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Table 1 Characteristics of c-section patients at Kirehe District Hospital (N = 479)

From: The true costs of cesarean delivery for patients in rural Rwanda: Accounting for post-discharge expenses in estimated health expenditures

 

Frequency

Percent

 

N = 479

(%)

SOCIODEMOGRAPHIC CHARACTERISTICS

Age

 < 18

17

3.6

18–30

312

65.1

31–40

131

27.3

 > 40

19

4.0

Level of education

Less than 6 years of primary school

48

10.0

Completed 6 years of primary school

314

65.6

Secondary school or more ¥

117

24.4

Occupation

  

Farmer

406

84.7

Employed

54

11.3

Unemployed

19

4.0

Ubudehe* categories (N = 477)

Ubudehe 1

44

9.2

Ubudehe 2

258

54.1

Ubudehe 3 & 4

175

36.7

Insurance Type

Community Based Health Insurance or Mutuelle

454

94.8

Private

25

5.2

CLINICAL CHARACTERISTICS

Parity

  

Primiparous (1)

167

34.9

Multiparous (2–5)

277

57.8

Grand-multiparous (> 5)

35

7.3

Antenatal Care Visits (N = 478)

  

1 to 4

473

98.9

Greater than 4

5

1.1

Patients with postoperative complications¶

10

2.1

Number of post discharge follow up visits Median (IQR)

2

(1–3)

Number of prior c-section

None

325

68.4

1

111

23.4

2 or 3

39

8.2

ACCESS TO HOSPITAL AND HEALTH CENTER

Mode of transport (health center to hospital)

Ambulance

295

61.6

Walked

129

26.9

Public or private transport

17

3.1

Travel times

Home to health center (min) Median (IQR)(N = 435)

30

(15,60)

Health center to hospital (min) Median (IQR)(N = 434)

40

(5,60)

HOUSEHOLD FINANCIAL CHARACTERISTICS

Household size, Median (IQR)

4

(3,6)

Self-reported annual income, (USD), Median (IQR)

1510.4

(1028.0,2435.5)

Self-reported annual household expenditure, (USD)§, Median (IQR) N = 476

504.8

(331.8,751.8)

Daily expenditure/person, (USD)§ median (IQR)

0.3

(0.2–0.5)

Living below international poverty lineǂ

431

90.0

Borrowed money to afford c-section expenses N = 478

308

64.4

Sold possessions to afford c-section expenses (N = 474)

87

18.4

  1. ¥ Secondary school or more: include those who enrolled in high school but didn’t complete it, those who completed of high school, and those who have some years of education in a bachelor or masters degrees
  2. *4-tier wealth system the bottom tier represents the least privileged and the upper tier is for the financially better off
  3. ¶ Post-operative complications include surgical site infections, post-partum hemorrhage, wound dehiscence and other wound complication
  4. §Converted to USD using nominal exchange rate at study start date (October, 2019) 1 USD = 916.17 RWF
  5. ǂInternational extreme poverty line = 1.9USD