+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Patient costs of hypertension care in public health care facilities in Kenya

Patient costs of hypertension care in public health care facilities in Kenya

International Journal of Health Planning and Management 2019

Hypertension in low- and middle-income countries, including Kenya, is of economic importance due to its increasing prevalence and its potential to present an economic burden to households. In this study, we examined the patient costs associated with obtaining care for hypertension in public health care facilities in Kenya. We conducted a cross-sectional study among adult respondents above 18 years of age, with at least 6 months of treatment in two counties. A total of 212 patients seeking hypertension care at five public facilities were interviewed, and information on care seeking and the associated costs was obtained. We computed both annual direct and indirect costs borne by these patients. Overall, the mean annual direct cost to patients was US$ 304.8 (95% CI, 235.7-374.0). Medicines (mean annual cost, US$ 168.9; 95% CI, 132.5-205.4), transport (mean annual cost, US$ 126.7; 95% CI, 77.6-175.9), and user charges (mean annual cost, US$ 57.7; 95% CI, 43.7-71.6) were the highest direct cost categories. Overall mean annual indirect cost was US$ 171.7 (95% CI, 152.8-190.5). The incidence of catastrophic health care costs was 43.3% (95% CI, 36.8-50.2) and increased to 59.0% (95% CI, 52.2-65.4) when transport costs were included. Hypertensive patients incur substantial direct and indirect costs. High rates of catastrophic costs illustrate the urgency of improving financial risk protection for these patients and strengthening primary care to ensure affordability of hypertension care.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 066494416

Download citation: RISBibTeXText

PMID: 30762904

DOI: 10.1002/hpm.2752

Related references

Assessing prescribing and patient care indicators for children under five years old with malaria and other disease conditions in public primary health care facilities. Southeast Asian Journal of Tropical Medicine and Public Health 37(1): 206-214, 2006

Effects of mother related factors on perinatal outcomes-a study of mothers seeking antenatal care at public and non-public health facilities in Kisii County, Kenya. Journal of Public Health in Africa 8(2): 689, 2018

Health care facilities and hospitals working together to improve care and reduce health care costs. Nursing Homes 27(3): 30-32, 1978

Implementation of Fee-Free Maternal Health-Care Policy in Ghana: Perspectives of Users of Antenatal and Delivery Care Services From Public Health-Care Facilities in Accra. International Quarterly of Community Health Education 38(4): 259-267, 2018

Isolation of multidrug-resistant tuberculosis strains in patients from private and public health care facilities in Nairobi, Kenya. International Journal of Tuberculosis and Lung Disease 8(7): 837-841, 2004

Costs of postabortion care in public sector health facilities in Malawi: a cross-sectional survey. Bmc Health Services Research 15: 562, 2016

The effect of Kenya's free maternal health care policy on the utilization of health facility delivery services and maternal and neonatal mortality in public health facilities. Bmc Pregnancy and Childbirth 18(1): 77, 2018

The relative patient costs and availability of dental services, materials and equipment in public oral care facilities in Tanzania. Bmc Oral Health 15: 74, 2016

Rural Health Networks and Care Coordination: Health Care Innovation in Frontier Communities to Improve Patient Outcomes and Reduce Health Care Costs. Journal of Health Care for the Poor and Underserved 27(4a): 91-115, 2018

Implementing routine provider-initiated HIV testing in public health care facilities in Kenya: a qualitative descriptive study of nurses' experiences. Aids Care 23(10): 1291-1297, 2011

Hypertension self-care practice and associated factors among patients in public health facilities of Dessie town, Ethiopia. Bmc Health Services Research 19(1): 51-51, 2019

Perceptions of health care providers concerning patient and health care provider strategies to limit out-of-pocket costs for cancer care. Current Oncology 16(4): 3-8, 2009

An assessment of equity in the distribution of non-financial health care inputs across public primary health care facilities in Tanzania. International Journal for Equity in Health 16(1): 124, 2018

Analysis of health care costs of patients with diabetes mellitus and hypertension in a public health reference unit in Recife--Brazil. Arquivos Brasileiros de Endocrinologia E Metabologia 55(6): 406-411, 2012

Assessment of quality of care in maternal and newborn health services available in public health care facilities in Bangladesh. Bangladesh Medical Research Council Bulletin 35(2): 53-56, 2010