Factors associated with delays in the search for care in neonatal and child deaths in Yucatan, Mexico, 2015–2016
Abstract Background Reducing neonatal and child mortality is a top priority for global health agendas and relies in part on the degree to which the population can access quality health services in a timely manner. This study explores the delays faced during the search for care by caregivers of children under the age of 5 who died in the State of Yucatan, Mexico, during 2015–2016 using the three delays framework as a way to identify bottlenecks and areas susceptible to intervention to reduce these deaths.Methods Cross-sectional study of all children under 5 years of age who died in the State of Yucatan, Mexico, during 2015 – 2016. Information on delays was obtained through household interviews with the caregiver of the child.Results Among 298 cases of children who experienced a health problem and searched for care, 252 had complete information for the study. Over 61% of those children visited more than one facility to seek care and had long times to start seeking care. The beginning of the search for care process was shorter when mothers or caregivers sought care initially at a public facility, and when some symptoms like coughing, lethargy, or rash were detected in the child. The second delay, travel time to facilities, was longer in children enrolled in Seguro Popular as compared to children covered by other forms of social security. Finally, the third delay, waiting time to be seen in the facility, was more common in public facilities that are not hospitals, and more common among children who also experienced a long travel time.Conclusions The results suggest that health promotion actions to reduce the time to search for care when facing a health problem and providing resources to mothers and caregivers to access health services in a timely manner may reduce these delays. This information can help in the planning of health services and improve their impact on population health..
| Medienart: |
|
|---|
Preprint| Erscheinungsjahr: |
2021 |
|---|---|
| Erschienen: |
2021 |
| Enthalten in: |
ResearchSquare.com - (2021) vom: 17. März Zur Gesamtaufnahme - year:2021 |
|---|
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Hernandez, Bernardo [VerfasserIn] |
|---|
| Links: |
Volltext [kostenfrei] |
|---|
| doi: |
10.21203/rs.2.13671/v1 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
XRA034660135 |
|---|
| LEADER | 01000caa a22002652 4500 | ||
|---|---|---|---|
| 001 | XRA034660135 | ||
| 003 | DE-627 | ||
| 005 | 20230429193920.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 220113s2021 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.21203/rs.2.13671/v1 |2 doi | |
| 035 | |a (DE-627)XRA034660135 | ||
| 035 | |a (ResearchSquare)10.21203/rs.2.13671/v1 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 082 | 0 | |a 570 |q DE-84 | |
| 100 | 1 | |a Hernandez, Bernardo |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Factors associated with delays in the search for care in neonatal and child deaths in Yucatan, Mexico, 2015–2016 |
| 264 | 1 | |c 2021 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a Computermedien |b c |2 rdamedia | ||
| 338 | |a Online-Ressource |b cr |2 rdacarrier | ||
| 520 | |a Abstract Background Reducing neonatal and child mortality is a top priority for global health agendas and relies in part on the degree to which the population can access quality health services in a timely manner. This study explores the delays faced during the search for care by caregivers of children under the age of 5 who died in the State of Yucatan, Mexico, during 2015–2016 using the three delays framework as a way to identify bottlenecks and areas susceptible to intervention to reduce these deaths.Methods Cross-sectional study of all children under 5 years of age who died in the State of Yucatan, Mexico, during 2015 – 2016. Information on delays was obtained through household interviews with the caregiver of the child.Results Among 298 cases of children who experienced a health problem and searched for care, 252 had complete information for the study. Over 61% of those children visited more than one facility to seek care and had long times to start seeking care. The beginning of the search for care process was shorter when mothers or caregivers sought care initially at a public facility, and when some symptoms like coughing, lethargy, or rash were detected in the child. The second delay, travel time to facilities, was longer in children enrolled in Seguro Popular as compared to children covered by other forms of social security. Finally, the third delay, waiting time to be seen in the facility, was more common in public facilities that are not hospitals, and more common among children who also experienced a long travel time.Conclusions The results suggest that health promotion actions to reduce the time to search for care when facing a health problem and providing resources to mothers and caregivers to access health services in a timely manner may reduce these delays. This information can help in the planning of health services and improve their impact on population health. | ||
| 700 | 1 | |a Angulo, Elsa Rodríguez |e verfasserin |4 aut | |
| 700 | 1 | |a Palmisano, Erin B |e verfasserin |4 aut | |
| 700 | 1 | |a Ojeda, Ricardo |e verfasserin |4 aut | |
| 700 | 1 | |a Ojeda, Rafael |e verfasserin |4 aut | |
| 700 | 1 | |a Andueza, Maria Guadalupe |e verfasserin |4 aut | |
| 700 | 1 | |a Johnson, Louisa M |e verfasserin |4 aut | |
| 700 | 1 | |a Chen, Alan |e verfasserin |4 aut | |
| 700 | 1 | |a Johanns, Casey |e verfasserin |4 aut | |
| 700 | 1 | |a Neal, Marquez |e verfasserin |4 aut | |
| 700 | 1 | |a Kamath, Aruna M |e verfasserin |4 aut | |
| 700 | 1 | |a Camarda, Joseph |e verfasserin |4 aut | |
| 700 | 1 | |a Flaxman, Abraham |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t ResearchSquare.com |g (2021) vom: 17. März |
| 773 | 1 | 8 | |g year:2021 |g day:17 |g month:03 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.21203/rs.2.13671/v1 |z kostenfrei |3 Volltext |
| 912 | |a GBV_XRA | ||
| 912 | |a SSG-OLC-PHA | ||
| 951 | |a AR | ||
| 952 | |j 2021 |b 17 |c 03 | ||
| 953 | |2 045F |a 570 | ||