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High Poverty and Hardship Financing Among Patients with Noncommunicable Diseases in Rural Haiti Cover

High Poverty and Hardship Financing Among Patients with Noncommunicable Diseases in Rural Haiti

Open Access
|Feb 2020

Figures & Tables

Table 1

Demographics.

Total%Women%Men%Poorest (<44% deprived)%Not poorest (<44% deprived)%
N379271(71.5%)108(28.5%)85(22.4%)294(77.6%)
Age, mean, y (sd)52.5(0.8)52.3(0.9)53.0(1.5)54.3(1.8)52.0(0.8)
Women271(71.5%)63(74.1%)208(70.7%)
Poorest (≥44% deprived)85(22.4%)63(23.2%)22(20.4%)
Body mass index, mean, kg/m2 (sd)26.9(0.4)27.3(0.5)25.9(0.8)23.2(0.9)28.2(0.5)
Transport duration
    <30 min128(41.2%)96(43.0%)32(36.4%)42(35.3%)98(33.3%)
    30 min–1h64(20.6%)42(18.8%)22(25.0%)17(29.4%)39(13.3%)
    1h–2h76(24.4%)56(25.1%)20(22.7%)28(12.9%)65(22.1%)
    2h–3h32(10.3%)21(9.4%)11(12.5%)11(7.1%)26(8.8%)
    3h–6h7(2.3%)5(2.2%)2(2.3%)02(2.4%)5(1.7%)
    Don’t know4(1.3%)3(1.3%)1(1.1%)0(3.5%)1(0.3%)
Condition
Hypertension only67(17.7%)52(19.2%)15(13.9%)24(28.2%)43(14.6%)
Diabetes only73(19.3%)45(16.6%)28(25.9%)15(17.6%)58(19.7%)
Heart Failure only12(3.2%)8(3.0%)4(3.7%)4(4.7%)8(2.7%)
Multiple128(33.8%)95(35.1%)33(30.6%)22(25.9%)106(36.1%)
Other21(5.5%)17(6.3%)4(3.7%)4(4.7%)17(5.8%)
Figure 1

Percent of NCD Clinic patients deprived in each indicator for women and men, unadjusted. 95% Confidence intervals shown.

Table 2

Multidimensional poverty index among NCD clinic and community population.

PopulationMPI (95% CI)#
Noncommunicable Disease Clinic*Total0.202 (0.164, 0.240)
Women0.197 (0.154, 0.239)
Men0.217 (0.132, 0.303)
Haiti 2012 Demographic and Health SurveyCommunity (weighted)0.277 (0.247, 0.307)
Haiti national0.229 (0.215, 0.243)
Urban0.129 (0.113, 0.145)
Rural0.296 (0.275, 0.317)

[i] # MPI, Multidimensional Poverty Index (higher = poorer).

* Patients with complete poverty data (n = 181).

Figure 2A

Proportion by deprivation status by sex among people in NCD Clinic, unadjusted. The proportion of people across deprivation levels is different between sexes (p = .002).

Figure 2B

Poverty distribution among NCD Clinic vs. Community. Proportion of people by deprivation status, NCD Clinic (n = 378, 1 patient with missing address) vs weighted community sample, unadjusted. Poverty distribution is different between the NCD Clinic and Community groups (p < 0.001).

Figure 3

Number of people by wealth quintile in the NCD Clinic and Community nationally, and by geographic region. Wealth quintiles are defined using 2012 Haiti DHS data nationally, and individually for the major departments where NCD Clinic patients live.

Figure 4

Map of number of NCD Clinic patients and poverty by communal section. The average percent deprivations for patients is shown in red shades. The number of patients is shown by the size of the circles.

DOI: https://doi.org/10.5334/gh.388 | Journal eISSN: 2211-8179
Language: English
Submitted on: May 16, 2019
Accepted on: Nov 19, 2019
Published on: Feb 6, 2020
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2020 Gene F. Kwan, Lily D. Yan, Benito D. Isaac, Kayleigh Bhangdia, Waking Jean-Baptiste, Densa Belony, Anirudh Gururaj, Louine Martineau, Serge Vertilus, Dufens Pierre-Louis, Darius L. Fenelon, Lisa R. Hirschhorn, Emelia J. Benjamin, Gene Bukhman, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.