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Fig 1.

PRISMA flow diagram.

PRISMA: Preferred Reporting Items for Systematic Reviews and Meta-Analyses; CHE: Catastrophic health expenditures.

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Fig 2.

Frequency of included studies over time in sub-Saharan Africa, 2000–2021.

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Table 1.

Characteristics of included studies.

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Table 2.

Summary characteristics of included studies.

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Table 3.

Socio-demographic factors associated with population-level catastrophic health expenditure in SSA countries.

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Table 4.

Socio-demographic factors associated with disease-specific catastrophic health expenditure in SSA countries.

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Table 5.

Study characteristics and main findings of included qualitative studiesa (n = 7).

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Table 6.

Themes, subthemes and number of contributing statements and studies with examples of supporting statements from qualitative studies.

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