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Table 4 Summary of health care facility (hospitals, clinics, and dispensaries) surveyed

From: Discovering the cost of care: consumer, provider, and retailer surveys shed light on the determinants of malaria health-seeking behaviours

Variable

Public

Private

Number of facilities surveyed

11 (73.3 %)

4 (26.7 %)

 # of hospitals

3 (20.0 %)

1 (6.7 %)

 # of health centres

5 (33.3 %)

2 (13.3 %)

 # of dispensaries/clinics

3 (20.0 %)

1 (6.7 %)

Hours of operation

 9 h or fewer

7 (46.6 %)

4 (26.7 %)

 24 h

4 (26.7 %)

0

Days of operation

 5 days/week

5 (33.3 %)

1 (7.0 %)

 7 days/week

6 (40.0 %)

3 (20.0 %)

 Median population served [range]

13,885 [1310–164,951]

11,189 [2683–20,000]

Staffing

 # of facilities with doctors [range]

2 (13.3 %) [0–8]

1 (7.0 %) [0–3]

 Median number of clinical officers [range]

2 [0–18]

1.5 [0–4]

 Median number of nurses [range]

8 [2–53]

7 [2–20]

 Median number of microscopists [range]

2 [0–4]

2 [2–4]

Malaria

 Median # of microscopy confirmed cases in three mos. preceding survey [range]

222

189

 Diagnostic method: microscopy exclusively

5 (33.3 %)

2 (13.3 %)

 Diagnostic method: microscopy + RDT

3 (20.0 %)

2 (13.3 %)

 Diagnostic method: symptoms exclusively

3 (20.0 %)

0

ACT stocking

 Facilities stocked with ACT at time of survey

11 (73.3 %)

4 (26.7 %)

 Experienced shortage of ACT in 3 months preceding survey [range]

4 (26.7 %)

2 (13.3 %)

 # of facilities that had to wait >24 h before ACT was restocked

4 (26.7 %)

2 (13.3 %)

 # of facilities that either substitute another anti-malarial or refer patient to nearest retailer

5 (33.3 %)

2 (13.3 %)

Charges [in Kenyan shillings]

 # of facilities that charged registration fees [average fee]

11 (73.3 %) [19 KSH]

3 (20.0 %) [55 KSH]

 # of facilities that charged diagnosis fees [average fee]

8 (53.3 %) [46 KSH]

4 (26.6 %) [70 KSH]

 # of facilities that charged other miscellaneous fees per patient per visit [average fee]

8 (53.3 %) [26 KSH]

0

 # of facilities that charged for medication [average fee]

1 (6.7 %) [40 KSH]

3 (20.0 %) [73 KSH]

 Overall average costs per patient of health care facility visit (not including cost of medication) [range]

72 KSH [30 KSH–90 KSH]

125 KSH [50 KSH–250 KSH]