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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.