Bernardo Hernández-Prado1, Elsa María Rodríguez-Angulo2, Erin B Palmisano3, Ricardo Ojeda-Rodríguez4, Rafael Javier Ojeda-Baranda5, María Guadalupe Andueza-Pecha6, Louisa M Johnson7, Alan Chen8, Casey Johanns9, Neal Marquez10, Aruna M Kamath11, Joseph N Camarda12, Abraham D Flaxman13. 1. Department of Health Metrics Sciences, Institute for Health Metrics and Evaluation. Seattle, United States.. bhprojo@hotmail.com. 2. Centro de Investigaciones Regionales Hideyo Noguchi, Universidad Autónoma de Yucatán. Mérida, Mexico.. rangulo@correo.uady.mx. 3. Department of Health Metrics Sciences, Institute for Health Metrics and Evaluation. Seattle, United States.. erinbpalmisano@gmail.com. 4. Centro de Investigaciones Regionales Hideyo Noguchi, Universidad Autónoma de Yucatán. Mérida, Mexico.. ricardo.ojeda@correo.uady.mx. 5. Hospital General Agustín O 'Horan, Servicios de Salud del Estado de Yucatán. Mérida, Mexico.. rjojedab@hotmail.com. 6. Centro de Investigaciones Regionales Hideyo Noguchi, Universidad Autónoma de Yucatán. Mérida, Mexico.. andueza@correo.uady.mx. 7. Department of Health Metrics Sciences, Institute for Health Metrics and Evaluation. Seattle, United States.. louisa13@uw.edu. 8. NYU Grossman School of Medicine, Department of Population Health. New York, United States.. alanzchen@nyu.edu. 9. Department of Health Metrics Sciences, Institute for Health Metrics and Evaluation. Seattle, United States.. cjohanns@uw.edu. 10. Department of Sociology, University of Washington. Seattle, United States.. nmarquez@uw.edu. 11. Department of Anesthesiology, University of Washington. Seattle, United States.. akamath@uw.edu. 12. Department of Health Metrics Sciences, Institute for Health Metrics and Evaluation. Seattle, United States.. camardaj@uw.edu. 13. Department of Health Metrics Sciences, Institute for Health Metrics and Evaluation. Seattle, United States.. abie@uw.edu.
Abstract
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 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. 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 caregiv-ers to access health services in a timely manner may reduce delays in seeking care. Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License
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 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. 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 caregiv-ers to access health services in a timely manner may reduce delays in seeking care. Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License
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