Table 3.
Number of paediatric patients who attended GoK health facilities during the study period and their patterns of use of health facilities for the treatment of fevers determined by distances travelled
| District | Number of patients interviewed |
Mean distance travelled to health facility (km) |
Percent patients using nearest facility |
Correlation between distance predicted and actual use of health facilities* |
||||
|---|---|---|---|---|---|---|---|---|
| Urban | Rural | Total | Urban | Rural | Overall | |||
| Greater Kisii | ||||||||
| Hospitals | 25 | 144 | 169 | 2.6 | 5.9 | 5.5 | 43 (72) | R2 = 0.879 |
| Health centres | 0 | 89 | 89 | – | 3.3 | 3.3 | 54 (48) | P ≤ 0.01 |
| Dispensaries | 3 | 202 | 205 | 5.4 | 2.7 | 2.8 | 67 (138) | |
| Total | 28 | 435 | 463 | 2.9 | 3.9 | 3.9 | 56 (258) | |
| Bondo | ||||||||
| Hospitals | 22 | 48 | 70 | 1.2 | 5.8 | 4.4 | 74 (52) | R2 = 0.706 |
| Health centres | 6 | 101 | 107 | 5.0 | 3.1 | 3.2 | 76 (81) | P ≤ 0.01 |
| Dispensaries | 6 | 212 | 218 | 4.3 | 2.7 | 2.7 | 89 (194) | |
| Total | 34 | 361 | 395 | 2.5 | 3.2 | 3.2 | 83 (327) | |
| Kwale | ||||||||
| Hospitals | 28 | 65 | 93 | 3.4 | 8.1 | 6.8 | 61 (57) | R2 = 0.996 |
| Health centres | 12 | 97 | 109 | 4.1 | 6.0 | 5.8 | 53 (58) | P ≤ 0.01 |
| Dispensaries | 15 | 205 | 220 | 1.2 | 4.9 | 4.7 | 79 (173) | |
| Total | 55 | 367 | 422 | 2.9 | 5.8 | 5.4 | 68 (288) | |
| Makueni | ||||||||
| Hospitals | 9 | 62 | 71 | 0.4 | 6.5 | 5.9 | 72 (44) | R2 = 0.927 |
| Health centres | 4 | 162 | 166 | 0.5 | 5.1 | 5.5 | 60 (100) | P ≤ 0.01 |
| Dispensaries | 0 | 151 | 151 | – | 4.9 | 4.9 | 78 (118) | |
| Total | 13 | 375 | 388 | 0.5 | 5.6 | 5.4 | 68 (262) | |
*
We performed a logarithmic transformation of percentage potential and actual use at similar distances and used a simple linear regression to test the correlation between potential use based on distances to nearest facility and actual use revealed in the survey.