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Table 1 Key demographic and health indicators in the study counties

From: “We are called the et cetera”: experiences of the poor with health financing reforms that target them in Kenya

Indicator

Nairobi County (urban)

Siaya County (rural)

Kenya

Population in 2015/16 [37]

 

 Total

4,463,000

985,000

45,371,000

 Male

2,237,000 (50.1%)

466,000 (47.3%)

22,393,000 (49.4%)

 Female

2,226,000 (49.9%)

519,000 (52.7%)

22,977,000 (50.6%)

 Poverty rate in 2015/16 [38]

16.7%

33.8%

36.1%

HDSS [33, 35, 39,40,41,42,43,44]

 Population

70,000

255,000

> 868,472

 Households

25,793

63,943

> 173,220

Health facilities in 2015 [45, 46]

 Public

161

123

4929

 Non-governmental

118

7

347

 Faith-based

100

16

1081

 Private

543

28

3797

 Utilization of traditional/faith healers/herbalists

0.9%

0.9%

0.8%

Health personnel in public facilities in 2015 [45, 46]

 Nurses (per 100,000 people)

53

33

55

 Doctors (per 100,000 people)

14

2

10

 Clinical Officers (per 100,000 people)

6

25

21

Access to health services [37]

 Utilization of curative services

17.3%

30.6%

18.0%

 Utilization of promotive/preventive services

2.4%

7.3%

4.2%

 Health facility deliveries

90.8%

83.9%

67.2%

 Measles I & II immunization coverage (0–59 months)

77.7%

83.4%

77.4%

Health financing

 Total government health spending, 2014/15 (per capita in US$) [47]

34.9

76.8

66.7

 Health insurance coverage (2015/2016) [37]

40.7%

7.6%

19.0%