Table 2.
Determinants of CHE
Determinants of catastrophic health expenditure (CHE) | Western Africa | South Africa | East and Central Africa | Total studies per determinant |
---|---|---|---|---|
Household economic status: Poor-income households Middle-income households High-income households |
4 [5, 15, 28, 33] |
2 [12, 14] |
4 [1, 6, 13, 27*] |
10 |
Type of health care provider: Private Public |
2 [11, 24] |
1 [14] |
5 [1, 9, 13, 27*, 34] |
8 |
Type of illness: HIV-ART Tuberculosis Obstetrics Malaria Chronic illnesses |
5 [5, 10, 11, 24, 33] |
2 [12, 29] |
5 [1, 6, 9, 13, 27*] |
12 |
Household member characteristics Employment status Education level Gender/sex Age of household members |
5 [5, 15, 24, 28, 33] |
3 [12, 22, 29] |
7 [1, 6, 9, 13, 27*, 31, 34] |
15 |
Geographical location Distance to the health facility Residence (rural/urban) |
3 [24, 11, 15] |
3 [14, 22, 29] |
5 [1, 6, 9, 31, 34] |
11 |
Social insurance/health scheme Health insurance Social network scheme |
3 [5, 11, 28] |
Nil | 1 [9] |
4 |
Household size and composition Number of household members Household with elderly people Household with under 5 children |
5 [5, 10,11, 24, 33] |
2 [12, 22] |
6 [1, 6, 9, 13, 31, 34] |
13 |
*Central African region (Democratic Republic of Congo)