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Table 3 Impact of choice of health care providers consulted first on T D

From: Visceral leishmaniasis diagnosis and reporting delays as an obstacle to timely response actions in Nepal and India

 

Bihar - time from seeking health care to receiving the VL diagnosis (TD)

 

Total

Health post, sub-health post, sub-center, AHW, HA, ANM, SN

Indigenous healer

Local unqualified private doctor, local pharmacist

Qualified private doctor/hospital

Government doctor/hospital, PHC

Patient came directly to treating hospital/PHC

N

49

0

0

35

12

2

0

Mean (days)

90,33

  

95.46

89.75

4.00

 

95% Confidence Int.

68.1-112.6

  

71.0-119.9

29.0-150.5

-21.4-29.4

 

Std. Error (SEM)

11.08

  

12.03

27.62

2.00

 

Std. Deviation (SD)

77,57

  

71.18

95.68

2.83

 

Kolmogorov-Smirn.

p < 0.01

  

p = 0.03

p < 0.01

P = 0.26

 

Median (days)

67

  

75

67

4

 

Interquartile range

92

  

102

60

-

 

Full range

363

  

239

361

4

 

Mann-Whitney U-Test: Local unqualified/Qualified private

p = 0.600

 

Mann-Whitney U-Test: Local unqualified/Government hospital

p = 0.003

 

Mann-Whitney U-Test: Qualified private/Government hospital

p = 0.044

 
 

Nepal - time from seeking health care to receiving the VL diagnosis (T D )

 

Total

Health post, sub-health post, sub-center, AHW, HA, ANM, SN

Indigenous healer

Local unqualified private doctor, local pharmacist

Qualified private doctor/hospital

Government doctor/hospital, PHC

Patient came directly to treating hospital/PHC

N

46

5

2

15

7

7

10

Mean (days)

25,13

48,00

50,00

25,73

46,29

11,43

2,60

95% Confidence Int.

12.7-37.6

-9.1-105.1

-343.8-444

1.5-50.0

-16.4-109.0

2.72-20.13

1.0-4.2

Std. Error (SEM)

6.17

20.57

31.00

11.31

25.62

3.56

0.70

Std. Deviation (SD)

41,84

45,99

43,84

43,81

67,77

9,41

2,22

Kolmogorov-Smirn.

p < 0.01

p = 0.2

 

p < 0.01

p < 0.01

p = 0.12

p < 0.01

Median (days)

9

30

50

11

30

8

2

Interquartile range

24

85

-

16

39

18

3

Full range

194

109

62

174

193

25

7

Mann-Whitney U-Test: Local unqualified/Qualified private

p = 0.630

 

Mann-Whitney U-Test: Local unqualified/Government hospital

p = 0.210

 

Mann-Whitney U-Test : Qualified private/Government hospital

p = 0.259

 
 

Total - time from seeking health care to receiving the VL diagnosis (T D )

 

Total

Health post, sub-health post, sub-center, AHW, HA, ANM, SN

Indigenous healer

Local unqualified private doctor, local pharmacist

Qualified private doctor/hospital

Government doctor/hospital, PHC

Patient came directly to treating hospital/PHC

N

95

5

2

50

19

9

10

Mean (days)

58,76

48.00

50.00

74.54

73.74

9.78

2.60

95% Confidence Int.

44.4-73.1

-9.1-105.1

-343.8-444

54.2-94.9

31.8-115.7

3.0-16.6

1.0-4.2

Std. Error (SEM)

7.24

20.57

31.00

10.11

19,99

2.95

0.70

Std. Deviation (SD)

70,59

45.99

43.84

71.46

87.12

8.84

2.22

Kolmogorov-Smirn.

p < 0.01

p = 0.20

 

p < 0.01

p < 0.01

p = 0.062

p < 0.01

Median (days)

32

30

50

53

43

7

2

Interquartile range

71

85

-

94

53

13

3

Full range

364

109

62

243

363

25

7

Mann-Whitney U-Test: Local unqualified/Qualified private

p = 0.752

 

Mann-Whitney U-Test: Local unqualified/Government hospital

p < 0.001

 

Mann-Whitney U-Test: Qualified private/Government hospital

p = 0.002

 
  1. Data is given as total as well as stratified by service providers consulted first.
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BMC Infectious Diseases

ISSN: 1471-2334

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