The relationship between a microfinance-based healthcare delivery platform, health insurance coverage, health screenings, and disease management in rural Western Kenya

Table 3 Relationship between microfinance group membership, health screening, and disease management, stratified by gender and socioeconomic status among 300 residents of two communities in rural western Kenya, 2018–2019

	Women (n = 188)^a			Men (n = 112)^a			Low wealth^b			High wealth^b
	PR (95% CI)		p	PR (95% CI)		p	PR (95% CI)		p	PR (95% CI)		p
Current NHIF coverage	1.61	(0.73, 3.53)	0.2	1.09	(0.26, 4.64)	0.9	1.60	(0.51, 4.97)	0.4	1.16	(0.42, 3.18)	0.8
Health screening outcomes
HIV screening	1.21	(1.08, 1.35)	0.007	1.26	(1.10, 1.44)	< 0.0001	1.32	(1.16, 1.51)	< 0.0001	1.11	(0.97, 1.25)	0.1
Diabetes screening	3.12	(2.16, 4.50)	< 0.0001	4.00	(2.74, 5.86)	< 0.0001	3.22	(2.17, 4.79)	< 0.0001	3.06	(2.06, 4.54)	< 0.0001
Hypertension screening	1.67	(1.40, 1.98)	< 0.0001	2.67	(2.02, 3.52)	< 0.0001	2.10	(1.68, 2.62)	< 0.0001	1.88	(1.52, 2.33)	< 0.0001
Tuberculosis screening	2.20	(1.02, 4.78)	0.02	12.23	(2.56, 58.46)	0.002	3.19	(1.24, 8.26)	0.02	3.63	(1.26, 10.43)	0.02
Cervical cancer screening	–	–	–	–	–	–	2.38	(0.93, 6.10)	0.07	2.35	(1.04, 5.30)	0.04
Disease management outcomes, among those diagnosed with HIV, diabetes, or hypertension (n = 32)
Medical visit in last 6 months	1.67	(0.98, 2.82)	0.06	1.20	(0.84, 1.72)	0.3	1.37	(0.82, 2.31)	0.2	1.40	(0.57, 3.42)	0.6
Currently taking medication	1.94	(0.95, 3.96)	0.07	1.00	(0.20, 4.95)	1.0	1.65	(0.77, 3.53)	0.2	1.17	(0.23, 5.95)	0.9

^aWald p-values for interaction terms between gender and microfinance group membership were < 0.05 for the tuberculosis screening outcome only
^bWald p-values for interaction terms between gender and household wealth asset (dichotomized at median) were < 0.05 for the HIV screening outcome only

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