Table 2.
Level of delays in seeking/receiving care and their reasons among those who died due to acute cardiac and stroke event in district Faridabad.
Levels of delay & reasonsa | Overall |
||
---|---|---|---|
Cardiac event N = 323 |
Stroke N = 112 |
Total N = 435 |
|
No delay | 155 (48.0) | 38 (33.9) | 193 (44.4) |
Level-1 delay | 124 (38.4) | 43 (38.4) | 167 (38.4) |
Reasons for Level 1 delay | n = 124 | n = 43 | n = 167 |
Non- recognition of symptoms to be related to heart or brain attack | 79 (63.7) | 21 (48.8) | 100 (59.9) |
Did not appreciate seriousness of problem | 22 (17.8) | 7 (16.3) | 29 (17.3) |
Consulted neighbourhood practitioner | 14 (11.3) | 13 (30.2) | 27 (16.2) |
Lack of decision maker | 3 (2.4) | 2 (4.7) | 5 (3.0) |
Financial constraint | 6 (4.8) | 0 (0.0) | 6 (3.6) |
Level-2 delay | 58 (18.0) | 29 (25.9) | 87 (20) |
Reasons for Level-2 delay | n = 58 | n = 29 | n = 87 |
Lack of affordability | 16 (27.6) | 10 (34.5) | 26 (29.9) |
Going to a hospital where appropriate care was not available. | 18 (31.0) | 17 (58.6) | 35 (40.2) |
Delay in arranging transport | 10 (17.3) | 1 (3.5) | 11 (12.6) |
Non-availability of a person to accompany the patient | 9 (15.5) | 1 (3.5) | 10 (11.5) |
Hesitancy to visit a facility during COVID-19 | 5 (8.6) | 0 (0.0) | 5 (5.7) |
Level-3 delay | 29 (9.0) | 18 (16.1) | 47 (10.8) |
Reasons for Level 3 delay | n = 29 | n = 18 | n = 47 |
Lack of money | 14 (48.3) | 13 (72.2) | 27 (57.4) |
Non-availability of specialist or ICU bed in the facility | 15 (51.7) | 5 (27.8) | 20 (42.6) |
Multiple levels of delays possible in a case.