TABLE 3—
First Agency Contacted for Health Care and Advice Relating to the Sick Child Younger Than 5 Years: San Marcos, Guatemala, 2008–2009
| Severe Pneumonia Episodes, % |
Severe Diarrhea Episodes, % |
|||||
| Agency First Sought for Help | All (n = 364) | Comitancillo (n = 255) | San Lorenzo (n = 109) | All (n = 481) | Comitancillo (n = 371) | San Lorenzo (n = 110) |
| No help sought | 4.7 | 5.9 | 1.8 | 6.7 | 5.5 | 10.9 |
| Community providers | 65.2 | 68.7 | 57.7 | 77.6 | 81.1 | 65.6 |
| Relative | 18.4 | 20.8 | 12.8 | 21.0 | 21.3 | 20.2 |
| Neighbors | 3.8 | 3.9 | 3.7 | 6.9 | 7.8 | 3.6 |
| Healer | 0.8 | 0.8 | 0.9 | 1.5 | 1.6 | 0.9 |
| Midwife | 0.5 | 0.8 | 0 | 0.6 | 0.8 | 0 |
| Medicine seller | 0.5 | 0.4 | 0.9 | 1.2 | 1.3 | 0.9 |
| Local store | 24.7 | 25.5 | 22.9 | 35.8 | 37.5 | 30.0 |
| Pharmacy | 16.5 | 16.5 | 16.5 | 10.6 | 10.8 | 10.0 |
| MSPAS and EdC | 26.1 | 20.4 | 36.7 | 13.1 | 10.8 | 20.9 |
| EdC facilitator | 5.2 | 5.5 | 0 | 3.3 | 4.3 | 0 |
| Health post | 6.0 | 4.3 | 10.1 | 2.1 | 0.8 | 6.4 |
| Health center | 14.1 | 9.8 | 25.7 | 7.7 | 5.7 | 14.5 |
| National hospital | 0.8 | 0.8 | 0.9 | 0 | 0 | 0 |
| Private | 3.3 | 3.4 | 3.7 | 2.5 | 2.4 | 2.7 |
| Private doctor | 1.9 | 1.6 | 2.8 | 1.0 | 0.8 | 1.8 |
| Private hospital | 1.4 | 1.6 | 0.9 | 1.5 | 1.6 | 0.9 |
Note. EdC = Programme to Extend Coverage of Basic Health Services (Extension de Cobertura); MSPAS = Ministry of Public Health and Social Assistance. Chi-squared test for comparison between municipalities at level of headings (no help sought, community providers, MSPAS and EdC, and private): Comitancillo severe pneumonia episodes, P = .03; all severe diarrhea episodes, P = .009.