Factors associated with delays in the search for care in under-5 deaths in Yucatán, Mexico.
child mortality
neonatal mortality
autopsy
Journal
Salud publica de Mexico
ISSN: 1606-7916
Titre abrégé: Salud Publica Mex
Pays: Mexico
ID NLM: 0404371
Informations de publication
Date de publication:
18 06 2021
18 06 2021
Historique:
aheadofprint:
20
05
2021
received:
10
11
2020
accepted:
09
02
2021
entrez:
7
6
2021
pubmed:
8
6
2021
medline:
28
1
2022
Statut:
epublish
Résumé
We examined delays during the search for care and associations with mother, child, or health services characteristics, and with symptoms reported prior to death. Cross-sectional study compris-ing household interviews with 252 caregivers of children under-5 who died in the state of Yucatán, Mexico, during 2015-2016. We evaluated the three main delays: 1) time to identify symptoms and start search for care, 2) transport time to health facility, and 3) wait time at health facility. Children faced important delays including a mean time to start the search for care of 4.1 days. The mean transport time to the first facility was longer for children enrolled in Seguro Popular and there were longer wait times at public facilities, especially among children who also experienced longer travel time. Providing resources to enable caregiv-ers to access health services in a timely manner may reduce delays in seeking care.
Identifiants
pubmed: 34098595
doi: 10.21149/12216
pmc: PMC9201850
mid: NIHMS1808446
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
498-508Subventions
Organisme : NIGMS NIH HHS
ID : T32 GM086270
Pays : United States
Organisme : NICHD NIH HHS
ID : T32 HD007543
Pays : United States
Organisme : NICHD NIH HHS
ID : T32 HD101442
Pays : United States
Informations de copyright
Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License
Déclaration de conflit d'intérêts
Abraham D Flaxman has had consultancies with Kaiser Permanente, Sanofi, Merck for Mothers, Agathos Ltd and NORC. The rest of the authors declare that they have no conflict of interest.
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