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. 2017 Dec 20;10(1):1413917. doi: 10.1080/16549716.2017.1413917

Table 4.

Definitions of the three delays as reported in the peer-reviewed literature.

Author Definition of First Delay Definition of Second Delay Definition of Third Delay
D’Ambruoso, 2010 [6]
  • Not defined

  • Not defined

  • Not defined

Deshmukh et al. (2016) [7]
  • Did not receive any home remedy and was not taken to any health facility

  • Received home remedy and was not taken to health facility

  • Received home remedy and was later taken to a health facility

  • Parents enumerated difficulties in reaching the health facility

  • Given no facility data, created proxies:
    1. Deaths occurring at the first health facility, or
    2. Children taken to second and subsequent facilities, or
    3. Children who were taken back from the first health facility and who died at home
Jat et al. (2015) [9]
  • Not precisely defined: determined by the interval between the occurrence of an obstetric complication and when the decision to seek care was made

  • Not precisely defined: determined by the difference of time between the decision to seek care and reaching the health care facility

  • Not precisely defined: determined by the time taken to initiate definitive obstetric care once the woman reached the health facility

Kallender et al. (2011) [11]
  • Lack of recognition of at least one severe symptom

  • Had severe or potentially severe symptom but was treated at home

  • Only received care at home

  • Had severe symptom and was brought outside the home after >1 day

  • Had only received informal care for their fatal illness as both first and last source of care

  • Did not go for referral because of caretaker decision making

  • Delaying >2 hours to reach first or last provider

  • Not going for referral because of lack of money for transport

  • Obtaining treatment from provider after >1 hour from first or last provider

  • Referred because of lack of equipment of lack of medication

  • Did not receive any treatment after visiting first or last formal provider

Upadhyay et al. (2012) [20]
  • Subjectively judged as a delay if the reviewers deemed that the delay seemed to have partially contributed to the death or if the delay was ‘avoidable’ by some action by either the caregiver or the health professional

  • Subjectively judged as a delay if the reviewers deemed that the delay seemed to have partially contributed to the death or if the delay was ‘avoidable’ by some action by either the caregiver or the health professional

  • Subjectively judged as a delay if the reviewers deemed that the delay seemed to have partially contributed to the death or if the delay was ‘avoidable’ by some action by either the caregiver or the health professional

Waiswa et al. (2010) [21]
  • Any newborn baby who died at home or where it took more than 12 hours to seek outside care

  • Newborn babies whose caregivers expressed problems with getting transport

  • Delay in receiving or failure to receive quality care at the health facility (as judged by the audit doctor)