Health service utilization and access to medicines among Syrian refugee and host community children in Lebanon

Lyles, Emily; Hanquart, Baptiste; Woodman, Michael; Doocy, Shannon

doi:10.1186/s41018-016-0010-z

Journal of International Humanitarian Action

Table 4 Out-of-pocket payments for consultation fees, medications, and health care visit in Lebanon among host Lebanese (all costs presented in USD)

From: Health service utilization and access to medicines among Syrian refugee and host community children in Lebanon

		Survey total		By region							By facility type
		Survey total		Beirut/Mt. Lebanon		Bekaa		North		p value	PHCC		Private clinic		Hospital		p value
		Point	95 CI	Point	95 CI	Point	95 CI	Point	95 CI	p value	Point	95 CI	Point	95 CI	Point	95 CI	p value
Among all care seekers		n = 315		n = 86		n = 98		n = 131			n = 73		n = 150		n = 40
Total costs	Median	41.1		47.1		44.8		33			26.5		49.8		99.5
Total costs	Mean	56.0	[49.5,62.6]	60.7	[45.6,75.8]	63.6	[50.7,76.4]	47.3	[40.6,54.1]	0.075	37.7	[27.9,47.4]	57.5	[51.7,63.3]	126.2	[97.4,155.0]	<0.001
Consultation costs	Median	16.6		21.6		19.9		10			6.6		26.5		58
Consultation costs	Mean	25.5	[21.3,29.7]	28.7	[20.7,36.7]	31.2	[22.1,40.4]	19.1	[14.7,23.5]	0.022	10.0	[8.0,12.0]	27.0	[23.6,30.4]	80.0	[60.0,100.1]	<0.001
Medication costs	Median	21.2		23.2		22.2		19.9			16.6		23.2		33.2
Medication costs	Mean	30.5	[26.4,34.6]	32.0	[22.9,41.1]	32.3	[25.3,39.3]	28.2	[22.5,34.0]	0.449	27.7	[18.4,37.0]	30.5	[25.5,35.6]	46.2	[29.4,62.9]	0.078
Among care seekers with any payment		n = 303		n = 82		n = 95		n = 126			n = 69		n = 147		n = 39
Total costs	Median	43.1		49.8		46.4		37			26.5		49.8		99.5
Total costs	Mean	58.2	[51.5,64.9]	63.6	[48.7,78.6]	65.6	[52.2,78.9]	49.2	[42.1,56.3]	0.057	39.9	[29.7,50.0]	58.7	[52.9,64.4]	129.4	[100.7,158.2]	<0.001
Consultation costs	Median	19.9		26.5		19.9		11.6			6.6		26.5		66.3
Consultation costs	Mean	26.5	[22.1,30.9]	30.1	[22.1,38.0]	32.2	[22.7,41.8]	19.9	[15.0,24.8]	0.019	10.6	[8.4,12.7]	27.5	[24.1,31.0]	82.1	[62.0,102.2]	<0.001
Medication costs	Median	23.2		23.2		23.2		20.6			16.6		23.2		33.2
Medication costs	Mean	31.7	[27.7,35.8]	33.6	[24.4,42.7]	33.3	[26.3,40.4]	29.4	[23.7,35.1]	0.404	29.3	[19.7,38.9]	31.2	[26.1,36.3]	47.4	[30.4,64.3]	0.097
Among households paying for consultation		n = 239		n = 68		n = 75		n = 96			n = 62		n = 138		n = 37
Consultation costs	Median	26.5		33.2		33.2		19.9			8.3		26.5		66.3
Consultation costs	Mean	33.6	[28.5,38.7]	36.3	[28.2,44.4]	40.8	[29.5,52.1]	26.1	[19.9,32.2]	0.032	11.7	[9.6,13.9]	29.3	[25.9,32.8]	86.5	[66.4,106.6]	<0.001
Among households paying for medications		n = 282		n = 80		n = 85		n = 117			n = 80		n = 85		n = 37
Medication costs	Median	25.9		23.2		26.5		23.2			19.9		26.5		33.2
Medication costs	Mean	34.1	[29.6,38.6]	34.4	[25.0,43.8]	37.2	[28.8,45.7]	31.6	[25.5,37.7]	0.559	31.6	[21.4,41.8]	34.4	[29.0,39.9]	49.9	[32.6,67.2]	0.093

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