Geographic accessibility and hospital competition for emergency blood transfusion services in Bungoma, Western Kenya

Table 1 Characteristics of transfusing facilities: number of inpatient beds, competing and low-level facilities, total blood units from 2018 to 2021 and the computed competition metrics

Transfusing facility	No. of inpatient beds	No. of facilities in the 1-h catchment		Blood units (2018–2021)		Competition
Transfusing facility	No. of inpatient beds	Competing transfusing facilities	Low level facilities (non-transfusing)	Received from NBTS	Transfused at facility	Market share (%)	SCI
Bungoma County Referral	211	9	144	9543	13,679	16.31	0.21
Webuye Hospital	224	11	169	2888	4098	14.17	0.18
Kimilili Subcounty Hospital	81	5	117	503	809	11.27	0.14
Kory Family Hospital Kimilili	75	5	117	244	311	10.44	0.11
Cheptais Sub County Hospital	34	3	52	20	24	7.89	0.10
Lugulu Friends Mission	122	12	168	1135	1254	7.07	0.09
Naitiri Sub County Hospital	40	5	98	229	271	5.57	0.07
Mt Elgon Sub County Hospital	39	5	68	63	49	5.43	0.07
Bumula Sub County Hospital	37	6	85	58	70	4.29	0.06
Nabuala Medical Centre	65	11	149	131	241	4.11	0.05
St Damiano Mission	68	12	161	600	569	3.94	0.05
Sirisia Sub County Hospital	31	6	92	147	138	3.6	0.04
Chwele Sub County Hospital	41	10	115	53	39	2.85	0.03
Lumboka Medical	27	10	159	867	1101	1.88	0.02
Kory Family Hospital Kanduyi	17	10	166	181	190	1.18	0.01

From the correlation test, there was a significant positive association between the competition index and the hospital's transfusion capacity variables, specifically, the number of blood units received at the hospital (t = 3.57, p = 0.003, Pearson’s r = 0.70, n = 15, 95% CI [0.29, 0.89]) and the number of blood units transfused (t = 3.66, p = 0.002, Pearson’s r = 0.71, n = 15, 95% CI [0.31, 0.89])

ISSN: 1476-072X