Women’s Knowledge, Aacceptance, and Willingness to Pay for Mammography in Yogyakarta, Indonesia: A Cross-Sectional Survey

Ramadhani, Anietta Indri; Kristina, Susi Ari; Trung, Vo Quang; Rosyida, Kanza Amalina

doi:10.31557/APJCP.2026.27.10.3525

Women’s Knowledge, Aacceptance, and Willingness to Pay for Mammography in Yogyakarta, Indonesia: A Cross-Sectional Survey

Document Type : Research Articles

Authors

¹ Master Student in Pharmacy Management, Faculty of Pharmacy, Universitas Gadjah Mada, Yogyakarta, Indonesia.

² Department of Pharmaceutics, Faculty of Pharmacy, Universitas Gadjah Mada, Yogyakarta, Indonesia.

³ Department of Economic and Administrative Pharmacy, Faculty of Pharmacy, Pham Ngoc Thach University of Medicine, Ho Chi Minh City, Vietnam.

10.31557/APJCP.2026.27.10.3525

Abstract

Background: Breast cancer remains the most common cancer among women globally and in Indonesia, with a high burden of morbidity and mortality. In Indonesia, mammography is not yet implemented as a national screening program and is not covered by the national health insurance system. Limited access, high costs, and varying levels of knowledge may influence women’s acceptance and willingness to pay (WTP) for screening. This study aimed to assess knowledge, acceptance, and WTP for mammography screening among women in Yogyakarta, Indonesia. Methods: A descriptive cross-sectional study was conducted from July to September 2024 among women aged ≥25 years in Yogyakarta. Data were collected using a self-administered online questionnaire distributed via Google Forms. The questionnaire assessed sociodemographic characteristics, knowledge, acceptance, and WTP using the contingent valuation method. A total of 428 valid responses were analyzed using descriptive statistics. Results: More than half of respondents (58.6%) had low knowledge of mammography screening. However, acceptance of screening was high (93.0%). Willingness to pay varied across payment scenarios, with 60.0% willing to pay out-of-pocket and 87.9% under a co-payment scheme. Interestingly, acceptance decreased to 43.5% when screening was fully funded by the government. The median WTP was IDR 500,000 (USD 32.5), which falls within the acceptable market price range. Key reasons for willingness to pay included early detection and perceived benefits, while high cost and lack of urgency were major barriers. Conclusion: Despite limited knowledge, acceptance and willingness to pay for mammography screening were relatively high, particularly under a co-payment scheme. These findings highlight the importance of improving public knowledge and designing financially acceptable screening strategies to enhance participation in breast cancer screening programs in Indonesia.

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