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Appendix Table 8 Descriptive statistics of explanatory variables (observations, percentage of households [%]). Source: authors calculations

From: Revisiting a decade of inequality in healthcare financial burden in Cambodia, 2009–19: trends, determinants and decomposition

 

Survey year

 

2009

2014

2019

Strata

Obs

%

Obs

%

Obs

%

Geographic strata

 Region

  Capital

1,113

8.90%

2,002

11.31%

925

14.62%

  Other urban

1,332

9.69%

1,896

11.23%

2,820

23.17%

  Other rural

9,525

81.41%

8,192

77.46%

6,330

62.21%

 Zone

  Phnom Penh

1,113

8.90%

2,002

11.31%

925

14.62%

  Plain

4,993

40.78%

4,127

37.51%

3,200

35.26%

  Tonle Sap

3,549

30.22%

3,383

30.62%

2,870

28.90%

  Coastal

838

7.30%

600

7.16%

980

6.34%

  Plateau/Mountain

1,477

12.80%

1,978

13.40%

2,100

14.88%

  Urban/Rural area

  Rural

9,585

82.03%

8,348

78.64%

6,330

62.21%

  Urban

2,385

17.97%

3,742

21.36%

3,745

37.79%

Socio-economic strata

 Wealth quintile

  Poorest

2,343

20.00%

2,217

20.01%

2,210

20.01%

  Second

2,375

20.00%

2,205

20.00%

1,975

20.00%

  Middle

2,359

20.00%

2,303

20.00%

1,987

20.00%

  Fourth

2,396

20.00%

2,401

20.00%

1,947

20.00%

  Wealthiest

2,491

20.00%

2,964

20.00%

1,956

20.00%

Household (HH) structure

 Household size [number of members]

  1–2

1,220

10.11%

1,443

11.93%

1,242

12.47%

  3–4

4,557

37.96%

5,199

43.06%

4,435

44.61%

  5–6

4,179

34.99%

4,037

33.41%

3,321

32.70%

  7 and above

2,014

16.95%

1,411

11.60%

1,077

10.22%

 Other household characteristics

  Married members under 18 years old

86

0.74%

62

0.53%

74

0.65%

  Fully female household

595

4.89%

724

5.98%

492

5.25%

HH head characteristics

 Age group

  13–24

478

4.08%

247

2.17%

184

1.66%

  25–34

2,435

20.58%

2,284

19.50%

1,590

15.34%

  35–44

3,074

25.60%

2,655

22.00%

2,504

24.46%

  45–54

2,822

23.48%

3,066

25.08%

2,339

23.28%

  55–65

1,889

15.64%

2,300

18.57%

2,064

20.37%

  65 and above

1,272

10.61%

1,538

12.67%

1,394

14.89%

 Education level

  No class

2,930

25.01%

2,584

22.71%

1,830

17.92%

  Primary partial

4,364

36.67%

4,092

35.71%

3,889

37.90%

  Primary complete

936

7.78%

941

7.86%

795

8.01%

  Secondary lower partial

2,457

20.36%

2,498

20.08%

2,059

20.77%

  Secondary lower completed

178

1.43%

234

1.77%

167

1.73%

  Secondary upper partial

797

6.44%

922

6.61%

746

7.68%

  Secondary upper completed

133

1.06%

404

2.83%

264

2.40%

  Higher level

156

1.25%

406

2.42%

319

3.60%

 Ethnicity

  Khmer

11,484

95.74%

11,634

96.07%

9,564

95.67%

  Cham

306

2.57%

236

2.11%

218

2.19%

  Other

180

1.68%

220

1.82%

293

2.14%

  Marital status

   Married/in cohabitation

9,486

79.35%

9,361

77.74%

8,120

79.57%

   Divorced/Separated

379

3.16%

312

2.53%

223

2.20%

   Widowed

1,880

15.57%

2,193

17.93%

1,563

16.46%

   Never married or in partnership

225

1.92%

224

1.80%

169

1.77%

  Gender, male

9,380

78.44%

9,357

77.71%

8,058

78.50%

  Disabled

1,670

14.13%

945

8.00%

963

9.55%

  Handicapped

1,670

14.13%

945

8.00%

882

8.76%

Water and sanitation

 Access to improved water

5,508

45.40%

6,817

52.55%

7,880

79.73%

 Access to improved sanitation

4,419

35.86%

7,399

57.68%

7,859

80.36%

Social health protection coverage (card holding)

 Health Equity Fund (HEF) or Priority Access Card

189

1.59%

1,145

10.32%

1,082

10.34%

 National Social Security Fund (NSSF)

-

.%

-

.%

1,440

14.92%

Free healthcare

 Free healthcare in the last 12 months

579

4.97%

914

8.34%

958

9.58%

 HEF free healthcare in the last 12 months

359

3.03%

595

5.43%

387

3.65%

 Local poor list healthcare in last 12 months

294

2.49%

463

4.18%

269

2.66%

 NSSF free healthcare in the last 12 months

-

.%

-

.%

393

4.20%

 Other free healthcare in the last 12 months

291

2.49%

160

1.45%

73

0.71%

 Reported free care excl. transportation in the last 30 days [OOPHE = 0]

270

2.31%

307

2.63%

387

3.82%

Vulnerability

 Accidents in last 12 months

8,081

67.19%

253

2.15%

415

4.21%

 Disability/impairment prevalent

2,769

23.30%

1,706

14.47%

1,702

16.89%

 Handicap prevalent

    

1,587

15.74%

Liabilities

 Indebted (unspecified reason)

4,498

37.91%

3,604

31.55%

3,638

34.47%

 Indebted because of illness

454

3.83%

277

2.41%

154

1.66%

Disease prevalence in the last 30 days

 Healthcare needs or consumption reported

5,706

47.80%

5,889

50.41%

5,787

56.86%

 Illness or injury

5,340

44.74%

5,801

49.67%

5,613

55.14%

 Long illness (> 1 year)

1,403

11.86%

1,396

11.84%

1,997

19.79%

 Non-illness-related care needed

1,622

13.94%

1,779

14.49%

2,274

23.84%

  Maternity care (Ante- & postnatal care, delivery)

319

2.72%

168

1.50%

284

2.73%

  Prevention (Vit A, deworming, immunization, health checks)

195

1.63%

1,351

10.87%

1,997

21.23%

  Other healthcare (non-illness or injury-related)

1,164

10.06%

307

2.49%

72

0.63%

 Health condition

5,340

44.74%

5,801

49.67%

5,613

55.14%

  Infectious diseases

-

-

3,783

32.34%

3,919

37.85%

   Respiratory infectious diseases

-

.%

2,268

18.96%

513

4.88%

   Other infectious diseases

-

.%

1,877

16.49%

3,493

33.79%

  Chronic diseases

    

1,933

19.61%

   Neoplasms

-

.%

-

.%

104

1.00%

   Endocrine, metabolic, and digestive diseases

-

.%

-

.%

604

5.92%

   Circular system diseases

-

.%

-

.%

1,062

11.04%

   Other chronic diseases

-

.%

-

.%

261

2.60%

  Other or undiagnosed diseases

5,340

44.74%

2,346

20.13%

95

0.87%

  Injuries/Trauma

  

25

0.22%

138

1.41%

Healthcare seeking in the last 30 days

 Healthcare sought (any providers)

5,407

45.27%

5,781

49.51%

5,731

56.31%

 Healthcare for illness/injury sought

4,269

35.45%

5,633

48.31%

5,448

53.36%

 Medical healthcare sought

4,238

35.29%

5,174

43.96%

5,351

52.46%

 HH members hospitalized

-

.%

423

3.69%

576

5.46%

Disease impairment in the last 30 days

 HH members stopping of activities (any)

920

7.74%

599

5.28%

727

7.09%

 HH members stopping activities without hospitalization

920

7.74%

411

3.60%

491

4.80%

Excessive financial burden from healthcare (EFB) incidence in the last 30 days

 At 10% of consumption, excluding out-of-pocket expenditure

1,306

10.95%

1,436

12.77%

1,850

17.92%

 At 25% of consumption, excluding out-of-pocket expenditure

529

4.41%

557

5.04%

742

7.29%

Catastrophic health expenditure (CHE) in the last 30 days

 At 40% of national capacity-to-pay [WHO method]

607

5.08%

547

4.90%

784

7.60%

Coping strategies

 Coping strategy exhausted between 1–12 months

-

.%

1,636

14.90%

51

0.47%

 Coping strategy in the last 12 months

-

.%

1,639

14.92%

211

1.98%

 Coping strategy in the last 30 days

-

.%

339

3.14%

174

1.64%

 Children 6–14 years old out of schooling prevalent

469

3.93%

303

2.64%

255

2.52%

 Children 15–17 years old out of schooling prevalent

1,449

12.19%

1,081

9.47%

793

7.55%

Out-of-pocket healthcare expenditure (OOPHE) funding sources in the last 30 days

 Income

-

.%

3,895

32.50%

4,362

42.99%

 Savings

-

.%

1,770

15.78%

1,655

15.59%

 Borrowing

-

.%

241

2.15%

158

1.62%

 Selling of assets and production

-

.%

95

0.84%

34

0.33%

 Other unreported

-

.%

165

1.37%

164

1.59%