Mobile Phone Use and Willingness to Pay for SMS for Diabetes in Bangladesh

J Public Health (Oxf). 2016 Mar;38(1):163-9. doi: 10.1093/pubmed/fdv009. Epub 2015 Feb 16.

Abstract

Background: Mobile phone SMS is increasingly used as a means of communication between patients and their healthcare providers in many countries of the world. We investigated mobile phone use and factors associated with willingness-to-pay (WTP) for diabetes SMS among patients with type 2 diabetes in Bangladesh.

Methods: As part of a randomized controlled study, in 515 patients with type 2 diabetes, socioeconomic status, mobile phone use, WTP for diabetes SMS, anthropometry and HbA1c were measured. Multivariate regression was used to identify factors associated with WTP.

Results: The median (interquartile range [IQR]) of WTP for diabetes SMS was 20 (45) Bangladesh Taka (BDT) (1 BDT = 0.013 US$). WTP was significantly higher for males [OR 2.4, 95% CI (1.0-5.7)], patients with household income >50 000 BDT [4.6 (1.1-20.4)] and those with primary education [5.6 (1.2-26.6)] and secondary and higher education [5.2 (1.4-19.6)].

Conclusions: The high proportion of mobile phone use and WTP for diabetes SMS are encouraging as possible strategy to use such technologies and deserve further evaluation.

Keywords: chronic disease; diabetes; economics; mobile phone; short message services (SMS); willingness to pay.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Bangladesh
  • Cell Phone*
  • Diabetes Mellitus, Type 2 / psychology
  • Diabetes Mellitus, Type 2 / therapy*
  • Educational Status
  • Female
  • Financing, Personal
  • Humans
  • Income / statistics & numerical data
  • Male
  • Middle Aged
  • Sex Factors
  • Text Messaging* / economics
  • Text Messaging* / statistics & numerical data