{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T18:56:55Z","timestamp":1782845815820,"version":"3.54.5"},"reference-count":43,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMIRx Med"],"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n The 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.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n This study aimed to assess the prevalence of WTP for the COVID-19 vaccine and its correlates.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n A 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.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n The 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\u2019s 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\u20100.95) and high perceived behavioral control regarding COVID-19 vaccination (aOR 0.86, 95% CI 0.76\u20100.96;\n P<\/jats:italic>\n =.006).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n With 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.<\/jats:p>\n <\/jats:sec>","DOI":"10.2196\/69827","type":"journal-article","created":{"date-parts":[[2025,8,15]],"date-time":"2025-08-15T19:42:14Z","timestamp":1755286934000},"page":"e69827-e69827","source":"Crossref","is-referenced-by-count":4,"title":["Willingness to Pay for the COVID-19 Vaccine and Its Correlates in Bangladesh: Cross-Sectional Study"],"prefix":"10.2196","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4615-5086","authenticated-orcid":false,"given":"Mohammad Bellal","family":"Hossain","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0958-0147","authenticated-orcid":false,"given":"Md Zakiul","family":"Alam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9710-2377","authenticated-orcid":false,"given":"Md Syful","family":"Islam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9622-1048","authenticated-orcid":false,"given":"Shafayat","family":"Sultan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6074-5889","authenticated-orcid":false,"given":"Md Mahir","family":"Faysal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1956-2612","authenticated-orcid":false,"given":"Sharmin","family":"Rima","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8728-5250","authenticated-orcid":false,"given":"Md Anwer","family":"Hossain","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0126-4756","authenticated-orcid":false,"given":"Abdullah Al","family":"Mamun","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9885-8109","authenticated-orcid":false,"given":"Abdullah-Al-","family":"Mamun","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1010","published-online":{"date-parts":[[2025,8,15]]},"reference":[{"issue":"14","key":"R1","doi-asserted-by":"publisher","first-page":"1968","DOI":"10.1016\/j.vaccine.2021.02.060","article-title":"Willingness to pay and financing preferences for COVID-19 vaccination in China","volume":"39","author":"Wang","journal-title":"Vaccine (Auckl)"},{"key":"R2","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2015.00269","article-title":"Vaccines through centuries: major cornerstones of global health","volume":"3","author":"Hajj Hussein","journal-title":"Front Public Health"},{"issue":"12","key":"R3","doi-asserted-by":"publisher","first-page":"3074","DOI":"10.1080\/21645515.2020.1819741","article-title":"Willingness-to-pay for a COVID-19 vaccine and its associated determinants in Indonesia","volume":"16","author":"Harapan","journal-title":"Hum Vaccin Immunother"},{"issue":"7","key":"R4","doi-asserted-by":"publisher","first-page":"977","DOI":"10.1007\/s10198-020-01208-6","article-title":"Once we have it, will we use it? 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