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Table 2 Determinants of CHE

From: Understanding variations in catastrophic health expenditure, its underlying determinants and impoverishment in Sub-Saharan African countries: a scoping review

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

  1. *Central African region (Democratic Republic of Congo)