This study evaluated households’ willingness to pay (WTP) for a proposed National Health Insurance Scheme (NHIS) in Gambia, following the 2021 enactment of the National Health Insurance Bill. Surveying heads of households from July to August 2020, the study used a contingent valuation method to determine WTP. Results showed over 90% of respondents (677 out of 718) were willing to join and pay, with 58.8% accepting the initial bid of US$20.78. The average WTP was US$23.27, with a maximum of US$26.01. Key factors influencing WTP included gender, education, and income, with higher income reducing WTP. The study suggests strong public support for the NHIS, providing valuable insights for policymakers in Gambia and other sub-Saharan African countries.
