Factors associated with delays in the search for care in under-5 deaths in Yucatán, Mexico
Objective. We examined delays during the search for care and associations with mother, child, or health services characteristics, and with symptoms reported prior to death. Materials and methods. Cross-sectional study comprising household interviews with 252 caregivers of children under-5 who died...
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| Format: | Article |
| Language: | English |
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Instituto Nacional de Salud Pública
2021-05-01
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| Series: | Salud Pública de México |
| Subjects: | |
| Online Access: | https://www.saludpublica.mx/index.php/spm/article/view/12216 |
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| author | Bernardo Hernández-Prado Elsa María Rodríguez-Angulo Erin B Palmisano Ricardo Ojeda-Rodríguez Rafael Javier Ojeda-Baranda María Guadalupe Andueza-Pecha Louisa M Johnson Alan Chen Casey Johanns Neal Marquez Aruna M Kamath Joseph N Camarda Abraham D Flaxman |
| author_facet | Bernardo Hernández-Prado Elsa María Rodríguez-Angulo Erin B Palmisano Ricardo Ojeda-Rodríguez Rafael Javier Ojeda-Baranda María Guadalupe Andueza-Pecha Louisa M Johnson Alan Chen Casey Johanns Neal Marquez Aruna M Kamath Joseph N Camarda Abraham D Flaxman |
| author_sort | Bernardo Hernández-Prado |
| collection | DOAJ |
| description | Objective. We examined delays during the search for care and associations with mother, child, or health services characteristics, and with symptoms reported prior to death. Materials and methods. Cross-sectional study comprising 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. Results. 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. Conclusions. Providing resources to enable caregivers to access health services in a timely manner may reduce delays in seeking care. |
| first_indexed | 2024-04-12T22:21:36Z |
| format | Article |
| id | doaj.art-42c33f8c99dc42b18f9628c31341eeb4 |
| institution | Directory Open Access Journal |
| issn | 0036-3634 |
| language | English |
| last_indexed | 2024-04-12T22:21:36Z |
| publishDate | 2021-05-01 |
| publisher | Instituto Nacional de Salud Pública |
| record_format | Article |
| series | Salud Pública de México |
| spelling | doaj.art-42c33f8c99dc42b18f9628c31341eeb42022-12-22T03:14:21ZengInstituto Nacional de Salud PúblicaSalud Pública de México0036-36342021-05-0163449850810.21149/1221611101Factors associated with delays in the search for care in under-5 deaths in Yucatán, MexicoBernardo Hernández-Prado0Elsa María Rodríguez-Angulo1Erin B Palmisano2Ricardo Ojeda-Rodríguez3Rafael Javier Ojeda-Baranda4María Guadalupe Andueza-Pecha5Louisa M Johnson6Alan Chen7Casey Johanns8Neal Marquez9Aruna M Kamath10Joseph N Camarda11Abraham D Flaxman12Department of Health Metrics Sciences, Institute for Health Metrics and Evaluation. Seattle, United States.Centro de Investigaciones Regionales Hideyo Noguchi, Universidad Autónoma de Yucatán. Mérida, Mexico.Department of Health Metrics Sciences, Institute for Health Metrics and Evaluation. Seattle, United States.Centro de Investigaciones Regionales Hideyo Noguchi, Universidad Autónoma de Yucatán. Mérida, Mexico.Hospital General Agustín O ‘Horan, Servicios de Salud del Estado de Yucatán. Mérida, Mexico.Centro de Investigaciones Regionales Hideyo Noguchi, Universidad Autónoma de Yucatán. Mérida, Mexico.Department of Health Metrics Sciences, Institute for Health Metrics and Evaluation. Seattle, United States.NYU Grossman School of Medicine, Department of Population Health. New York, United States.Department of Health Metrics Sciences, Institute for Health Metrics and Evaluation. Seattle, United States.Department of Sociology, University of Washington. Seattle, United States.Department of Anesthesiology, University of Washington. Seattle, United States.Department of Health Metrics Sciences, Institute for Health Metrics and Evaluation. Seattle, United States.Department of Health Metrics Sciences, Institute for Health Metrics and Evaluation. Seattle, United States.Objective. We examined delays during the search for care and associations with mother, child, or health services characteristics, and with symptoms reported prior to death. Materials and methods. Cross-sectional study comprising 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. Results. 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. Conclusions. Providing resources to enable caregivers to access health services in a timely manner may reduce delays in seeking care.https://www.saludpublica.mx/index.php/spm/article/view/12216child mortalityneonatal mortalityautopsy |
| spellingShingle | Bernardo Hernández-Prado Elsa María Rodríguez-Angulo Erin B Palmisano Ricardo Ojeda-Rodríguez Rafael Javier Ojeda-Baranda María Guadalupe Andueza-Pecha Louisa M Johnson Alan Chen Casey Johanns Neal Marquez Aruna M Kamath Joseph N Camarda Abraham D Flaxman Factors associated with delays in the search for care in under-5 deaths in Yucatán, Mexico Salud Pública de México child mortality neonatal mortality autopsy |
| title | Factors associated with delays in the search for care in under-5 deaths in Yucatán, Mexico |
| title_full | Factors associated with delays in the search for care in under-5 deaths in Yucatán, Mexico |
| title_fullStr | Factors associated with delays in the search for care in under-5 deaths in Yucatán, Mexico |
| title_full_unstemmed | Factors associated with delays in the search for care in under-5 deaths in Yucatán, Mexico |
| title_short | Factors associated with delays in the search for care in under-5 deaths in Yucatán, Mexico |
| title_sort | factors associated with delays in the search for care in under 5 deaths in yucatan mexico |
| topic | child mortality neonatal mortality autopsy |
| url | https://www.saludpublica.mx/index.php/spm/article/view/12216 |
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