Table 3.
Pathway to Survival Indicators of under-five deaths
| Pathway to Survival Component and Indicators* | Under-five deaths | Neonatal deaths (0-27 d) | Child deaths (1-59 mo) | Χ-2 (P-Value) |
|---|---|---|---|---|
|
Illness recognition at home |
N = 466 |
N = 115 |
N = 351 |
|
| 1. Caregiver recognized sign(s) of possibly severe or severe illness |
445 (95.6%) |
105 (91.5%) |
340 (96.8%) |
4.81 (0.029) |
|
Care-seeking patterns |
N = 464 |
N = 113 |
N = 351 |
|
| 2. Child “died immediately” |
38 (8.3%) |
23 (20.6%) |
16 (4.6%) |
14.01 (0.002) |
| 3. No caregiven or sought for child |
40 (8.6%) |
34 (29.8%) |
8 (2.3%) |
57.05 (0.000) |
| 4.1 Child received home care only |
10 (2.1%) |
6 (5.1%) |
4 (1.2%) |
3.46 (0.0639) |
| 4.2 Child sought or tried to seek outside care as first action |
308 (66.3%) |
45 (40.1%) |
260 (74.1%) |
26.24 (0.000) |
| 4.3 Child sought or tried to seek outside care as later action |
68 (14.7%) |
5 (4.3%) |
63 (17.8%) |
7.76 (0.006) |
|
Choice of outside care: | ||||
| 5.1 Formal care only |
284 (61.2%) |
47 (41.1%) |
235 (67.0%) |
12.19 (0.001) |
| 5.2 Informal and formal care |
70 (15.1%) |
1 (0.8%) |
68 (19.3%) |
36.52 (0.000) |
| 5.3 Informal care only |
22 (5.9%) |
3 (5.1%) |
19 (6.0%) |
0.04 (0.8518) |
|
Choice of any formal care: |
n = 351 |
n = 48 |
n = 303 |
|
| 6.1 Child died before setting out, or died on route, or could not reach the health care provider |
15 (4.2%) |
3 (6.9%) |
11 (3.8%) |
0.73 (0.393) |
| 7.1 Child reached the first health care provider and died at the facility |
103 (29.0%) |
26 (54.8%) |
77 (25.3%) |
11.97 (0.001) |
| 7.2 Child reached the first health provider and left the facility alive |
233 (66.8%) |
18 (38.3%) |
215 (70.9%) |
13.98 (0.000) |
|
Decision of health provider at discharge |
n = 233 |
n = 18 |
n = 215 |
|
| 8.1 child was not referred, nor received any home care recommendations |
68 (29.3%) |
3 (16.6%) |
65 (30.4%) |
1.888 (0.1724) |
| 8.2 Child received home care recommendations only |
93 (40.1%) |
10 (54.5%) |
83 (38.4%) |
1.54 (0.2159) |
| 8.3 Child was referred to another health care provider and received recommendations |
39 (16.8%) |
1 (4.60%) |
38 (17.6%) |
2.38 (0.1249) |
| 8.4 Child was referred to another health care provider only |
34 (14.2%) |
5 (24.4%) |
29 (13.6%) |
1.18 (0.2780) |
|
The caregiver followed the recommendation and went to a second or last provider: | ||||
| 9.1 Caregiver followed all the home care recommendation |
115/133 (86.5%) |
10/11(69.4%) |
105/121 (87.2%) |
0.38 (0.535) |
| 9.2 Referral compliance | 55/72 (76.4%) | 3/5 (57.2%) | 52/67 (77.2%) | 9.88 (0.002) |