Table 6.

Multivariable analysis of factors associated with delays in seeking (D1), reaching (D2), and receiving (D3) surgical care among pediatric patients with surgical concerns in Nyarugusu refugee camp

	DELAY 1 (Seeking Care)			DELAY 2 (Reaching Care)			DELAY 3 (Receiving Care)
Characteristic	Odds Ratioa	95% CI	p-value	Odds Ratio	95% CI	p-value	Odds Ratio	95% CI	p-value
Age Group
12–18	REF	—	—	REF	—	—	REF	—	—
0–5	0.46	0.22, 0.98	0.044*	0.39	0.10, 1.46	0.2	1.01	0.35, 2.90	> 0.9
6–11	0.38	0.20, 0.68	0.001*	0.47	0.16, 1.28	0.2	0.96	0.43, 2.05	> 0.9
Gender
Female	REF	—	—	REF	—	—	—	—	—
Male	1.22	0.82, 1.83	0.3	1.14	0.56, 2.33	0.7	0.67	0.37, 1.19	0.2
Nationality
Burundi	REF	—	—	REF	—	—	REF	—	—
DRC	1.52	1.00, 2.34	0.053	1.5	0.70, 3.30	0.3	3.39	1.76, 6.85	< 0.001*
Self-perceived healthy
Yes	2.22	1.31, 3.86	0.004*	0.66	0.29, 1.58	0.3	0.51	0.27, 0.98	0.04*
Literacy Status
Yes	0.65	0.34, 1.22	0.2	0.73	0.25, 2.22	0.6	1.68	0.72, 4.10	0.2
Illness in the past year
Yes	0.81	0.51, 1.29	0.4	1.73	0.69, 5.28	0.3	1.39	0.68, 3.09	0.4
Pathology of Wound
Wounds only	REF	—	—	REF	—	—	REF	—	—
Age Group
Congenital deformities only	1.36	0.70, 2.61	0.4	0.6	0.19, 1.65	0.3	1.04	0.40, 2.61	> 0.9
Burns	2.86	1.46, 5.70	0.002*	0.47	0.11, 1.52	0.3	0.36	0.08, 1.14	0.12
Swelling/Tumor	1.62	0.79, 3.27	0.2	0.32	0.05, 1.19	0.14	0.72	0.22, 1.96	0.5
Other	1.68	1.02, 2.77	0.042*	0.28	0.10, 0.70	0.009*	1	0.51, 1.99	> 0.9
PHC Use
Yes	0.18	0.05, 0.54	0.003*	—	—	—	—	—	—

CI Confidence Interval; DRC Democratic Republic of the Congo; PHC Primary Health Center

^aOdds ratios quantify the likelihood of experiencing a delay in seeking, reaching, or receiving care in one group relative to another, with values greater than 1 indicating higher odds of delay, values less than 1 indicating lower odds of delay, and a value of 1 suggesting no difference in delay.

^*These p-values indicate statistical significance (p < 0.05)