引导纳税人的态度:探索库马西对城市卫生附加费的支持。

IF 2.3 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Environmental Health Insights Pub Date : 2024-04-19 eCollection Date: 2024-01-01 DOI:10.1177/11786302241247797
Eugene Appiah-Effah, Godwin Armstrong Duku, Kingsley Boakye, Charles Oduro, Kwabena Biritwum Nyarko
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引用次数: 0

摘要

背景:加纳的城市环境卫生挑战持续存在,促使大城市、市和区议会(MMDAs)探索附加费等创新筹资机制,为环境卫生服务提供资金。本研究评估了业主对征收卫生附加费以改善库马西大都市扶贫卫生设施的态度:对库马西大都市的 424 名业主进行了横截面分析研究。采用多阶段抽样技术,通过结构化问卷向受访者征集信息:调查结果显示,36.1% 的受访者愿意支付卫生附加费,63.9% 的受访者反对在该大都市实施卫生附加费。拥有房产和支持卫生附加费与较高的支付意愿相关。支付物业费的参与者支持卫生附加费的几率降低。与支持扶贫支出相关的因素包括年龄(61-80 岁)[AOR = 1.81,95%CI = 1.60-3.82]和支付环卫附加费的意愿[AOR = 11.07,95%CI = 6.63-18.49]。不利于支持扶贫支出的保护因素包括:居住在中产阶级社区[AOR = 0.25,95%CI = 0.08-0.81]、认为卫生状况有所改善[AOR = 0.41,95%CI = 0.21-0.81]和拥有家庭厕所设施(OR = 0.65,95%CI = 0.36-0.95):这项研究揭示了一种微妙的情况,即对资金使用、税收负担和对地方机构的信任的担忧在很大程度上影响着公众的情绪。为提高公众的接受度和参与度,政策制定者应优先考虑透明的沟通方式,以建立信任并传达卫生附加费资金的有效利用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Navigating Taxpayers Attitude: Exploring Support for Urban Sanitation Surcharge in Kumasi.

Background: Urban sanitation challenges persist in Ghana, prompting Metropolitan, Municipal, and District Assemblies (MMDAs) to explore innovative funding mechanisms such as surcharges to fund sanitation services. This study assesses property owners' attitudes toward the imposition of sanitation surcharge for pro-poor sanitation improvement in the Kumasi Metropolis.

Method: An analytical cross-sectional study was conducted among 424 property owners in the Kumasi metropolis. Structured questionnaires were utilized to solicit information from respondents using multi-stage sampling techniques.

Results: Findings indicated that 36.1% of respondents were willing to pay the sanitation surcharge, while 63.9% opposed its implementation in the Metropolis. Property ownership and support for a sanitation surcharge were associated with higher odds of willingness to pay. Participants paying property rates had decreased odds of supporting the sanitation surcharge. Factors associated with pro-poor spending support included age (61-80 years) [AOR = 1.81, 95%CI = 1.60-3.82] and willingness to pay sanitation surcharge [AOR = 11.07, 95%CI = 6.63-18.49]. Protective factors against supporting pro-poor spending included residing in medium-class communities [AOR = 0.25, 95%CI = 0.08-0.81], perceiving improvement in sanitation status [AOR = 0.41, 95%CI = 0.21-0.81) and having a home toilet facility (OR = 0.65, 95%CI = 0.36-0.95).

Conclusion: The study revealed a nuanced landscape where concerns about fund utilization, perceived tax burdens, and trust in local institutions significantly shape public sentiment. To enhance public acceptance and participation, policymakers should prioritize transparent communication to build trust and convey the effective utilization of funds from the sanitation surcharge.

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来源期刊
Environmental Health Insights
Environmental Health Insights PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
3.20
自引率
22.20%
发文量
97
审稿时长
8 weeks
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