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Table 3 Health-system factors associated with delays in tuberculosis treatment

From: Delay in the treatment of pulmonary tuberculosis: a report from Afghanistan

Variable

N (%)

Patient delay (days)

Health-system delay (days)

Mean (SD)

Mean (SD)

First health-seeking behavior before diagnosis

 HCPs

6 (4.9)

9.7 (6.8)***

NA

 Alternative health services

116 (95.1)

215.3 (122.4)***

NA

First consulted health facility

 Public health facility

14 (11.6)

91.7 (82.9)***

121.2 (175.4)

 Private health facility

107 (88.4)

221.6 (124.4)***

155.6 (100.3)

Type of first HCP

 Doctor

51 (42.2)

165.7 (127.9)**

122.6 (120.4)*

 Low-level HCP

70 (57.8)

236.4 (118.5)**

168.2 (97.8)*

Time (min) to reach nearest private health facility

 ≤30

62 (53.9)

186.7 (112.4)*

135.6 (91.5)

 ≥30

53 (46.1)

245.1 (134.2)*

172.2 (112.9)

Time (min) to reach nearest public health facility

 ≤60

43 (35.3)

189.5 (115.0)

113.1 (60.0)**

 ≥60

79 (64.7)

213.7 (133.7)

171.2 (126.4)**

Borrowed money for either transportation or treatment or both

 No

8 (6.6)

163.6 (160.7)

207.6 (178.0)

 Yes

114 (93.4)

208.1 (125.2)

146.8 (104.8)

Number of visits to HCP before tuberculosis diagnosis

Mean (SD)

Correlation coefficients

 Number of visits

5.3 (2.3)a

NA

0.38***

  1. Significance of difference by two-sample t-tests, or significance of Spearman’s correlation coefficients; *p < 0.05; **p < 0.01; ***p < 0.001
  2. HCP health-care provider, NA not applicable
  3. aData on number of visits were missing for 4 subjects