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Table 3 Catastrophic Health expenditure (CHE) among hypertensive patients

From: The economic burden of treating uncomplicated hypertension in Sub-Saharan Africa: a systematic literature review

CHE % (Study reference)a

Effects on CHE (Study reference)

% of income spent on treatment (Study reference)

• 72% [35]b

• 59% [44]c

• 52.8% [54]

• 43.3% [44]h

• 42% [35]c

• 26.7% [37]d

• 7.9% [37]e

• 6.54% [41]f

Higher risk:

• Rural settings (62%) [35]

• No education (62%) [35]

• Hospitalization [37]

• Private hospital [37]

• Rural setting [37]

• Developing complications (stroke) [37]

• High Family size [37]

• Lower income [37, 41, 44]

• 1–2% (public sector) [41]

• 8–10% (private sector) [41]

• 11,1% [54]

• 11,4% [49]

• 12,9% [37]d, i

• 17,6% [37]e, i

• 36,7% [47]

Lower risk:

• Urban setting (29%), [35]

• Primary (28%), secondary (34%) or tertiary (17%) education [35]

• Longer duration since diagnosis [37]

• Higher income [37]

No significant change:

• Age [37]

• Occupation [37]

Effects by income quintile (Q1-Q5, lowest to highest)

Income quintile

Q1

Q2

Q3

Q4

Q5

CHE %

• 8.0% [37]e

• 8.7% [41]f

• 27.9% [37]d

• 33.6% [44]g

• 7.1% [37]e

• 7.3% [41]f

• 25.6% [44]g

• 28.5% [37]d

• 7.3% [41]f

• 9.3% [37]e

• 14.4% [44]g

• 32.2% [37]d

• 5.6% [41]f

• 7.7% [37]e

• 15.2% [44]g

• 28.3% [37]d

• 3.8% [41]f

• 7.7% [37]e

• 11.2% [44]g

• 13.9% [37]d

% of income

• 23.6% [37]d

• 14.5% [37]e

• 23.9% [37]d

• 25.2% [37]e

• 14.0% [37]d

• 9.3% [37]e

• 12.9% [37]d

• 9.3% [37]e

• 4.8% [37]d

• 3.0% [37]e

  1. aCHE defined as annual expenditure ≥10% of annual household income
  2. bfor direct + indirect costs
  3. cfor direct costs
  4. dfinanced by income only
  5. efinanced by income + others (e,g. family, insurance, etc.)
  6. fCHE defined as ≥40% of non food expenditure
  7. gAmong CHE respondents
  8. hexcluding costs for transportation
  9. i mean positive overshoot >10% income