Variables | Private Sector | Public Sector (Regional Referral Hospital) | Overall N = 153 | ||
---|---|---|---|---|---|
Mbarara N = 31 | Mbarara N = 19 | Jinja N = 50 | Masaka N = 53 | ||
A. Ambulatory visits prior to primary hospitalization | |||||
Visited health facility or care provider, n (%) | 2 (6) | 3 (16) | 7 (14) | 13 (25) | 25 (16) |
Common reasons for the visit, n (%) | |||||
▪ Cough | 2 (6) | – | – | 3 (6) | 5 (3) |
▪ Diarrhea | – | – | 1 (2) | 2 (4) | 3 (2) |
▪ Fever | – | 3 (16) | – | 5 (9) | 8 (5) |
▪ Vomiting | – | – | 1 (2) | – | 1 (1) |
▪ Other (Anemia, skin rash, oedema) | – | – | 5 (10) | 3 (6) | 8 (5) |
Type of health facility, n (%) | |||||
▪ Public | – | 2 (11) | 6 (12) | 11 (21) | 19 (12) |
▪ Private not for profit | 2 (6) | 1 (5) | 1 (2) | 2 (4) | 6 (4) |
Level of health facility, n (%) | |||||
▪ Health Centre III | – | 2 (11) | 3 (6) | 9 (17) | 14 (10) |
▪ Health Centre IV | – | – | 3 (6) | 3 (6) | 6 (4) |
▪ Clinic | 2 (6) | 1 (5) | 1 (2) | 1 (2) | 5 (3) |
B. Primary hospitalization | |||||
Type of health facility, n (%) | |||||
▪ Public | – | 19 (100) | 50 (100) | 53 (100) | 122 (80) |
▪ Private not for profit | 31 (100) | – | – | – | 31 (20) |
Transport to- and from health facility (Multiple response: more than one option was applicable) | |||||
Mode of transport, n (%) | |||||
▪ Public taxi / Boda-boda | 27 (87) | 17 (89) | 47 (94) | 40 (75) | 131 (86) |
▪ Personal vehicle / Boda-boda | 1 (3) | 1 (5) | – | 6 (11) | 8 (5) |
▪ Neighbor’s vehicle | – | – | – | 1 (2) | 1 (1) |
▪ Hospital ambulance | 1 (3) | – | – | – | 1 (1) |
▪ Other (motorcycle, relative’s vehicle, special hire) | 2 (6) | 1 (5) | 3 (6) | 6 (11) | 12 (8) |
Meals purchased during hospitalization (Multiple response: more than one option was applicable) | |||||
Persons purchased meals, n (%) | |||||
▪ Child hospitalized | 22 (71) | 15 (79) | 45 (90) | 40 (75) | 122 (80) |
▪ Accompanying parents or family member | 27 (87) | 19 (100) | 48 (96) | 48 (91) | 142 (93) |
▪ Other (sibling of hospitalized child, neighbor) | 13 (42) | 8 (42) | 3 (6) | 2 (4) | 26 (17) |
Productivity losses due to hospitalization of the child (Multiple response: more than one option was applicable) | |||||
Persons missed daily wages, n (%) | |||||
▪ Mother only | 19 (61) | 11 (58) | 23 (46) | 21 (40) | 74 (48) |
▪ Father only | – | 1 (5) | 10 (20) | 1 (2) | 12 (8) |
▪ Both parents | 11 (35) | 7 (37) | 9 (18) | – | 27 (18) |
▪ Other family member / relative | 1 (3) | – | 5 (10) | – | 6 (4) |
Occupation of persons who missed wages, n (%) | |||||
▪ Skilled worker | – | – | 2 (4) | 9 (17) | 11 (7) |
▪ Non-skilled worker | 1 (3) | – | 1 (2) | 1 (2) | 3 (2) |
▪ Farming or agriculture | 6 (19) | 6 (32) | 19 (38) | 5 (32) | 36 (24) |
▪ Private business | 13 (42) | 7 (37) | 17 (34) | 10 (37) | 47 (31) |
▪ Employed | 6 (19) | – | 5 (10) | – | 11 (7) |
▪ More than one occupation | 5 (16) | 6 (32) | 4 (8) | 6 (11) | 21 (14) |
Hired someone on daily wages to take care of child or complete household chores, n (%) | 13 (42) | 11 (58) | 1 (2) | 1 (2) | 26 (17) |
C. Post-discharge referral and follow-up care | |||||
Child referred to lower level health facility for follow-up care, n (%) | 24 (77) | 18 (95) | 34 (68) | 27 (51) | 103 (67) |
Children sought follow-up care, n (%) | 20 (65) | 16 (84) | 30 (60) | 22 (42) | 88 (58) |
Type of health facility, n (%) | |||||
▪ Public | 7 (23) | 13 (68) | 25 (50) | 22 (42) | 67 (44) |
▪ Private not for profit | 13 (42) | 3 (16) | 5 (10) | – | 21 (14) |
Level of health facility or care provider, n (%) | |||||
▪ Facility health worker | 20 (65) | 16 (84) | 27 (54) | 18 (34) | 81 (53) |
▪ VHT | – | – | 2 (4) | 4 (8) | 6 (4) |
▪ Other | – | – | 1 (2) | – | 1 (1) |
Child readmitted to a health facility, n (%) | 5 (16) | 6 (32) | 12 (24) | 7 (13) | 30 (20) |
Completed laboratory tests or imaging, n (%) | 12 (39) | 7 (37) | 1 (2) | 1 (2) | 21 (14) |
Purchased medical supplies or equipment, n (%) | 1 (3) | 1 (5) | 5 (10) | 1 (2) | 8 (5) |
Purchased medications, n (%) | 10 (32) | 5 (26) | 12 (24) | 11 (21) | 38 (25) |
D. Financial burden to families | |||||
Had to sell household assets, n (%) | 14 (45) | 15 (79) | 9 (18) | 10 (19) | 48 (31) |
Types of assets sold | |||||
▪ Electronics | 2 (6) | 2 (11) | 2 (4) | 2 (4) | 8 (5) |
▪ Furniture | 1 (3) | 1 (5) | – | – | 2 (1.3) |
▪ Land | – | 1 (5) | 1 (2) | – | 2 (1.3) |
▪ Animals | 11 (35) | 8 (42) | 4 (8) | 5 (9) | 28 (18) |
▪ Birds | – | 2 (11) | 6 (12) | 2 (4) | 10 (7) |
▪ Other (food, utensils, business stocks) | 1 (3) | 3 (16) | 5 (10) | 1 (2) | 10 (7) |