Table 3.
Delay duration and role of contact persons
| Patient number | First contact person | Advised/forced to visit non-hospital health provider (what provider, lead to visit?) | Contact person (s) that advised/forced to visit Sumve DDH (lead to hospital visit?) | First health provider visited (TB diagnosed in this visit?) | Visits made before TB diagnosis in Sumve DDHb | Median total delayc (days) | Median patient delay (days) | Median provider delay (days) | Median diagnostic delay (days) | Median treatment delay (days) | Median health system delayd (days) |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 (Laura) | Neighbours | Advised by neighbours, former TB patient (no) | Other hospitala (no) | 237 | 14 | 0 | 220 | 3 | 223 | ||
| 2 (Steve) | Family member | Advised by son-in-law (dispensary, yes) | Sumve DDH (no) | Traditional healer, dispensary | 1,146 | 31 | 0 | 1,115 | 0 | 1,115 | |
| 3 (Maria) | Neighbour | Advised by neighbour (traditional healer, yes) | Advised by former TB patient (no) | Dispensary (no) | Traditional healer, pharmacy | 159 | 120 | 36 | 3 | 0 | 3 |
| 4 (Jacob) | Traditional healer | Advised by former TB patient (yes) | Traditional healer (no) | Pharmacy | 235 | 14 | 205 | 16 | 0 | 16 | |
| 5 | Partner |
Advised by wife (traditional healer, yes) |
Advised by former TB patient (no) | Pharmacy (no) | Traditional healer, dispensary | 83 | 21 | 57 | 2 | 3 | 5 |
| 6 | Family member | Advised by former TB patient (yes) | Traditional healer (no) | Pharmacy, dispensary | 600 | 546 | 51 | 3 | 0 | 3 | |
| 7 | Family member | Sumve DDH (no) | 595 | 190 | 0 | 403 | 2 | 405 | |||
| 8 | Dispensary personnel | Advised by neighbours (yes) | Dispensary (no) | Other hospitala | 160 | 45 | 96 | 18 | 1 | 19 | |
| 9 | Hospital personnel | Advised by former TB patient (no) | Pharmacy (no) | 94 | 14 | 74 | 4 | 2 | 6 | ||
| 10 (Lena) | Partner | Forced by older brother and husband (traditional healer, yes) | Forced by older brother and husband (yes) | Other hospitala (no) | Traditional healer, Sumve DDH | 443 | 396 | 0 | 46 | 1 | 47 |
| 11 | Family members | Advised by family members (yes) | Sumve DDH (no) | 520 | 367 | 0 | 152 | 1 | 153 | ||
| 12 | Traditional healer | Advised by father (traditional healer, yes) | Advised by traditional healer (yes) | Traditional healer (no) | Pharmacy, Sumve DDH, traditional healer | 917 | 7 | 603 | 307 | 0 | 307 |
| 13 | Family member | Forced by mother (pharmacy, yes) | Forced by mother (yes) | Pharmacy (no) | 32 | 3 | 11 | 9 | 9 | 18 | |
| 14 (Sam) | Neighbours | Advised by neighbours (traditional healer, no) | Advised by neighbours (yes) | Pharmacy (no) | Sumve DDH, Sumve DDH | 335 | 95 | 34 | 206 | 0 | 206 |
| 15 | Family member | Forced by grandmother (dispensary, yes) | Forced by grandmother (yes) | Dispensary (no) | Sumve DDH | 226 | 45 | 157 | 22 | 2 | 24 |
| 16 | Pharmacy personnel | Advised by family members (yes) | Pharmacy (no) | 300 | 62 | 234 | 4 | 0 | 4 | ||
| 17 | Family members | Forced by older family members (traditional healer, yes) | Advised by traditional healer (yes) | Other hospitala (no) | Pharmacy, traditional healer | 177 | 14 | 0 | 163 | 0 | 163 |
| 18 | Family members | Forced by older family members (traditional healer, yes) | Forced by older family members (yes) | Traditional healer (no) | Other hospitala | 199 | 122 | 14 | 62 | 1 | 63 |
| 19 (George) | Traditional healer | Advised by neighbours, former TB patients (no) | Traditional healer (no) | 759 | 21 | 732 | 5 | 1 | 6 | ||
| 20 | Pharmacy personnel | Advised by former TB patients (no) | Pharmacy (no) | 59 | 4 | 28 | 13 | 14 | 27 | ||
| 21 (David) | Family member | Forced by older brother (traditional healer, yes) | Advised by traditional healer (yes) | Pharmacy (no) | Other hospitala, traditional healer | 41 | 0 | 4 | 36 | 1 | 37 |
| 22 | Pharmacy personnel | Advised by dispensary personnel (yes) | Pharmacy (no) | Traditional healer, dispensary, Sumve DDH | 81 | 7 | 66 | 7 | 1 | 8 | |
| 23 | Family members | Advised by neighbours (traditional healer, no) | Advised by family members (yes) | Sumve DDH (yes) | 71 | 61 | 0 | 9 | 1 | 10 | |
| 24 | Family members | Advised by family members (traditional healer, yes) | Advised by family member (yes) | Traditional healer (no) | Dispensary | 240 | 151 | 27 | 61 | 1 | 62 |
| 25 (Marc) | Hospital personnel | Advised by neighbour (yes) | Other hospitala (no) | Pharmacy, traditional healer, Sumve DDH | 160 | 7 | 0 | 152 | 1 | 153 | |
| 26 | Traditional healer | Traditional healer (no) | Pharmacy | 40 | 14 | 16 | 8 | 2 | 10 | ||
| 27 | Traditional healer | Advised by neighbours, family members (no) | Traditional healer (no) | Pharmacy, dispensary, other hospitala | 83 | 8 | 37 | 36 | 2 | 38 | |
| 28 | Family member | Forced by grandmother (traditional healer, yes) | Forced by grandmother (yes) | Traditional healer (no) | 92 | 0 | 80 | 8 | 4 | 12 |
aOther hospital = Ngudu hospital, the governmental hospital in Kwimba district, or a hospital in another district
bAll visits to hospitals or alternative health providers that were made after the first health provider visit and in which TB was not diagnosed, displayed in the order in which the visits were made
cSum of patient delay and health provider delay and health system delay
dSum of diagnostic delay and treatment delay