Academic Journal
Access to quality care after injury in Northern Malawi: results of a household survey
| العنوان: | Access to quality care after injury in Northern Malawi: results of a household survey |
|---|---|
| المؤلفون: | John Whitaker, Abena S. Amoah, Albert Dube, Rory Rickard, Andrew J. M. Leather, Justine Davies |
| المصدر: | BMC Health Services Research, Vol 24, Iss 1, Pp 1-12 (2024) |
| بيانات النشر: | BMC |
| سنة النشر: | 2024 |
| المجموعة: | Directory of Open Access Journals: DOAJ Articles |
| مصطلحات موضوعية: | Wounds and injuries, Health services research, Health care surveys, Health care quality, access, and evaluation, Malawi, Public aspects of medicine, RA1-1270 |
| الوصف: | Background Most injury care research in low-income contexts such as Malawi is facility centric. Community-derived data is needed to better understand actual injury incidence, health system utilisation and barriers to seeking care following injury. Methods We administered a household survey to 2200 households in Karonga, Malawi. The primary outcome was injury incidence, with non-fatal injuries classified as major or minor (> 30 or 1–29 disability days respectively). Those seeking medical treatment were asked about time delays to seeking, reaching and receiving care at a facility, where they sought care, and whether they attended a second facility. We performed analysis for associations between injury severity and whether the patient sought care, stayed overnight in a facility, attended a second facility, or received care within 1 or 2 h. The reason for those not seeking care was asked. Results Most households (82.7%) completed the survey, with 29.2% reporting an injury. Overall, 611 non-fatal and four fatal injuries were reported from 531 households: an incidence of 6900 per 100,000. Major injuries accounted for 26.6%. Three quarters, 76.1% (465/611), sought medical attention. Almost all, 96.3% (448/465), seeking care attended a primary facility first. Only 29.7% (138/465), attended a second place of care. Only 32.0% (142/444), received care within one hour. A further 19.1% (85/444) received care within 2 h. Major injury was associated with being more likely to have; sought care (94.4% vs 69.8% p < 0.001), stayed overnight at a facility (22.9% vs 15.4% P = 0.047), attended a second place of care (50.3% vs 19.9%, P < 0.001). For those not seeking care the most important reason was the injury not being serious enough for 52.1% (74/142), followed by transport difficulties 13.4% (19/142) and financial costs 5.6% (8/142). Conclusion Injuries in Northern Malawi are substantial. Community-derived details are necessary to fully understand injury burden and barriers to seeking and reaching care. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| تدمد: | 1472-6963 |
| Relation: | https://doi.org/10.1186/s12913-023-10521-8; https://doaj.org/toc/1472-6963; https://doaj.org/article/acf70b944e544246aaef411a9c8d18b2 |
| DOI: | 10.1186/s12913-023-10521-8 |
| الاتاحة: | https://doi.org/10.1186/s12913-023-10521-8 https://doaj.org/article/acf70b944e544246aaef411a9c8d18b2 |
| رقم الانضمام: | edsbas.E09B3ED2 |
| قاعدة البيانات: | BASE |
Full Text Finder | تدمد: | 14726963 |
|---|---|
| DOI: | 10.1186/s12913-023-10521-8 |