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Delays in Cryptococcal Meningitis Diagnosis and Care: A Mixed Methods Study in Rural Uganda Cover

Delays in Cryptococcal Meningitis Diagnosis and Care: A Mixed Methods Study in Rural Uganda

Open Access
|Mar 2022

Figures & Tables

agh-88-1-3524-g1.png
Figure 1

Integrated Behavioral Model.

Table 1

Demographic Information.

DEMOGRAPHICSEXPIRED PATIENTSURVIVING PATIENT
Age (mean, range)34.9, 13–6039.3, 17–63
Sex: Female (N, %)10, 506, 30
Marital Status: Married (N, %)10, 5010, 50
Employment status(N, %)(N, %)
    Full time7, 357, 35
    Part-time03, 15
    Seasonal3, 152, 10
    Unemployed10, 508, 40
Education
    Post-secondary3, 154, 20
    Secondary4, 204, 20
    Primary12, 609, 45
    None1, 51, 5
Average Monthly Income (USD currency)(Mean, Range)(Mean, Range)
    $43.85
($0.03–140.5)
$50.49
($2.70–172.73)
Table 2

Health-Seeking Behavior.

EXPIRED PATIENT (N, %)SURVIVING PATIENT (N, %)
Symptoms that prompted health seeking
    Headache19, 9517, 85
    Fever9, 459, 45
    Neck pain4, 208, 40
Treatment sought at other health facility
    Yes19, 9520, 100
Type of health facility
    Clinic/Health Center II3, 157, 35
    Health Center III8, 407, 35
    Hospital/Health Center IV7, 354, 20
    LRRH2, 104, 20
Times seen at other health facility prior to LRRH
None (directly to LRRH)1, 51, 5
    12, 107, 35
    22, 105, 25
    ≥314, 707, 35
Reason for health care treatment
Worse symptom, no improvement16, 8014, 70
    Referred2, 102, 10
    Seeking meds2, 103, 15
    HIV meds1, 52, 10
Diagnosis at health facility
    Malaria7, 358, 40
    HIV6, 302, 10
    Typhoid4, 200
    Meningitis02, 10
    CM2, 101, 5
Days waited until treatment sought(Mean, Range)(Mean, Range)
    Days163, 2–109515.4, 1–60
Table 3

CM Knowledge.

KNOWLEDGEFAMILY MEMBERPATIENT
HEARD OF CM PRIOR TO DIAGNOSIS(N, %)(N, %)
    Yes7, 357, 35
CM can be recurrent
    Yes*10, 504, 20
CM Cause
    Fungus*8, 402, 10
    Bacteria, Virus, or Tuberculosis8, 4012, 60
    Unknown4, 206, 30
Complications of CM
    Vision loss5, 255, 25
    Hearing loss1, 50
    Death8, 407, 35
    All the above*3, 154, 20
    I don’t know3, 154, 20

[i] * Denotes correct answer.

DOI: https://doi.org/10.5334/aogh.3524 | Journal eISSN: 2214-9996
Language: English
Published on: Mar 18, 2022
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2022 Abigail Link, Mark Okwir, Betty Nabongo, David Meya, Sarah Iribarren, Paul Bohjanen, Danuta Kasprzyk, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.