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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]