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Table 5 Incidence of catastrophic healthcare costs (CHE) in Busia and Trans Nzoia Counties

From: Evaluating the effectiveness of the National Health Insurance Fund in providing financial protection to households with hypertension and diabetes patients in Kenya

Variables

Healthcare costs

Healthcare + transport costs

 
 

n

% (95% CI)

n

% (95% CI)

p-value*

Socioeconomic status

     

 Quintile 1 (poorest)

162

35.8 (28.4–43.7)

171

43.3 (35.7–51.1)

0.000

 Quintile 2

168

20.2 (14.4–27.1)

175

25.7 (19.4–32.9)

 Quintile 3

170

11.8 (7.3–17.6)

174

15.5 (10.5–21.8)

 Quintile 4

167

12.0 (7.4–17.9)

172

18.0 (12.6–24.6)

 Quintile 5 (richest)

160

10.0 (5.8–15.7)

170

12.4 (7.8–18.3)

NHIF enrolment (Wave 1 to 4)

     

 Active NHIF

77

14.3 (7.4–24.1)

88

18.2 (10.8–27.8)

0.365

 No NHIF (Inactive + No NHIF)

92

19.6 (12.0-29.1)

99

28.3 (19.7–38.2)

NHIF enrolment (Wave 1 to 4)

     

 Active NHIF

77

14.3 (7.4–24.1)

88

18.2 (10.8–27.8)

0.283

 No NHIF (Inactive + No NHIF)

92

19.6 (12.0-29.1)

99

28.3 (19.7–38.2)

 Partial NHIF†

658

18.1 (15.2–21.2)

675

22.8 (19.7–26.2)

Care seeking

     

 Outpatient

806

13.0 (10.8–15.5)

854

16.5 (14.1–19.2)

0.001

 Routine

300

5.3 (4.5–11.9)

—

—

 Inpatient

224

7.6 (4.5–11.9)

291

6.2 (3.7–9.6)

NCD status

     

 Comorbid

350

18.3 (14.4–22.7)

361

23.0 (18.7–27.7)

0.954

 Diabetes

129

17.8 (11.7–25.5)

136

22.1 (15.4–30.0)

 Hypertension

345

17.4 (13.5–21.8)

362

23.2 (19.0-27.9)

County

     

 Busia

429

16.8 (13.4–20.7)

451

23.1 (19.2–27.2)

0.386

 Trans Nzoia

398

19.1 (15.4–23.3)

411

22.9 (18.9–27.2)

Overall

827

17.9 (15.4–20.7)

862

23.0 (20.3–25.9)

 
  1. † Includes households that changed from active to inactive NHIF enrolment or vice versa over one year
  2. Notes: significant p-values at 5% level of significance in bold, *Pearson’s Chi-squared test