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Understanding the role of parental decision-making and quality of clinical care in under-5 mortality in Western Kenya: an application of the Three Delays model.

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Title: Understanding the role of parental decision-making and quality of clinical care in under-5 mortality in Western Kenya: an application of the Three Delays model.
Authors: Igunza KA; Kenya Medical Research Institute, P.O. Box 1578, Kisumu, 40100, Kenya. aigunza@kemri.go.ke., Tippett Barr BA; Nyanja Health Research Institute, Salima, Malawi., Madewell ZJ; Centers for Disease Control and Prevention, Atlanta, GA, USA., Onyango D; Kisumu County Health Department, Kisumu, Kenya., Gethi D; Kenya Medical Research Institute, P.O. Box 1578, Kisumu, 40100, Kenya., Were J; Kenya Medical Research Institute, P.O. Box 1578, Kisumu, 40100, Kenya., Ngere SH; Kenya Medical Research Institute, P.O. Box 1578, Kisumu, 40100, Kenya., Owuor H; Kenya Medical Research Institute, P.O. Box 1578, Kisumu, 40100, Kenya., Agaya J; Kenya Medical Research Institute, P.O. Box 1578, Kisumu, 40100, Kenya., Nyamthimba PO; Kenya Medical Research Institute, P.O. Box 1578, Kisumu, 40100, Kenya., Otieno K; Kenya Medical Research Institute, P.O. Box 1578, Kisumu, 40100, Kenya., Asuma BS; Kenya Medical Research Institute, P.O. Box 1578, Kisumu, 40100, Kenya., Khagayi S; Kenya Medical Research Institute, P.O. Box 1578, Kisumu, 40100, Kenya., Murila F; The University of Nairobi, Nairobi, Kenya., Whitney CG; Global Health Institute, Emory University, Atlanta, GA, USA., Rees CA; Division of Pediatric Emergency Medicine, Emory University School of Medicine, Atlanta, GA, USA.; Children's Healthcare of Atlanta, Atlanta, USA., Blau DM; Centers for Disease Control and Prevention, Atlanta, GA, USA., Omore R; Kenya Medical Research Institute, P.O. Box 1578, Kisumu, 40100, Kenya., Akelo V; Kenya Medical Research Institute, P.O. Box 1578, Kisumu, 40100, Kenya.; Liverpool School of Tropical Medicine, Liverpool, UK.
Source: BMC health services research [BMC Health Serv Res] 2026 May 21. Date of Electronic Publication: 2026 May 21.
Publication Type: Journal Article
Journal Info: Publisher: BioMed Central Country of Publication: England NLM ID: 101088677 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1472-6963 (Electronic) Linking ISSN: 14726963 NLM ISO Abbreviation: BMC Health Serv Res Subsets: MEDLINE
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  Data: Understanding the role of parental decision-making and quality of clinical care in under-5 mortality in Western Kenya: an application of the Three Delays model.
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  Data: <searchLink fieldCode="AU" term="%22Igunza+KA%22">Igunza KA</searchLink>; Kenya Medical Research Institute, P.O. Box 1578, Kisumu, 40100, Kenya. aigunza@kemri.go.ke.<br /><searchLink fieldCode="AU" term="%22Tippett+Barr+BA%22">Tippett Barr BA</searchLink>; Nyanja Health Research Institute, Salima, Malawi.<br /><searchLink fieldCode="AU" term="%22Madewell+ZJ%22">Madewell ZJ</searchLink>; Centers for Disease Control and Prevention, Atlanta, GA, USA.<br /><searchLink fieldCode="AU" term="%22Onyango+D%22">Onyango D</searchLink>; Kisumu County Health Department, Kisumu, Kenya.<br /><searchLink fieldCode="AU" term="%22Gethi+D%22">Gethi D</searchLink>; Kenya Medical Research Institute, P.O. Box 1578, Kisumu, 40100, Kenya.<br /><searchLink fieldCode="AU" term="%22Were+J%22">Were J</searchLink>; Kenya Medical Research Institute, P.O. Box 1578, Kisumu, 40100, Kenya.<br /><searchLink fieldCode="AU" term="%22Ngere+SH%22">Ngere SH</searchLink>; Kenya Medical Research Institute, P.O. Box 1578, Kisumu, 40100, Kenya.<br /><searchLink fieldCode="AU" term="%22Owuor+H%22">Owuor H</searchLink>; Kenya Medical Research Institute, P.O. Box 1578, Kisumu, 40100, Kenya.<br /><searchLink fieldCode="AU" term="%22Agaya+J%22">Agaya J</searchLink>; Kenya Medical Research Institute, P.O. Box 1578, Kisumu, 40100, Kenya.<br /><searchLink fieldCode="AU" term="%22Nyamthimba+PO%22">Nyamthimba PO</searchLink>; Kenya Medical Research Institute, P.O. Box 1578, Kisumu, 40100, Kenya.<br /><searchLink fieldCode="AU" term="%22Otieno+K%22">Otieno K</searchLink>; Kenya Medical Research Institute, P.O. Box 1578, Kisumu, 40100, Kenya.<br /><searchLink fieldCode="AU" term="%22Asuma+BS%22">Asuma BS</searchLink>; Kenya Medical Research Institute, P.O. Box 1578, Kisumu, 40100, Kenya.<br /><searchLink fieldCode="AU" term="%22Khagayi+S%22">Khagayi S</searchLink>; Kenya Medical Research Institute, P.O. Box 1578, Kisumu, 40100, Kenya.<br /><searchLink fieldCode="AU" term="%22Murila+F%22">Murila F</searchLink>; The University of Nairobi, Nairobi, Kenya.<br /><searchLink fieldCode="AU" term="%22Whitney+CG%22">Whitney CG</searchLink>; Global Health Institute, Emory University, Atlanta, GA, USA.<br /><searchLink fieldCode="AU" term="%22Rees+CA%22">Rees CA</searchLink>; Division of Pediatric Emergency Medicine, Emory University School of Medicine, Atlanta, GA, USA.; Children's Healthcare of Atlanta, Atlanta, USA.<br /><searchLink fieldCode="AU" term="%22Blau+DM%22">Blau DM</searchLink>; Centers for Disease Control and Prevention, Atlanta, GA, USA.<br /><searchLink fieldCode="AU" term="%22Omore+R%22">Omore R</searchLink>; Kenya Medical Research Institute, P.O. Box 1578, Kisumu, 40100, Kenya.<br /><searchLink fieldCode="AU" term="%22Akelo+V%22">Akelo V</searchLink>; Kenya Medical Research Institute, P.O. Box 1578, Kisumu, 40100, Kenya.; Liverpool School of Tropical Medicine, Liverpool, UK.
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