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Table 7 Predictors of the total cost of delivery services among women at public healthcare of Harari Regional State, Ethiopia (01 January to 15 Feb 2022 (US$)

From: Unraveling the hidden expenses of free delivery services: a cross-sectional analysis of the public health facilities of the Harari Region, Ethiopia

Quantile regression (median regression) of total cost

Variables

Unadjusted β-Coefficient (95% CI)

P value

Adjusted β-Coefficient (95% CI)

P value

Types of facility

 Health center

Ref

 

Ref

 

 General Hospital

4.99 (−3.97, 13.95)

0.274

1.87 (−5.61, 9.35)

0.623

 Specialized Hospital

51.77 (44.45, 59.08) ***

0.000

30.17 (21.71, 38.62) ***

0.000

Residences

 Urban

Ref

 

Ref

 

 Rural

13.14 (3.67 22.61) **

0.007

2.08 (−3.97 8.14)

0.499

 Family size

2.65 (0.81 4.49) **

0.005

0.61 (−0.70 1.92)

0.362

Father Education

 No formal education

Ref

 

Ref

 

 Primary education

−9.49 (−22.29 3.31)

0.146

−1.71 (−9.47 6.05)

0.665

 Secondary education

−10.9 (−25.0 3.21)

0.130

0.41 (−8.35 9.18)

0.926

 College and above

−19.48 (−32.15 −6.82) *

0.003

3.66 (−5.12 12.45)

0.412

Wealth Index

 1st quintile (Poor)

12.89 (3.58 22.19) *

0.007

1.12 (−4.9 7.13)

0.715

 2nd quintile (Average)

Ref

 

Ref

 

 3rd quintile (Wealthiest)

−2.97(−16.31 10.34)

0.661

- 5.35 (−3.10 13.81)

0.214

Mode of transportation

 Ambulance

Ref

 

Ref

 

 Public transport

−8.99 (−23.27 5.28)

0.216

−0.01 (−8.36 8.34)

0.999

 Private (own means)

−20.49 (−43.08 2.09)

0.075

8.92 (−3.82 21.67)

0.169

 Taxi (private)/Bajaj/Gari

−23.35 (−34.55 −12.14) ***

0.000

3.68 (−3.49 10.85)

0.313

 Walked

−29.82 (−63.87 4.25)

0.086

2.67 (−18.53 23.88)

0.804

Nearest health care facility

 Yes

Ref

 

Ref

 

 No

36.64 (30.06 43.21) ***

0.000

−2.83 (−10.02 4.35)

0.438

 Distances in KMs

1.81 (1.47 2.14) ***

0.000

0.58 (0.26 0.91) ***

0.000

 Time to reach health facility in Hour

11.93 (9.30 14.55) ***

0.000

1.38 (−0.82 3.59)

0.218

Obtaining medicines and/or diagnostic services

 Yes (all)

Ref

 

Ref

 

 Yes (some)

34.03 (27.66 40.39) ***

0.000

−4.95 (−16.37 6.47)

0.394

 No

25.22 (12.88 37.55) ***

0.000

4.91 (−11.47 21.31)

0.556

Providers of drugs and pharmaceuticals

 By Health facilities

Ref

 

Ref

 

 Purchase from outside

30.32 (21.67 38.97) ***

0.000

4.47 (−9.94 18.88)

0.543

 Both (health facilities and outside)

43.63 (37.18 50.07) ***

0.000

20.42 (7.93 32.90) **

0.001

Mode of delivery

 Normal vaginal delivery

Ref

 

Ref

 

 Instrumental assisted vaginal delivery

10.97 (0.97 20.98) *

0.032

−2.95 (−11.41 5.50)

0.492

 Cesarean section Complication

67.70 (58.25 77.15) ***

0.000

16.53 (7.54 25.53) ***

0.000

Length of stay

 < 24 Hrs

Ref

 

Ref

 

 ≥ 24 Hrs

37.73 (31.62 43.85) ***

0.000

7.21 (0.29 14.14) *

0.041

 number of accompanied

11.63 (8.97 14.28 ***

0.000

4.48 (2.61 6.35) ***

0.000

  1. β coefficient of parameter, CI confidence interval, ref reference category
  2. *: p value < 0.05
  3. **: p value < 0.01
  4. ***: p value < 0.001