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Four delays of child mortality in Rwanda: a mixed methods analysis of verbal social autopsies.


ABSTRACT:

Objectives

We sought to understand healthcare-seeking patterns and delays in obtaining effective treatment for rural Rwandan children aged 1-5 years by analysing verbal and social autopsies (VSA). Factors in the home, related to transport and to quality of care in the formal health sector (FHS) were thought to contribute to delays.

Design

We collected quantitative and qualitative cross-sectional data using the validated 2012 WHO VSA tool. Descriptive statistics were performed. We inductively and deductively coded narratives using the three delays model, conducted thematic content analysis and used convergent mixed methods to synthesise findings.

Setting

The study took place in the catchment areas of two rural district hospitals in Rwanda-Kirehe and Southern Kayonza. P

SUBMITTER: Roder-DeWan S 

PROVIDER: S-EPMC6549629 | biostudies-literature | 2019 May

REPOSITORIES: biostudies-literature