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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Main Authors: Bernardo Hernández-Prado (Author), Elsa María Rodríguez-Angulo (Author), Erin B Palmisano (Author), Ricardo Ojeda-Rodríguez (Author), Rafael Javier Ojeda-Baranda (Author), María Guadalupe Andueza-Pecha (Author), Louisa M Johnson (Author), Alan Chen (Author), Casey Johanns (Author), Neal Marquez (Author), Aruna M Kamath (Author), Joseph N Camarda (Author), Abraham D Flaxman (Author)
Format: Book
Published: Instituto Nacional de Salud Pública, 2021-05-01T00:00:00Z.
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042 |a dc 
100 1 0 |a Bernardo Hernández-Prado  |e author 
700 1 0 |a Elsa María Rodríguez-Angulo  |e author 
700 1 0 |a Erin B Palmisano  |e author 
700 1 0 |a Ricardo Ojeda-Rodríguez  |e author 
700 1 0 |a Rafael Javier Ojeda-Baranda  |e author 
700 1 0 |a María Guadalupe Andueza-Pecha  |e author 
700 1 0 |a Louisa M Johnson  |e author 
700 1 0 |a Alan Chen  |e author 
700 1 0 |a Casey Johanns  |e author 
700 1 0 |a Neal Marquez  |e author 
700 1 0 |a Aruna M Kamath  |e author 
700 1 0 |a Joseph N Camarda  |e author 
700 1 0 |a Abraham D Flaxman  |e author 
245 0 0 |a Factors associated with delays in the search for care in under-5 deaths in Yucatán, Mexico 
260 |b Instituto Nacional de Salud Pública,   |c 2021-05-01T00:00:00Z. 
500 |a 0036-3634 
500 |a 10.21149/12216 
520 |a 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. 
546 |a EN 
546 |a ES 
690 |a child mortality 
690 |a neonatal mortality 
690 |a autopsy 
690 |a Public aspects of medicine 
690 |a RA1-1270 
655 7 |a article  |2 local 
786 0 |n Salud Pública de México, Vol 63, Iss 4, Pp 498-508 (2021) 
787 0 |n https://www.saludpublica.mx/index.php/spm/article/view/12216 
787 0 |n https://doaj.org/toc/0036-3634 
856 4 1 |u https://doaj.org/article/42c33f8c99dc42b18f9628c31341eeb4  |z Connect to this object online.