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] |