Table 5 Health systems dimension aspects related to dengue mortality according to content analysis

Access to health care

Yes

• Lack of access or presence of barriers to health care and/or supplementary services were often

[30–32, 39, 40, 61, 65, 69, 77]

• described in dengue mortality.

Health coverage

NC

• Although health coverage might facilitate the access and health care attention received, it was not specifically described as determinant.

[92, 94]

Opportunity for receiving attention

Yes

• Limitation in referrals, shock corrections, delayed attention, or early hospital discharge were the most described aspects related to opportunity for attention.

[30–32, 40, 65, 69, 88, 93, 102]

Quality of attention received

Yes

• Related as well to health staff knowledge, both technical and scientific quality of attention were described as direct determinants in the cases with wrong praxis.

[32, 40, 65, 69, 77, 93, 102]

Length of hospital stay

NC

• This item was reported by describing the duration of a hospital stay, but without reporting any association with fatal outcomes.

[11, 29, 30, 32, 39, 40, 65, 69, 80, 103]

Health staff knowledge

Yes

• Expressed as appropriate management of the disease, thereby decreasing the chance of developing severe forms and dengue mortality.

[32, 51, 65, 91, 93, 102]

Surveillance

No

• Described as a tool for cases analysis and documentation of outbreaks but not as a determinant.

[32, 51, 69, 91, 92, 94]