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Table 5 Comparison of identified delays to maternal deaths between obstetricians’ panel and MDSR system

From: Causes of maternal deaths and delays in care: comparison between routine maternal death surveillance and response system and an obstetrician expert panel in Tanzania

  Obstetricians MDSR system  
Frequency (%) Frequency (%)  
Phase one delays N = 74 N = 42 K statistic
 Delay in decision making 57(77.0) 23(54.8) 0.04
 Delayed referral from home 40(54.1) 17(30.5) 0.30
 Failure to recognize problem 25 (33.8) 16(38.1) 0.24
 Unwillingness to seek care 15(20.3) 6(14.3) 0.30
 Traditional practices 4(5.4) 4(9.5) 0.05
 Poverty 2(2.7) 1(2.4) 0.00
 Delay in starting antenatal care 17(23.0) 10(23.8) 0.23
Phase two delays N = 24 N = 10  
 Delayed arrival to health facility 10(41.7) 6(60.0) −0.5
 Lack of money for transport 10(41.7) 2(20.0) 0.00
 Lack of transport from home 10(41.7) 1(10.0) −0.33
 No facility within reasonable distance 4(16.7) 1(10.0) 0.00
 Bad roads 2(8.3) 0(0.0) 0.00
Phase three delays N = 101 N = 78  
 Human errors or mismanagement 94(93.1) 53(67.9) 0.16
 Delayed management after admission 77(76.2) 30(38.5) 0.22
 Inadequate skills of the provider 64(63.4) 44(56.4) 0.16
 Delayed arrival from referring facility 44(43.6) 21(26.9) 0.41
 Suboptimal antenatal care 37(36.6) 26(33.3) 0.05
 Lack of supplies and equipment 10(9.9) 34(43.6) 0.13