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. 2023 Jun 1;22:107. doi: 10.1186/s12939-023-01923-5

Table 3.

Mean annual OOP payments (KES) by income quintiles, NHIF enrolment, NCD status and county*

Outpatient (SE) Routine care (SE) Inpatient (SE) Total Healthcare costs (SE) Transport (SE) Overall (Healthcare + Transport) (SE)
Wealth quintile
 Quintile 1 (poorest) 29,757 (4,166) 18,442 (3,467) 13,294 (3,435) 38,962 (4,495) 9,583 (1,733) 46,439 (5,060)
 Quintile 2 33,397 (3,603) 11,978 (1,776) 10,453 (2,875) 38,441 (3,624) 9,293 (885) 46,143 (3,996)
 Quintile 3 33,291 (4,511) 13,842 (2,679) 24,197 (10,782) 45,330 (6,162) 9,184 (1,267) 53,418 (6,790)
 Quintile 4 40,597 (7,817) 13,811 (2,436) 39,537 (13,122) 57,689 (10,757) 10,687 (1,459) 66,574 (10,687)
 Quintile 5 (richest) 60,999 (15,328) 28,976 (10,044) 43,690 (19,064) 80,656 (16,683) 10,894 (1,321) 86,806 (16,076)
NHIF enrolment (Wave 1 to 4)
 Active NHIF 33,803 (7,660) 12,587 (4,236) 42,769 (22,847) 42,503 (8,752) 11,886 (2,234) 49,077 (8,323)
 No NHIF (Inactive + No NHIF) 44,865 (11,221) 8,706 (1.712) 9,754 (2,256) 48,796 (10,846) 12,999 (3,096) 58,345 (11,341)
 Partial NHIF 39,434 (4,266) 18,883 (2,749) 27,096 (5,816) 53,576 (5,052) 9,210 (552) 61,368 (5,096)
NCD status
 Comorbid 45,421 (7,351) 15,135 (2,050) 30,560 (8,511) 58,263 (7,865) 9,688 (812) 66,095 (7,920)
 Diabetes 30,413 (3,212) 24,478 (8,247) 14,183 (6,452) 41,823 (6,070) 9,564 (1,197) 49,235 (6,375)
 Hypertension 36,501 (4,592) 17,690 (4,048) 26,171 (7,920) 49,075 (6,002) 10,316 (1,108) 57,030 (5,975)
County
 Busia 36,596 (3,856) 14,878 (1,867) 19,516 (4,849) 46,538 (4,374) 10,874 (1,071) 55,070 (4,593)
 Trans Nzoia 42,677 (6,444) 20,563 (4,504) 34,075 (9,305) 57,915 (7,521) 8,880 (482) 64,920 (7,430)
Total 39,524 (3,690) 17,626 (2,383) 26,210 (5,028) 52,013 (4,274) 9,922 (606) 59,766 (4,281)

*Only households reporting OOP payments for care-seeking events

† Includes households that changed from active to inactive/no NHIF enrolment or vice versa over one year