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Fig 1.

Income distribution by wealth quintile.

Graphical representation of estimated household income with each curve representing a different wealth quintile (WQ). These gamma distributions are based on the Sierra Leonean Gross Domestic Product (GDP) per capita (purchasing power parity, constant 2011 international dollars) from 2017, income share per wealth quintile, and the GINI coefficient (data.worldbank.org).

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Fig 1 Expand

Fig 2.

Study hospitals by category, patient inclusion and wealth quintile distribution.

aFollow-up with complete data and included in the analysis. b2013 Sierra Leone Demographic and Health Survey. Pnp = private non-profit.

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Fig 2 Expand

Table 1.

Income and medical and non-medical expenses by wealth quintile.

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Table 1 Expand

Table 2.

Catastrophic expenditure after caesarean section and impact of the free health care initiative.

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Table 2 Expand

Table 3.

Impoverishment after caesarean section and the impact of the free health care initiative.

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Table 3 Expand

Fig 3.

Expenditure in relation to the 10 and 25% thresholds for catastrophic expenditure.

Graphical representation of the cumulative percentage of patients. The red dotted line represents the 10% threshold, and the green dotted line the 25% threshold of catastrophic expenditure. The blue line represents the current situation with the Free Health Care Initiative (FHCI) and the purple line represents the scenario without the FHCI.

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Fig 3 Expand

Fig 4.

Income minus total medical and non-medical expenses in relation to the poverty line.

Graphical representation of annual income minus the total of medical and non-medical expenses in international dollars (Int$). The red dotted line represents the poverty line of Int$ 1.90 per day (or Int$ 694 international dollars annually). The blue line represents the current situation with the Free Health Care Initiative (FHCI) and the purple line represents the scenario without the FHCI.

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Fig 4 Expand

Table 4.

Total expenditure, catastrophic expenditure, and impoverishment by group.

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Table 4 Expand