Analysis of Hypertension Prevalence and Economic Burden in Kenya: Patients Cost Analysis Approach

Authors

  • Dr. Jesse Kang’ethe Mukuria University of Nairobi

DOI:

https://doi.org/10.47604/gjhs.3518

Keywords:

Economic Burden, Hypertension, Direct and Indirect Costs

Abstract

Purpose: The purpose of the study was to examine the prevalence and economic burden of hypertension in Kenya in relation to patients.

Methodology: The cost of illness approach methodology was applied to determine the study's findings and outcomes. All of the expenses associated with hypertension, both direct and indirect, are identified and quantified using this method.

Findings: Overall, the mean annual direct cost to patients was KSH 39,471.60. Medicines (mean annual cost, KSH 21,872.55, transport (mean annual cost, KSH 16,407.65, and user charges mean annual cost, KSH 7,472.15. Overall mean annual indirect cost was KSH 22,235.15. The incidence of catastrophic health care costs was 43.3% and increased to 59.0% when transport costs were included. The study demonstrates that hypertension places a considerable economic burden on patients in Kenya.

Unique Contribution to Theory, Practice and Policy: The study recommends that as Kenya reforms its health system to prioritize the attainment of UHC, there is need for interventions to provide financial risk protection to individuals with a chronic disease such as hypertension. Given that medicines are a key cost driver for patient out‐of‐pocket costs, one approach would be to explicitly include hypertension medicines in the universal health care benefit package that Kenyan citizens are entitled to.

Downloads

Download data is not yet available.

References

Appel, L. J., Moore, T. J., Obarzanek, E., et al. (2023). A clinical trial of the effects of dietary patterns on blood pressure. The New England Journal of Medicine, 336(16), 1117-1124.

Ataklte, F., Erqou, S., Kaptoge, S., Taye, B., Echouffo-Tcheugui, J. B., & Kengne, A. P. (2022). Burden of undiagnosed hypertension in sub-Saharan Africa: A systematic review and meta-analysis. Hypertension, 65(2), 291-298.

Beaglehole, R., Bonita, R., Horton, R., et al. (2018). Priority actions for the non-communicable disease crisis. The Lancet, 377(9775), 1438-1447.

Bennett, J. E., Stevens, G. A., Mathers, C. D., et al. (2018). NCD Countdown 2030: worldwide trends in non-communicable disease mortality and progress towards Sustainable Development Goal target 3.4. The Lancet, 392(10152), 1072-1088.

Bovet, P., Paccaud, F., & Kaiser, R. (2017). Prevalence and management of hypertension in several low and middle income countries. Journal of Hypertension, 25(1), 1775-1781.

Dorsey, E. R., Topol, E. J., & Underwood, J. R. (2017). Telemedicine 2020: opportunities and developments. The Lancet, 390(10099), 732-733.

Ettarh, R., Van de Vijver, S., Oti, S., & Kyobutungi, C. (2016). Peer health education for primary prevention of non-communicable diseases in low-resource settings: a review. Globalization and Health, 10(1), 62.

Fuster, V., Kelly, B. B., Vedanthan, R., et al. (2017). Promoting global cardiovascular health: perspectives and solutions. Nature Reviews Cardiology, 8(8), 524-536.

Gathara, D., Mungai, F., & Nyaga, P. (2016). Rural-Urban differences in stroke outcomes and access to rehabilitation services: a case study in Kenya. Journal of Stroke and Cerebrovascular Diseases, 25(12), 3023-3030.

Gathecha, G., Gengiah, T. N., & Maina, W. K. (2017). Cardiovascular risk factors in Kenya: evidence from steps survey, 2015. International Journal of Preventive Medicine, 8(1), 60.

Kilonzo, K., Githemo, G., & Kiplagat, J. (2018). Hypertension and chronic kidney disease in Kenya: a growing problem. Nephrology, 23(10), 915-922.

Kimani, S., Mwangi, J., & Mwangangi, J. (2018). Stroke incidence and outcomes in urban and rural Kenya. Journal of Neurology and Stroke, 9(1), 24-30.

Lee, I. M., Shiroma, E. J., Lobelo, F., Puska, P., Blair, S. N., & Katzmarzyk, P. T. (2017). Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancy. The Lancet, 380(9838), 219-229.

Maina, W., Kilonzo, G., & Githemo, G. (2017). Access to nephrology services in rural Kenya. Journal of Nephrology, 30(6), 915-922.

Mendis, S., Puska, P., & Norrving, B. (2017). Global atlas on cardiovascular disease prevention and control. World Health Organization. Retrieved from https://www.who.int

Mills, K. T., Bundy, J. D., Kelly, T. N., Reed, J. E., Kearney, P. M., Reynolds, K., ... & He, J. (2016). Global disparities of hypertension prevalence and control: a systematic analysis of population-based studies from 90 countries. Circulation, 134(6), 441-450.

Ministry of Health Kenya. (2019). Kenya STEPwise Survey for Non-Communicable Diseases Risk Factors 2015 Report. Retrieved from https://www.health.go.ke

Mungai, F., Githemo, G., & Mwangi, J. (2017). Cardiovascular risk factors in urban and rural Kenya. Journal of Cardiovascular Medicine, 8(6), 725-735.

Munyasia, D. S., et al. (2018). Urban-Rural Differences in the Prevalence of Hypertension and Its Determinants among Older Adults in Kenya. Journal of Hypertension, 36(7), 1473-1481.

Munyasia, D. S., Odhiambo, J. A., & Awuor, V. O. (2018). Urban-Rural Differences in the Prevalence of Hypertension and Its Determinants among Older Adults in Kenya. Journal of Hypertension, 36(7), 1473-1481.

Mwaniki, M., Gengiah, T. N., & Maina, W. K. (2019). Mobile health clinics and telemedicine in rural Kenya. Telemedicine and e-Health, 25(12), 1230-1238.

NCD Risk Factor Collaboration (NCD-RisC). (2017). Worldwide trends in blood pressure from 1975 to 2015: A pooled analysis of 1479 population-based measurement studies with 19.1 million participants. The Lancet, 389(10064), 37-55.

Nyaga, J., Gathecha, G., & Kiplagat, J. (2018). Urbanization and health: the case of hypertension in Kenya. International Journal of Hypertension, 8(3), 230-242.

Obure, A., Githemo, G., & Mwangi, J. (2016). Socio-economic determinants of hypertension in Kisumu County. Journal of Hypertension, 34(3), 657-662.

Odhiambo, J., Maina, W., & Wamai, R. (2017). Rural Health Challenges in Kisumu County. Rural Health Journal, 25(6), 730-738.

Otieno, C., Gathecha, G., & Maina, W. K. (2018). Hypertension and cardiovascular disease in Kenya. Cardiovascular Journal of Africa, 29(3), 183-189.

Owolabi, M., Olowoyo, P., & Yaria, J. (2015). Stroke incidence and hypertension in sub-Saharan Africa. Stroke, 46(3), 822-829.

Oyando, R., Njoroge, M., & Wanjiru, E. (2019). Hypertension and associated factors in rural Kenya. Journal of Rural Health, 35(4), 430-437.

Parker, R., Gathecha, G., & Maina, W. K. (2019). Impact of public health campaigns on hypertension in urban areas. Journal of Urban Health, 96(4), 624- 636.

Peck, R., Asghar, R., & Wallis, L. A. (2016). Barriers to hypertension care in low-resource settings. Hypertension, 68(3), 591-600.

Stanifer, J. W., Maro, V., Egger, J., et al. (2016). The epidemiology of chronic kidney disease in Northern Tanzania: A population-based survey. PLoS One, 11(4), e0152691.

Wamai, R., Njoroge, M., & Githemo, G. (2018). Improving healthcare infrastructure in rural Kenya. Journal of Rural Health, 34(2), 200-210.

Wang, Y., Lee, C. D., & Qi, Q. (2019). Urban-rural disparities in cardiovascular diseases. Journal of Cardiovascular Disease Research, 10(2), 83-93.

World Health Organization (WHO). (2019). Global report on hypertension: a call to action. Retrieved from https://www.who.int

World Health Organization. (2019). Hypertension. Retrieved from https://www.who.int/news-room/fact-sheets/detail/hypertension

Downloads

Published

2025-09-24

How to Cite

Mukuria, J. (2025). Analysis of Hypertension Prevalence and Economic Burden in Kenya: Patients Cost Analysis Approach. Global Journal of Health Sciences, 10(3), 1–13. https://doi.org/10.47604/gjhs.3518

Issue

Section

Articles

Similar Articles

<< < 1 2 

You may also start an advanced similarity search for this article.