Table 4 Proportion of identified cases of obstetric complications with sub-standard care/delay in receiving care according to the severity of maternal outcome
Delays | PLTC | MNM | MD | p-value* |
|---|---|---|---|---|
Users’ factors | 709 (9.3) | 110 (17.0) | 34 (30.9) | <0.001 |
Delay in seeking health services | 339 (4.4) | 74 (11.4) | 29 (26.4) | <0.001 |
Refuse to treatment | 380 (5.0) | 36 (5.6) | 10 (9.1) | 0.333 |
Unsafe abortion | 41 (0.5) | 8 (1.2) | 2 (1.8) | 0.285 |
Total | 7623 | 647 | 110 | |
Health Service Accessibility | 2622 (34.4) | 232 (35.6) | 52 (45.6) | 0.078 |
Total | 7626 | 651 | 114 | |
Difficulty in gaining access to antenatal care | 106 (1.3) | 16 (2.2) | 4 (3.2) | 0.191 |
Difficulties or problems with transportation city/ hospital | 83 (1.0) | 19 (2.6) | 15 (11.9) | <0.001 |
Subtotal | 8002 | 720 | 126 | |
Absent or inadequate antenatal care | 2442 (32.0) | 211 (32.6) | 39 (35.5) | 0.713 |
Geographical difficulty in gaining access to health service | 172 (2.3) | 22 (3.4) | 4 (3.6) | 0.072 |
Subtotal | 7623 | 647 | 110 | |
Quality of medical care | 1919 (23.6) | 306 (42.3) | 84 (65.1) | <0.001 |
Total | 8134 | 723 | 129 | |
Absence of blood products | 28 (0.3) | 23 (3.2) | 6 (4.8) | <0.001 |
Lack of medication: magnesium sulphate, antibiotics, vasoactive drugs, uterotonics | 81 (1.0) | 26 (3.6) | 10 (7.9) | <0.001 |
Difficulty in communicating between hospital and regulatory centre | 647 (8.1) | 100 (13.9) | 32 (25.4) | 0.005 |
Lack of trained staff | 189 (2.4) | 59 (8.2) | 23 (18.3) | <0.001 |
Difficulty in monitoring | 270 (3.4) | 105 (14.6) | 34 (27.0) | <0.001 |
Subtotal | 8002 | 720 | 126 | |
Delay in case referral/transfer | 177 (2.2) | 82 (11.4) | 33 (26.4) | <0.001 |
Delay in diagnosis | 340 (4.2) | 113 (15.7) | 34 (27.2) | <0.001 |
Delay in starting treatment | 439 (5.4) | 120 (16.7) | 43 (34.4) | <0.001 |
Improper patient management | 1029 (12.7) | 145 (20.2) | 44 (35.2) | 0.003 |
Subtotal | 8088 | 718 | 125 | |
Any delay | 4107 (52.0) | 474 (68.4) | 106 (84.1) | <0.001 |
Total | 7897 | 693 | 126 |