{"id":"https://openalex.org/W2944407256","doi":"https://doi.org/10.1186/s12913-019-4019-z","title":"Delayed illness recognition and multiple referrals: a qualitative study exploring care-seeking trajectories contributing to maternal and newborn illnesses and death in southern Tanzania","display_name":"Delayed illness recognition and multiple referrals: a qualitative study exploring care-seeking trajectories contributing to maternal and newborn illnesses and death in southern Tanzania","publication_year":2019,"publication_date":"2019-04-11","ids":{"openalex":"https://openalex.org/W2944407256","doi":"https://doi.org/10.1186/s12913-019-4019-z","mag":"2944407256","pmid":"https://pubmed.ncbi.nlm.nih.gov/30975142","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/6460539"},"language":"en","primary_location":{"id":"doi:10.1186/s12913-019-4019-z","doi":"https://doi.org/10.1186/s12913-019-4019-z","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12913-019-4019-z","pdf_url":"https://bmchealthservres.biomedcentral.com/counter/pdf/10.1186/s12913-019-4019-z","source":{"id":"https://openalex.org/S12898181","display_name":"BMC Health Services Research","issn_l":"1472-6963","issn":["1472-6963"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-b","doyens","fnege-4","jufo-2","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Health Services Research","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://bmchealthservres.biomedcentral.com/counter/pdf/10.1186/s12913-019-4019-z","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5000226343","display_name":"Donat Dominic Shamba","orcid":"https://orcid.org/0000-0001-7431-7199","observed_orcids":["https://orcid.org/0000-0001-7431-7199"]},"institutions":[{"id":"https://openalex.org/I114292369","display_name":"Ifakara Health Institute","ror":"https://ror.org/04js17g72","country_code":"TZ","type":"nonprofit","lineage":["https://openalex.org/I114292369","https://openalex.org/I2801810276"]}],"countries":["TZ"],"is_corresponding":true,"raw_author_name":"Donat Shamba","raw_affiliation_strings":["Department of Health Systems, Impact Evaluation and Policy, Ifakara Health Institute, Dar es Salaam, Tanzania. dshamba@ihi.or.tz","Department of Health Systems, Impact Evaluation and Policy, Ifakara Health Institute, Dar es Salaam, Tanzania"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Health Systems, Impact Evaluation and Policy, Ifakara Health Institute, Dar es Salaam, Tanzania. dshamba@ihi.or.tz","institution_ids":["https://openalex.org/I114292369"]},{"raw_affiliation_string":"Department of Health Systems, Impact Evaluation and Policy, Ifakara Health Institute, Dar es Salaam, Tanzania","institution_ids":["https://openalex.org/I114292369"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5088573876","display_name":"Tara Tancred","orcid":"https://orcid.org/0000-0002-8718-5110","observed_orcids":["https://orcid.org/0000-0002-8718-5110"]},"institutions":[{"id":"https://openalex.org/I4210089966","display_name":"London School of Hygiene & Tropical Medicine","ror":"https://ror.org/00a0jsq62","country_code":"GB","type":"education","lineage":["https://openalex.org/I124357947","https://openalex.org/I4210089966"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Tara Tancred","raw_affiliation_strings":["Department of Disease Control, London School of Hygiene and Tropical Medicine, London, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Disease Control, London School of Hygiene and Tropical Medicine, London, UK","institution_ids":["https://openalex.org/I4210089966"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5045564480","display_name":"Claudia Hanson","orcid":"https://orcid.org/0000-0001-8066-7873","observed_orcids":["https://orcid.org/0000-0001-8066-7873"]},"institutions":[{"id":"https://openalex.org/I28166907","display_name":"Karolinska Institutet","ror":"https://ror.org/056d84691","country_code":"SE","type":"education","lineage":["https://openalex.org/I28166907"]},{"id":"https://openalex.org/I4210089966","display_name":"London School of Hygiene & Tropical Medicine","ror":"https://ror.org/00a0jsq62","country_code":"GB","type":"education","lineage":["https://openalex.org/I124357947","https://openalex.org/I4210089966"]}],"countries":["GB","SE"],"is_corresponding":false,"raw_author_name":"Claudia Hanson","raw_affiliation_strings":["Department of Disease Control, London School of Hygiene and Tropical Medicine, London, UK","Department of Public Health Sciences-Global Health, Karolinska Institute, Stockholm, Sweden"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Disease Control, London School of Hygiene and Tropical Medicine, London, UK","institution_ids":["https://openalex.org/I4210089966"]},{"raw_affiliation_string":"Department of Public Health Sciences-Global Health, Karolinska Institute, Stockholm, Sweden","institution_ids":["https://openalex.org/I28166907"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5003523355","display_name":"Juddy Wachira","orcid":"https://orcid.org/0000-0002-3654-5788","observed_orcids":["https://orcid.org/0000-0002-3654-5788"]},"institutions":[{"id":"https://openalex.org/I147168166","display_name":"Moi University","ror":"https://ror.org/04p6eac84","country_code":"KE","type":"education","lineage":["https://openalex.org/I147168166"]},{"id":"https://openalex.org/I4210158668","display_name":"AMPATH","ror":"https://ror.org/049nx2j30","country_code":"KE","type":"healthcare","lineage":["https://openalex.org/I4210158668"]}],"countries":["KE"],"is_corresponding":false,"raw_author_name":"Juddy Wachira","raw_affiliation_strings":["School of Medicine/AMPATH, Moi University, Nairobi, Kenya"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Medicine/AMPATH, Moi University, Nairobi, Kenya","institution_ids":["https://openalex.org/I147168166","https://openalex.org/I4210158668"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5086893116","display_name":"Fatuma Manzi","orcid":"https://orcid.org/0000-0001-9110-0776","observed_orcids":["https://orcid.org/0000-0001-9110-0776"]},"institutions":[{"id":"https://openalex.org/I114292369","display_name":"Ifakara Health Institute","ror":"https://ror.org/04js17g72","country_code":"TZ","type":"nonprofit","lineage":["https://openalex.org/I114292369","https://openalex.org/I2801810276"]}],"countries":["TZ"],"is_corresponding":false,"raw_author_name":"Fatuma Manzi","raw_affiliation_strings":["Department of Health Systems, Impact Evaluation and Policy, Ifakara Health Institute, Dar es Salaam, Tanzania"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Health Systems, Impact Evaluation and Policy, Ifakara Health Institute, Dar es Salaam, Tanzania","institution_ids":["https://openalex.org/I114292369"]}]}],"institutions":[],"countries_distinct_count":4,"institutions_distinct_count":5,"corresponding_author_ids":["https://openalex.org/A5000226343"],"corresponding_institution_ids":["https://openalex.org/I114292369"],"apc_list":{"value":2390,"currency":"USD","value_usd":2390},"apc_paid":{"value":2390,"currency":"USD","value_usd":2390},"fwci":1.2968,"has_fulltext":true,"cited_by_count":13,"citation_normalized_percentile":{"value":0.78938026,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":98},"biblio":{"volume":"19","issue":"1","first_page":"225","last_page":"225"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10209","display_name":"Global Maternal and Child Health","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10209","display_name":"Global Maternal and Child Health","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12741","display_name":"Maternal and Neonatal Healthcare","score":0.00039999998989515007,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11389","display_name":"Maternal and fetal healthcare","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/maternal-mortality","display_name":"maternal mortality","score":0.8100000023841858},{"id":"https://openalex.org/keywords/neonatal-mortality","display_name":"neonatal mortality","score":0.972000002861023},{"id":"https://openalex.org/keywords/delayed-healthcare-seeking","display_name":"delayed care seeking","score":0.7379999756813049},{"id":"https://openalex.org/keywords/disease-identification","display_name":"disease identification","score":0.9089999794960022},{"id":"https://openalex.org/keywords/maternal-complications","display_name":"maternal complications","score":0.6579999923706055},{"id":"https://openalex.org/keywords/health-care-access","display_name":"health care access","score":0.6890000104904175},{"id":"https://openalex.org/keywords/primary-care","display_name":"primary care","score":0.5730000138282776},{"id":"https://openalex.org/keywords/hospital-referral","display_name":"hospital referral","score":0.5770000219345093},{"id":"https://openalex.org/keywords/mtwara-region","display_name":"Mtwara region","score":0.7559999823570251}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8438705205917358},{"id":"https://openalex.org/C2779357621","wikidata":"https://www.wikidata.org/wiki/Q655495","display_name":"Tanzania","level":2,"score":0.7782673835754395},{"id":"https://openalex.org/C2776135927","wikidata":"https://www.wikidata.org/wiki/Q5242559","display_name":"Referral","level":2,"score":0.7733591794967651},{"id":"https://openalex.org/C74196892","wikidata":"https://www.wikidata.org/wiki/Q7781188","display_name":"Thematic analysis","level":3,"score":0.5561441779136658},{"id":"https://openalex.org/C2775949068","wikidata":"https://www.wikidata.org/wiki/Q4260475","display_name":"Health facility","level":4,"score":0.5287004709243774},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.5154203176498413},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.48867014050483704},{"id":"https://openalex.org/C56995899","wikidata":"https://www.wikidata.org/wiki/Q1126687","display_name":"Focus group","level":2,"score":0.4836031496524811},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.4533696174621582},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.3436383008956909},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.22302672266960144},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.22128936648368835},{"id":"https://openalex.org/C2986740045","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health services","level":3,"score":0.09774866700172424},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.0},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.0},{"id":"https://openalex.org/C91375879","wikidata":"https://www.wikidata.org/wiki/Q15473274","display_name":"Environmental planning","level":1,"score":0.0},{"id":"https://openalex.org/C162853370","wikidata":"https://www.wikidata.org/wiki/Q39809","display_name":"Marketing","level":1,"score":0.0},{"id":"https://openalex.org/C36289849","wikidata":"https://www.wikidata.org/wiki/Q34749","display_name":"Social science","level":1,"score":0.0},{"id":"https://openalex.org/C39432304","wikidata":"https://www.wikidata.org/wiki/Q188847","display_name":"Environmental science","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D003657","descriptor_name":"Decision Making","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005190","descriptor_name":"Family","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006268","descriptor_name":"Health Facilities","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D006760","descriptor_name":"Hospitalization","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007223","descriptor_name":"Infant","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007226","descriptor_name":"Infant Mortality","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007231","descriptor_name":"Infant, Newborn","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007232","descriptor_name":"Infant, Newborn, Diseases","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D007232","descriptor_name":"Infant, Newborn, Diseases","qualifier_ui":"Q000401","qualifier_name":"mortality","is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008428","descriptor_name":"Maternal Mortality","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009035","descriptor_name":"Mothers","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D010342","descriptor_name":"Patient Acceptance of Health Care","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D011247","descriptor_name":"Pregnancy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011248","descriptor_name":"Pregnancy Complications","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D011248","descriptor_name":"Pregnancy Complications","qualifier_ui":"Q000401","qualifier_name":"mortality","is_major_topic":false},{"descriptor_ui":"D012017","descriptor_name":"Referral and Consultation","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D013636","descriptor_name":"Tanzania","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D017144","descriptor_name":"Focus Groups","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D036301","descriptor_name":"Qualitative Research","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057210","descriptor_name":"Delayed Diagnosis","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true}],"locations_count":6,"locations":[{"id":"doi:10.1186/s12913-019-4019-z","doi":"https://doi.org/10.1186/s12913-019-4019-z","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12913-019-4019-z","pdf_url":"https://bmchealthservres.biomedcentral.com/counter/pdf/10.1186/s12913-019-4019-z","source":{"id":"https://openalex.org/S12898181","display_name":"BMC Health Services Research","issn_l":"1472-6963","issn":["1472-6963"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-b","doyens","fnege-4","jufo-2","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Health Services Research","raw_type":"journal-article"},{"id":"pmh:oai:europepmc.org:5457675","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/6460539","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":null,"raw_type":"Text"},{"id":"pmh:oai:pubmedcentral.nih.gov:6460539","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/6460539","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Health Serv Res","raw_type":"Text"},{"id":"pmid:30975142","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/30975142","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC health services research","raw_type":"Journal Article"},{"id":"pmh:oai:researchonline.lshtm.ac.uk:4652927","doi":null,"is_oa":false,"landing_page_url":"https://researchonline.lshtm.ac.uk/view/creators/lsh329631.html>;","pdf_url":null,"source":{"id":"https://openalex.org/S4306402527","display_name":"LSHTM Research Online (London School of Hygiene and Tropical Medicine)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I4210089966","host_organization_name":"London School of Hygiene & Tropical Medicine","host_organization_lineage":["https://openalex.org/I4210089966"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":null,"raw_type":"Article"},{"id":"pmh:oai:doaj.org/article:a9aec504ad984652b9a39978d62776da","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/a9aec504ad984652b9a39978d62776da","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"BMC Health Services Research, Vol 19, Iss 1, Pp 1-10 (2019)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1186/s12913-019-4019-z","doi":"https://doi.org/10.1186/s12913-019-4019-z","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12913-019-4019-z","pdf_url":"https://bmchealthservres.biomedcentral.com/counter/pdf/10.1186/s12913-019-4019-z","source":{"id":"https://openalex.org/S12898181","display_name":"BMC Health Services Research","issn_l":"1472-6963","issn":["1472-6963"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-b","doyens","fnege-4","jufo-2","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Health Services Research","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.98580002784729,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[],"awards":[{"id":"https://openalex.org/G89905398","display_name":null,"funder_award_id":"Cooperative Agreement No. GHS-A-00-09-00015-00","funder_id":"https://openalex.org/F4320306115","funder_display_name":"United States Agency for International Development"}],"funders":[{"id":"https://openalex.org/F4320306115","display_name":"United States Agency for International Development","ror":"https://ror.org/01n6e6j62"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2944407256.pdf","grobid_xml":"https://content.openalex.org/works/W2944407256.grobid-xml"},"referenced_works_count":38,"referenced_works":["https://openalex.org/W1927891414","https://openalex.org/W1938618119","https://openalex.org/W1966065826","https://openalex.org/W1983681504","https://openalex.org/W2015491376","https://openalex.org/W2019346397","https://openalex.org/W2026709801","https://openalex.org/W2085028749","https://openalex.org/W2100951775","https://openalex.org/W2106813235","https://openalex.org/W2109615835","https://openalex.org/W2111256197","https://openalex.org/W2116383803","https://openalex.org/W2117756838","https://openalex.org/W2118870522","https://openalex.org/W2128752352","https://openalex.org/W2134544616","https://openalex.org/W2143280167","https://openalex.org/W2144137136","https://openalex.org/W2149098154","https://openalex.org/W2150084965","https://openalex.org/W2153083140","https://openalex.org/W2268748314","https://openalex.org/W2279126250","https://openalex.org/W2283128317","https://openalex.org/W2337338195","https://openalex.org/W2340452582","https://openalex.org/W2463755911","https://openalex.org/W2528239766","https://openalex.org/W2553081050","https://openalex.org/W2578824655","https://openalex.org/W2736648460","https://openalex.org/W2769272048","https://openalex.org/W2771074001","https://openalex.org/W2776233435","https://openalex.org/W2916886727","https://openalex.org/W2917936990","https://openalex.org/W4247906516"],"related_works":["https://openalex.org/W6902493330","https://openalex.org/W6902380689","https://openalex.org/W6921357662","https://openalex.org/W6902379346","https://openalex.org/W6921056130","https://openalex.org/W2781338410","https://openalex.org/W2778051872","https://openalex.org/W2781421036","https://openalex.org/W4206711360","https://openalex.org/W2780527152"],"abstract_inverted_index":{"BACKGROUND:":[0],"Maternal":[1],"and":[2,35,41,44,69,80,110,130,166,170,178,209,223],"neonatal":[3,42],"mortality":[4,28],"remain":[5],"high":[6,27],"in":[7,17,88,138,144,185,189,218],"southern":[8],"Tanzania":[9],"despite":[10],"an":[11],"increasing":[12],"number":[13],"of":[14,39,73,91,100,146,220],"births":[15],"occurring":[16],"health":[18],"facilities.":[19],"In":[20,115],"search":[21],"for":[22,24,37,98,112,176],"reasons":[23],"the":[25,128,147],"persistently":[26],"rates,":[29],"we":[30],"explored":[31],"illness":[32,43,108],"recognition,":[33],"decision-making":[34,111],"care-seeking":[36,125,139,210,215],"cases":[38],"maternal":[40,56,78,113,177],"death.":[45],"METHODS:":[46],"We":[47],"conducted":[48],"48":[49],"in-depth":[50],"interviews":[51],"(16":[52],"participants":[53],"who":[54],"experienced":[55,62],"illnesses,":[57],"16":[58],"mothers":[59,65],"whose":[60,66],"newborns":[61,67],"illness,":[63],"eight":[64,70],"died,":[68],"family":[71,135],"members":[72],"a":[74,77,191],"household":[75],"with":[76,85],"death),":[79],"five":[81],"focus":[82],"group":[83],"discussions":[84],"community":[86],"leaders":[87],"two":[89],"districts":[90],"Mtwara":[92],"region.":[93],"Thematic":[94],"analysis":[95],"was":[96,181],"used":[97],"interpretation":[99],"findings.":[101],"RESULTS:":[102],"Our":[103],"data":[104],"indicated":[105],"relatively":[106],"timely":[107],"recognition":[109],"complications.":[114],"contrast,":[116],"families":[117],"reported":[118,143],"difficulties":[119,168],"interpreting":[120],"newborn":[121,179],"illnesses.":[122],"Decisions":[123],"on":[124],"involved":[126],"both":[127],"mother":[129],"her":[131],"partner":[132],"or":[133,149],"other":[134],"members.":[136],"Delays":[137,188],"were":[140,154],"therefore":[141],"also":[142],"absence":[145],"husband,":[148],"at":[150,216],"night.":[151],"Primary-level":[152],"facilities":[153,225],"first":[155],"consulted.":[156],"Most":[157],"respondents":[158],"had":[159],"to":[160,206],"consult":[161],"more":[162],"than":[163],"one":[164,204],"facility":[165,192,205],"described":[167],"accessing":[169],"receiving":[171],"appropriate":[172,196],"care.":[173],"Definitive":[174],"treatment":[175],"complications":[180,222],"largely":[182],"only":[183],"available":[184],"hospitals.":[186],"CONCLUSIONS:":[187],"reaching":[190],"that":[193],"can":[194],"provide":[195],"care":[197],"is":[198],"influenced":[199],"by":[200],"multiple":[201],"referrals":[202],"from":[203],"another.":[207],"Referral":[208],"advice":[211],"should":[212,226],"include":[213],"direct":[214],"hospitals":[217],"case":[219],"severe":[221],"primary":[224],"facilitate":[227],"prompt":[228],"referral.":[229]},"counts_by_year":[{"year":2025,"cited_by_count":4},{"year":2024,"cited_by_count":2},{"year":2023,"cited_by_count":2},{"year":2021,"cited_by_count":1},{"year":2020,"cited_by_count":4}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2019-05-16T00:00:00"}
