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Table 4 Change in health care-seeking and medicines for household member illness

From: Multi-purpose cash transfers and health among vulnerable Syrian refugees in Lebanon: a prospective cohort study

 

UNADJUSTED CHANGE OVER TIME

ADJUSTED CHANGE OVER TIME a

MPC HHs

Control HHs

DiD

MPC HHs

Control HHs

DiD b

Overall %

Effect Size

R2

%

(95% CI)

%

(95% CI)

%

(95% CI)

%

(95% CI)

%

(95% CI)

%

(95% CI)

Most Recent Childhood Illness

 Sought and received medical care

-0.4%

(−3.6,2.8)

−1.2%

(−5.6,3.1)

0.9%

(−4.5,6.2)

0.7%

(−2.9,4.3)

−2.3%

(−7.4,2.7)

3.0%

(−2.9,9.0)

94.6%

3.2%

0.059

 Able to obtain prescribed meds

0.2%

(−2.0,2.3)

−0.3%

(−2.4,1.7)

0.5%

(−2.5,3.4)

1.3%

(−0.6,3.3)

−1.4%

(−3.8,1.0)

2.8%

(−0.6,6.1)

98.4%

2.8%

0.029

 Outpatient visit

11.0%

(3.5,18.5)

5.6%

(−0.4,11.5)

5.4%

(−4.2,15.0)

11.1%

(2.8,19.3)

6.7%

(−0.4,13.7)

4.4%

(−6.3,15.1)

87.4%

5.1%

0.032

 Emergency room visit

−11.9%

(− 18.5,-5.3)

− 12.6%

(− 17.6,-7.5)

0.7%

(−7.7,9.0)

− 12.3%

(− 19.4,-5.2)

−13.9%

(−20.0,-7.8)

1.6%

(− 7.6,10.8)

8.1%

19.9%

0.071

 Hospital admission

0.9%

(−2.6,4.4)

7.0%

(3.6,10.3)

−6.1%

(−10.9,-1.2)

1.2%

(−3.0,5.4)

7.3%

(3.5,11.0)

− 6.1%

(− 11.7,-0.4)

4.5%

−133.5%

0.043

 Care not sought b/c of cost

−33.3%

(−90.6,23.9)

−11.4%

(−30.9,8.1)

−21.9%

(−82.4,38.5)

−53.3%

(− 143.1,36.4)

− 20.3%

(−44.6,4.0)

− 33.0%

(− 122.8,56.8)

87.7%

−37.7%

0.379

 All care not received due to cost

39.4%

(30.0,48.8)

27.5%

(20.7,34.4)

11.9%

(0.2,23.5)

39.8%

(30.6,49.1)

20.5%

(12.8,28.3)

19.3%

(7.3,31.2)

24.6%

78.3%

0.177

Most Recent Adult Acute Illness

 Sought and received medical care

4.3%

(−4.1,12.6)

−5.2%

(−11.6,1.1)

9.5%

(−1.0,20.0)

6.9%

(−2.8,16.6)

−4.4%

(−10.8,2.1)

11.3%

(−0.3,22.9)

88.9%

12.7%

0.047

 Able to obtain prescribed meds

−2.9%

(−6.1,0.4)

1.1%

(−1.8,3.9)

−3.9%

(−8.2,0.4)

−4.0%

(− 8.2,0.3)

0.0%

(−2.9,2.9)

− 4.0%

(− 8.7,0.7)

98.1%

− 4.1%

0.031

 Outpatient visit

4.3%

(−5.5,14.1)

6.6%

(0.4,12.7)

−2.3%

(−13.8,9.3)

6.5%

(−3.9,16.8)

7.3%

(0.7,14.0)

−0.9%

(−13.2,11.4)

90.5%

−1.0%

0.037

 Emergency room visit

−8.8%

(−17.8,0.2)

−9.0%

(−14.6,-3.5)

0.3%

(−10.3,10.8)

−9.3%

(− 19.0,0.4)

− 9.4%

(−15.6,-3.3)

0.1%

(−11.3,11.6)

7.2%

2.1%

0.061

 Hospital admission

4.5%

(0.6,8.3)

2.5%

(−0.3,5.2)

2.0%

(−2.7,6.7)

2.8%

(−0.3,6.0)

2.1%

(−0.8,5.0)

0.7%

(−3.5,5.0)

2.3%

32.1%

0.041

 Care not sought b/c of cost

−33.3%

(−65.7,-1.0)

−12.1%

(−23.8,-0.4)

− 21.2%

(−55.6,13.2)

−36.9%

(−74.9,1.2)

−12.3%

(− 25.8,1.2)

− 24.6%

(− 62.3,13.2)

88.0%

− 27.9%

0.367

 All care not received due to cost

22.0%

(9.1,34.8)

15.9%

(6.8,24.9)

6.1%

(−9.6,21.8)

17.9%

(4.0,31.8)

13.0%

(3.1,22.9)

4.9%

(−11.9,21.8)

30.0%

16.5%

0.078

Adult Chronic Illness

 Sought and received medical care

2.3%

(−7.7,12.3)

4.4%

(−3.8,12.6)

−2.1%

(−15.0,10.8)

6.4%

(−4.6,17.5)

2.7%

(−5.7,11.0)

3.8%

(−8.7,16.3)

93.9%

4.0%

0.042

 Ever faced difficulties obtaining meds

0.0%

(−21.4,21.5)

11.7%

(−2.7,26.1)

−11.6%

(−37.5,14.2)

−10.6%

(−34.2,13.1)

14.2%

(−3.2,31.7)

− 24.8%

(−53.6,4.0)

73.6%

− 33.7%

0.072

 General practitioner visit(s)

−20.3%

(−39.8,-0.7)

−15.3%

(−30.2,-0.3)

−5.0%

(− 29.6,19.6)

− 23.1%

(−45.9,-0.3)

−27.6%

(− 42.7,-12.5)

4.5%

(− 22.9,32.0)

62.5%

7.2%

0.096

 Specialist visit(s)

−7.8%

(−30.0,14.4)

−14.0%

(− 26.6,-1.5)

6.3%

(−19.2,31.8)

− 14.4%

(− 38.3,9.5)

− 13.6%

(− 27.8,0.5)

−0.7%

(− 29.1,27.6)

70.2%

−1.1%

0.089

 Hospital visit(s)

0.2%

(−16.0,16.4)

0.1%

(−13.1,13.3)

0.0%

(−20.8,20.9)

−1.5%

(− 22.2,19.2)

−9.3%

(− 24.4,5.7)

7.9%

(− 18.6,34.4)

27.5%

28.6%

0.118

 Care not sought b/c of cost

100%

0.0%

100%

100.0%

0.0%

100%

82.6%

1.000

 All care not received due to cost

6.0%

(−17.3,29.3)

27.6%

(14.3,40.9)

−21.6%

(−48.4,5.3)

−3.2%

(− 29.6,23.3)

25.1%

(9.3,40.8)

−28.2%

(−59.1,2.6)

40.2%

−70.3%

0.103

 Cannot afford medication

2.6%

(−21.5,26.7)

19.2%

(4.1,34.3)

− 16.6%

(−45.1,11.8)

−5.1%

(−31.1,20.9)

22.1%

(3.6,40.5)

−27.2%

(−59.5,5.0)

62.0%

−43.9%

0.078

  1. DiD (difference-in-difference) represents the difference in baseline to endline change between MPC and control groups; effect size indicates the magnitude of this difference (calculated by dividing the DiD estimate by overall mean)
  2. Bold italic indicates statistically significant (p < 0.001) findings; bold indicates statistically significant (p < 0.05) findings; italic indicates statistically significant (p < 0.10) findings
  3. a Adjusted analyses controlled for principal applicant sex, age, education level, and marital status; household size and composition including the presence of household members in need of daily support, with chronic conditions, and children under five years old; dependency ratio; total household expenditure in the prior month; residence type; household crowding; and receipt of humanitarian assistance, specifically total value of cash assistance received in the prior month, and current WFP beneficiary status/transfer modality (e-voucher or unconditional cash)
  4. b DiD estimates are the modeled interaction effect of study group (i.e., MPC vs. control) and time period (i.e., baseline vs. endline)