent maternal mortality in the context of universal coverage, was $176 a year (95% CI=$172, $179). The unadjusted mean WTP for a reduction in the maternal morbidity risk was $135 (95% CI=$132, $139). Translated into Value of statistical Life, participant´s from this study valued the prevention of one statistical maternal death at USD $352,000. CONCLUSION: Results suggest that the costs of maternal care do not outweigh the benefit of prevention, and that Ecuadorians are willing to pay a significant amount to reduce the risk of maternal mortality. GLOBAL HEALTH IMPLICATIONS: Reduction of maternal mortality will remain an important global developmental goal in the upcoming years. Having a monetary approximation on the value of these losses may have important implications in the allotting financial and technical resources to reduce it.

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Artificial reefs in marine protected areas provide additional habitat for biodiversity viewing, and therefore may offer an innovative management solution for managing for coral reef recovery and resilience. Marine park user fees can generate revenue to help manage and maintain natural and artificial reefs. Using a stated preference survey, this study investigates the present consumer surplus associated with visitor use of a marine protected area in Barbados. Two hypothetical markets were presented to differentiate between respondents use values of either: (a) natural reefs within the marine reserve or (b) artificial reef habitat for recreational enhancement. Information was also collected on visitors' perceptions of artificial reefs, reef material preferences and reef conservation awareness. From a sample of 250 visitors on snorkel trips, we estimate a mean willingness to pay of US$18.33 (median-US$15) for natural reef use and a mean value of US$17.58 (median-US$12.50) for artificial reef use. The number of marine species viewed, age of respondent, familiarity with the Folkestone Marine Reserve and level of environmental concern were statistically significant in influencing willingness to pay. Regression analyses indicate visitors are willing to pay a significant amount to view marine life, especially turtles. Our results suggest that user fees could provide a considerable source of income to aid reef conservation in Barbados. In addition, the substantial use value reported for artificial reefs indicates a reef substitution policy may be supported by visitors to the Folkestone Marine Reserve. We discuss our findings and highlight directions for future research that include the need to collect data to establish visitors' non-use values to fund reef management.

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This study aimed at estimating the consumer's willingness to pay (WTP) more for value-added pomegranate juice using the contingent valuation method (CVM). The WTP was estimated applying the open-ended elicitation technique with 454 consumers in two supermarkets located in Rio de Janeiro, Brazil. The average consumer's WTP more for pomegranate juice was estimated in R$2.04 (Brazilian currency) and the income elasticity coefficient at the midpoint was 0.19, i.e., a 10% increase in consumer income will increase, on average, 1.9% the WTP of pomegranate juice (ceteris paribus). Therefore, the income elasticity coefficient was considered inelastic, once an increase in income would have low effect on the WTP for these consumers. The results indicated that the consumers were interested in acquiring a non-traditional juice processed using a technology that preserves vitamins and antioxidants, maintains the flavor of "fresh juice" without colorants and preservatives, despite the pomegranate is not part of the Brazilian diet.

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In order to determine the willingness of the population of São Carlos (a city in the state of São Paulo, Brazil) to pay for the environmental protection (WTP) of the Feijão River's watershed, the Contingent Valuation Method (CVM), as well as the bidding-games technique, were used. In October 2010, 280 questionnaires were applied to a probabilistic sample of the population. A multivariate logistic regression model was built, creating five scenarios adjusted to the age and probability to pay according to the significant variables found. Concerning the WTP, 56% of the interviewees showed willingness to pay a monthly amount using the water bill as a vehicle for this. The WTP average was 1.94 US Dollar (USD), with a standard deviation of 1.91 USD. The total annual amount for the scenario that considers the whole population over 18 years old was of USD 3,930,616.80. The main argument for the negative WTP was that the interviewees could not afford it (14%).

A fim de determinar a disposição a pagar (DAP) da população de São Carlos – SP, Brasil, para a proteção ambiental da bacia hidrográfica do ribeirão do Feijão, o Método de Valoração Contingencial (MVC), bem como a técnica de eliciação bidding-games foram utilizados. Em outubro de 2010, 280 questionários foram aplicados a uma amostra probabilística da população. Um modelo de regressão logística multivariada foi construído, criando cinco cenários ajustados pela idade e probabilidade de pagar de acordo com as variáveis significativas encontradas. Em relação à DAP, 56% dos entrevistados se mostraram dispostos a pagar uma quantia mensal usando a conta de água como veículo de pagamento. A média DAP foi de 1.94 US Dollar (USD), com um desvio padrão de 1,91 USD. O valor total anual estimado para o cenário que considera toda a população com mais de 18 anos de idade foi de USD 3,930,616.80. O principal argumento para a não DAP foi que os entrevistados não tinham condições financeiras (14%).

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In order to determine the willingness of the population of São Carlos (a city in the state of São Paulo, Brazil) to pay for the environmental protection (WTP) of the Feijão River's watershed, the Contingent Valuation Method (CVM), as well as the bidding-games technique, were used. In October 2010, 280 questionnaires were applied to a probabilistic sample of the population. A multivariate logistic regression model was built, creating five scenarios adjusted to the age and probability to pay according to the significant variables found. Concerning the WTP, 56% of the interviewees showed willingness to pay a monthly amount using the water bill as a vehicle for this. The WTP average was 1.94 US Dollar (USD), with a standard deviation of 1.91 USD. The total annual amount for the scenario that considers the whole population over 18 years old was of USD 3,930,616.80. The main argument for the negative WTP was that the interviewees could not afford it (14%).(AU)

A fim de determinar a disposição a pagar (DAP) da população de São Carlos SP, Brasil, para a proteção ambiental da bacia hidrográfica do ribeirão do Feijão, o Método de Valoração Contingencial (MVC), bem como a técnica de eliciação bidding-games foram utilizados. Em outubro de 2010, 280 questionários foram aplicados a uma amostra probabilística da população. Um modelo de regressão logística multivariada foi construído, criando cinco cenários ajustados pela idade e probabilidade de pagar de acordo com as variáveis significativas encontradas. Em relação à DAP, 56% dos entrevistados se mostraram dispostos a pagar uma quantia mensal usando a conta de água como veículo de pagamento. A média DAP foi de 1.94 US Dollar (USD), com um desvio padrão de 1,91 USD. O valor total anual estimado para o cenário que considera toda a população com mais de 18 anos de idade foi de USD 3,930,616.80. O principal argumento para a não DAP foi que os entrevistados não tinham condições financeiras (14%).(AU)

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Objetivo. Determinar la disposición de los padres de hijas adolescentes a pagar por una vacuna contra el virus del papiloma humano en la Región del Maule, Chile. Material y métodos. Se utilizó una muestra de 386 padres con hijas entre 12 y 18 años, representativa de las cinco ciudades de mayor población de la Región del Maule, estratificada socioeconómicamente. La disposición a pagar se obtuvo usando el método de valoración contingente en su formato dicotómico doble. Resultados. Los padres están dispuestos a pagar en promedio 126.538 pesos chilenos para vacunar a sus hijas contra el virus; el precio y número de hijas afecta negativamente la probabilidad de la disposición a pagar, y el ingreso familiar afecta positivamente dicha probabilidad. Conclusión. Existe la posibilidad de utilizar financiamiento compartido entre el Estado y los padres de las potenciales hijas que puedan recibir la vacuna contra el virus del papiloma humano para reducir la incidencia de cáncer de cuello uterino.

Objective. To determine the willingness to pay of parents of teenage daughters for a vaccine against human papillomavirus in the Maule Region, Chile. Materials and methods. A sample of 386 parents with daughters between 12 and 18 years old, representing the five largest cities of the Region of Maule, socioeconomically stratified. WTP was obtained using the contingent valuation method in double bounded format. Results. Parents are willing to pay an average of US$ 252.71 to vaccinate their daughters against virus, where the price and number of daughters negatively affects the probability of willingness to pay, and family income positively affects the probability. Conclusion. There is a possibility of using shared funding between the government and the parents of potential daughter to be affected by the human papillomavirus to reduce cervical cancer events.

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