Bulletin of the World Health Organization

Delayed care seeking for fatal pneumonia in children aged under five years in Uganda: a case-series study

Karin Källander, Helena Hildenwall, Peter Waiswa, Edward Galiwango, Stefan Peterson, George Pariyo

Volume 86, Number 5, May 2008, 332-338

Table 3. Potential risk factors for delaying > 2 days from symptom recognition to reaching an outside care provider for fatal pneumonia, n = 44

Potential risk factors No. of childrena
Odds ratiob P-value
< 2 daysn = 23  2 daysn = 21
Age group (months)
1–11 8 (35) 10 (48) 0.6 (0.2–2.0) 0.39
12–59 15 (65) 11 (52) 1
Sex
Boys 11 (48) 11 (52) 0.8 (0.3–2.7) 0.76
Girls 12 (52) 10 (48) 1
Concurrent death cause
Malaria 9 (39) 5 (24) 0.5 (0.1–1.8) 0.28
AIDS/malnutrition 8 (35) 8 (38) 1.2 (0.3–3.9) 0.82
Diarrhoeal disease 1 (4) 2 (10) 2.3 (0.2–27) 0.51
Anaemia 3 (13) 8 (38) 4.1 (0.9–18) 0.06c
First outside care sought
Hospital 7 (30) 9 (43) 1.7 (0.5–5.9) 0.39
Health centre 5 (22) 4 (19) 0.8 (0.2–3.7) 0.83
Private clinic 7 (30) 2 (10) 0.2 (0–1.3) 0.10c
Drugs used at home
Antimalarial 11 (48) 12 (63) 1.9 (0.5–6.5) 0.32
Antibiotic 3 (13) 9 (47) 6 (1.3–27) 0.02c
Antipyretic 11 (48) 12 (63) 0.9 (0.3–3.5) 0.93
Distance to nearest health facility
< 1 hour walking 10 (43) 6 (29) 1.9 (0.6–6.7) 0.30
≥ 1 hour walking 13 (57) 15 (71) 1

a Values in parentheses are percentages.b Values in parentheses are 95% confidence intervals.c Variables where P < 0.25 qualified for the multiple logistic regression.