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Table 3 Women’s experiences with delays to obtaining post-abortion care, overall and by facility level (N = 513)*

From: Abortion-related morbidity and mortality in Sierra Leone: results from a 2021 cross-sectional study

Ìý

Total

Facility Level

p-value‡

Ìý

Primary†

Secondary†

Tertiary†

Ìý

%

n

%

n

%

n

%

n

Non-health system based delays in care

ÌýÌýÌýÌýÌýÌýÌýÌýÌý

Took more than 24Ìýh to realize healthcare was needed (n = 411)

46%

191

46%

118

50%

50

43%

23

0.70

Took more than 24Ìýh to decide to seek care after realizing care was needed (n = 400)

32%

129

34%

86

31%

30

25%

13

0.48

Took more than 6Ìýh to arrive in health facility after deciding to seek care (n = 404)

35%

142

40%

101

31%

30

20%

11

0.02

Health system based delays in care

ÌýÌýÌýÌýÌýÌýÌýÌýÌý

Took more than 1Ìýh to be attended to after arriving at health facility (n = 399)

26%

102

28%

71

22%

19

23%

12

0.48

Took more than 12Ìýh to receive complete treatment after being first attended to (n = 404)

28%

115

26%

66

29%

28

38%

21

0.19

Reasons for delay in deciding to seek care after realizing healthcare was needed (n = 383)§

ÌýÌýÌýÌýÌýÌýÌýÌýÌý

Did not have money

43%

164

39%

94

49%

47

50%

23

0.14

Afraid others would find out

14%

52

13%

32

13%

12

17%

8

0.71

Did not think health problem was serious

22%

83

22%

53

22%

21

20%

9

0.93

Reasons for delay in arriving to health facility (n = 120)¶

ÌýÌýÌýÌýÌýÌýÌýÌýÌý

Did not have money

34%

41

40%

36

11%

2

27%

3

0.04

Afraid others would find out

25%

30

24%

22

26%

5

27%

3

0.97

Lack of transportation

19%

23

20%

18

16%

3

18%

2

0.91

  1. *Data from this table comes from the patient survey; excludes the one maternal death. Due to missing data, denominators for each delay are presented in parenthesis in the table. All ns and %s are unweighted
  2. †Column ns by facility level sum to the total n for each row
  3. ‡Using chi-square tests for association
  4. §Among women who cited a reason for delay
  5. ¶Among women who said it took them more than one day to arrive at the facility