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Instituto Nacional de Salud Pública

2021, Número 4

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salud publica mex 2021; 63 (4)


Factores asociados con demoras en la búsqueda de atención en muertes de menores de cinco años en Yucatán, México

Hernández-Prado B, Rodríguez-Angulo EM, Palmisano EB, Ojeda-Rodríguez R, Ojeda-Baranda RJ, Andueza-Pecha MG, Johnson LM, Chen A, Johanns C, Marquez N, Kamath AM, Camarda JN, Flaxman AD

Idioma: Ingles.
Referencias bibliográficas: 30
Paginas: 498-508
Archivo PDF: 260.69 Kb.


RESUMEN

Objetivo. Analizar las demoras en la búsqueda de atención y su asociación con características de la madre, del niño y los servicios de salud, así como con los síntomas reportados antes de la defunción. Material y métodos. Diseño transversal con entrevistas a 252 cuidadores que se encargaron de niños menores de cinco años que fallecieron en el estado de Yucatán, México, durante 2015-2016. Se evaluaron tres demoras: 1) tiempo en identificar la complicación e iniciar el proceso de búsqueda; 2) tiempo de transporte; y 3) tiempo de espera en la unidad de salud. Resultados. Los niños enfrentaron demoras importantes en la búsqueda de atención. La media de tiempo para iniciar la búsqueda de atención fue de 4.1 días. La media de tiempo de transporte a la primera unidad de atención fue mayor para niños inscritos en el Seguro Popular y hubo tiempos de espera más largos en unidades de salud del sector público, especialmente entre niños que tuvieron tiempos de transporte largos. Conclusión. Proporcionar recursos que permitan a los cuidadores acceder a los servicios de salud de manera oportuna puede reducir las demoras en la búsqueda de atención.


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