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Table 5 Multiple logistic regression analysis: relative influence of demand- and supply-side factors on the likelihood of incurring excessive out-of-pocket expenditure (OOPs) for outpatient care

From: Assessing out-of-pocket expenditures for primary health care: how responsive is the Democratic Republic of Congo health system to providing financial risk protection?

Determinant

Adjusted OR

SE

p-value

Poorest (vs. Wealthiest)

0.37

0.16

0.023*

 Poorer

0.44

0.16

0.022*

 Middle

0.46

0.16

0.031*

 Wealthier

0.49

0.14

0.012*

Highest education of hh head: Primary (vs. None)

1.45

0.80

0.500ns

 Secondary

1.63

0.75

0.291ns

 Tertiary

1.03

0.68

0.963ns

Owns a transportation mean

0.43

0.12

0.002*

Large household size (≥6)

1.77

0.50

0.042*

Days lost: Less than a week (vs. Zero)

1.27

0.40

0.441ns

 Days lost: A week to less than a month

1.56

0.48

0.152ns

 Days lost: One month or above

3.97

0.19

0.005*

Private sector (vs. Public sector)

4.93

8.36

0.348ns

 Informal sector

2.50

4.18

0.584ns

Total number of paid visits

0.91

0.14

0.570ns

Share of OOPs on drugs

0.21

0.12

0.007*

Equateur (vs. Maniema/Orientale)

0.23

0.09

0.000***

 Kasai Occidental/Oriental

0.37

0.14

0.011*

Male (vs. Female)

1.28

0.24

0.177ns

Head of household

0.85

0.38

0.722ns

Under 5 years old

0.58

0.11

0.003*

50+ years old

1.16

0.38

0.658ns

HF has functional X-ray

3.03

1.92

0.081ns

HF has functional ultrasound

3.84

1.98

0.010ns

HF has functional microscopes

1.13

0.43

0.747ns

HF has functional sterilisers

1.12

0.42

0.770ns

HF has functional centrifuges

0.35

0.16

0.021*

HF avg. price for care services

1.01

0.00

0.085ns

Long travel time (30+ min)

1.47

0.55

0.304ns

HF level 1: Health center

8.82

14.29

0.181ns

HF at Operational level 2 (Hôpital Général de Référence)

50.59

77.19

0.011*

Lowest dissatifaction (index score 1) (vs. No dissatisfaction)

1.98

0.73

0.063ns

 Dissatisfaction index score 2

1.90

0.66

0.063ns

 Dissatisfaction index score 3

1.98

0.78

0.082ns

 Dissatisfaction index score 4

2.90

1.22

0.013*

 Highest dissatifaction (index score 5)

2.52

1.37

0.090ns

Constant

0.24

0.49

0.485ns

  1. Statistical significance of *: 0.01 ≤ p < 0.05; **: 0.001 ≤ p < 0.01; ***: p < 0.001; ns: p ≥ 0.05;
  2. HF health facility