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Identifying delays in healthcare seeking and provision: The Three Delays-in-Healthcare and mortality among infants and children aged 1-59 months.
Garcia Gomez, Elisa; Igunza, Kitiezo Aggrey; Madewell, Zachary J; Akelo, Victor; Onyango, Dickens; El Arifeen, Shams; Gurley, Emily S; Hossain, Mohammad Zahid; Chowdhury, Md Atique Iqbal; Islam, Kazi Munisul; Assefa, Nega; Scott, J Anthony G; Madrid, Lola; Tilahun, Yenenesh; Orlien, Stian; Kotloff, Karen L; Tapia, Milagritos D; Keita, Adama Mamby; Mehta, Ashka; Magaço, Amilcar; Torres-Fernandez, David; Nhacolo, Ariel; Bassat, Quique; Mandomando, Inácio; Ogbuanu, Ikechukwu; Cain, Carrie Jo; Luke, Ronita; Kamara, Sorie I B; Legesse, Hailemariam; Madhi, Shabir; Dangor, Ziyaad; Mahtab, Sana; Wise, Amy; Adam, Yasmin; Whitney, Cynthia G; Mutevedzi, Portia C; Blau, Dianna M; Breiman, Robert F; Tippett Barr, Beth A; Rees, Chris A.
Afiliación
  • Garcia Gomez E; Emory University School of Medicine, Emory University, Atlanta, Georgia, United States of America.
  • Igunza KA; Kenya Medical Research Institute-Center for Global Health Research, Kisumu, Kenya.
  • Madewell ZJ; Global Health Center, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America.
  • Akelo V; Centers for Disease Control and Prevention-Kenya, Kisumu, Kenya.
  • Onyango D; Kisumu County Department of Health, Kisumu, Kenya.
  • El Arifeen S; International Centre for Diarrhoeal Disease Research Bangladesh (icddr,b), Dhaka, Bangladesh.
  • Gurley ES; Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, United States of America.
  • Hossain MZ; International Centre for Diarrhoeal Disease Research Bangladesh (icddr,b), Dhaka, Bangladesh.
  • Chowdhury MAI; International Centre for Diarrhoeal Disease Research Bangladesh (icddr,b), Dhaka, Bangladesh.
  • Islam KM; International Centre for Diarrhoeal Disease Research Bangladesh (icddr,b), Dhaka, Bangladesh.
  • Assefa N; London School of Hygiene and Tropical Medicine, London, United Kingdom.
  • Scott JAG; College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
  • Madrid L; Hararghe Health Research, Haramaya University, Harar, Ethiopia.
  • Tilahun Y; London School of Hygiene and Tropical Medicine, London, United Kingdom.
  • Orlien S; London School of Hygiene and Tropical Medicine, London, United Kingdom.
  • Kotloff KL; College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
  • Tapia MD; Hararghe Health Research, Haramaya University, Harar, Ethiopia.
  • Keita AM; College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
  • Mehta A; Hararghe Health Research, Haramaya University, Harar, Ethiopia.
  • Magaço A; College of Medicine and Health Sciences, University of Hargeisa, Hargeisa, Somaliland.
  • Torres-Fernandez D; Department of Paediatrics, Vestfold Hospital Trust, Tønsberg, Norway.
  • Nhacolo A; Department of Pediatrics, Center for Vaccine Development and Global Health, University of Maryland School of Medicine, Baltimore, Maryland, United States of America.
  • Bassat Q; Department of Pediatrics, Center for Vaccine Development and Global Health, University of Maryland School of Medicine, Baltimore, Maryland, United States of America.
  • Mandomando I; Centre pour le Développement des Vaccins-Mali, Bamako, Mali.
  • Ogbuanu I; Department of Pediatrics, Center for Vaccine Development and Global Health, University of Maryland School of Medicine, Baltimore, Maryland, United States of America.
  • Cain CJ; Centro de Investigação em Saúde de Manhiça (CISM), Maputo, Mozambique.
  • Luke R; Centro de Investigação em Saúde de Manhiça (CISM), Maputo, Mozambique.
  • Kamara SIB; ISGlobal - Hospital Clínic, Universitat de Barcelona, Barcelona, Spain.
  • Legesse H; Centro de Investigação em Saúde de Manhiça (CISM), Maputo, Mozambique.
  • Madhi S; Centro de Investigação em Saúde de Manhiça (CISM), Maputo, Mozambique.
  • Dangor Z; ISGlobal - Hospital Clínic, Universitat de Barcelona, Barcelona, Spain.
  • Mahtab S; Institució Catalana de Recerca I Estudis Avançats (ICREA), Barcelona, Spain.
  • Wise A; Pediatrics Department, Hospital Sant Joan de Déu, Universitat de Barcelona, Esplugues, Barcelona, Spain.
  • Adam Y; Consorcio de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.
  • Whitney CG; Centro de Investigação em Saúde de Manhiça (CISM), Maputo, Mozambique.
  • Mutevedzi PC; ISGlobal - Hospital Clínic, Universitat de Barcelona, Barcelona, Spain.
  • Blau DM; Instituto Nacional de Saúde, Ministério de Saúde, Maputo, Moçambique.
  • Breiman RF; Crown Agents, Freetown, Sierra Leone.
  • Tippett Barr BA; World Hope International, Freetown, Sierra Leone.
  • Rees CA; Ministry of Health and Sanitation, Freetown, Sierra Leone.
PLOS Glob Public Health ; 4(2): e0002494, 2024.
Article en En | MEDLINE | ID: mdl-38329969
ABSTRACT
Delays in illness recognition, healthcare seeking, and in the provision of appropriate clinical care are common in resource-limited settings. Our objective was to determine the frequency of delays in the "Three Delays-in-Healthcare", and factors associated with delays, among deceased infants and children in seven countries with high childhood mortality. We conducted a retrospective, descriptive study using data from verbal autopsies and medical records for infants and children aged 1-59 months who died between December 2016 and February 2022 in six sites in sub-Saharan Africa and one in South Asia (Bangladesh) and were enrolled in Child Health and Mortality Prevention Surveillance (CHAMPS). Delays in 1) illness recognition in the home/decision to seek care, 2) transportation to healthcare facilities, and 3) the receipt of clinical care in healthcare facilities were categorized according to the "Three Delays-in-Healthcare". Comparisons in factors associated with delays were made using Chi-square testing. Information was available for 1,326 deaths among infants and under 5 children. The majority had at least one identified delay (n = 854, 64%). Waiting >72 hours after illness recognition to seek health care (n = 422, 32%) was the most common delay. Challenges in obtaining transportation occurred infrequently when seeking care (n = 51, 4%). In healthcare facilities, prescribed medications were sometimes unavailable (n = 102, 8%). Deceased children aged 12-59 months experienced more delay than infants aged 1-11 months (68% vs. 61%, P = 0.018). Delays in seeking clinical care were common among deceased infants and children. Additional study to assess the frequency of delays in seeking clinical care and its provision among children who survive is warranted.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Prognostic_studies Idioma: En Revista: PLOS Glob Public Health Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Prognostic_studies Idioma: En Revista: PLOS Glob Public Health Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos