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Please use this identifier to cite or link to this item: http://hdl.handle.net/1807/4951

Title: Health-Seeking Patterns among Fatally Ill Capeverdian Women
Authors: Wessel, Hans
Reitmaier, Pitt
Dupret, Alice
Rocha, Ernesto
Cnattingius, Sven
Bergström, Staffan
Keywords: Female mortality, cause of death, verbal autopsy, access to care, Cape Verde
Issue Date: 31-Dec-2004
Publisher: Women's Health and Action Research Centre
Citation: African Journal of Reproductive Health (ISSN: 1118-4841) Vol 8 Num 3
Abstract: The circumstances of 94 deaths among females aged 15-49 years in Cape Verde were investigated to assess their access to effective care. Persons associated with the deceased women were interviewed (verbal autopsy) to explore contributing causes of death, perceived illnesses and treatment efforts. The certainty of diagnosis and avoidability of the fatal outcome were assessed by a panel of experts. A model of health care accessibility is elaborated to identify restricting (delay) factors. Deliberate avoidance of modern medical care and reliance on traditional medicine were major delay factors, while unawareness of the severity of symptoms and affordability limits were minor delay factors in this population. A detailed sorting of cases by health care level is used to identify the effectiveness of diagnosing, referral and care provided. Since a high proportion of avoidable deaths occurred in hospital, the quality of care may have been sub-optimal. (Afr J Reprod Health 2004; 8[3]:176-187)
URI: http://hdl.handle.net/1807/4951
Other Identifiers: http://www.bioline.org.br/abstract?id=rh04051
Rights: Copyright 2004 - Women's Health and Action Research Centre
Appears in Collections:Bioline International Legacy Collection

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