Most common reason for delayed management was delayed presentation to primary care hospital due to lack of concern regarding urgency of the situation 24 children (22.6%).
Social aspects are important, as they represent both the reason for flood management and the growth in exposure, as well as providing the context within which any decision will be made.
The reason for giving management of INPH priority is that lumbar canal stenosis will usually not limit gait unless the patient is able to walk significant distances.
Data collection was carried out by pretested, multi-structured, interviewer-administered questionnaires to identify clinical profiles of children, harmful first aid measures, emergency clinical management, reasons for delayed management, complications and outcomes of pesticide poisoning events.
Data were collected using a pretested, multi-structured questionnaire (annex 1) which comprised of questions to identify demographic data, type and circumstances of poisoning, poison-related factors, location of poisoning, harmful first aid measures, clinical management, reasons for delayed management, complications and outcome following acute poisoning.
Most alarming is that there is very poor record keeping system and widespread trend of not documenting physical findings, laboratory results, and reason for changing managements.
Interviews followed a semistructured guide that asked participants about their knowledge and understanding about management options and reasons for their management decision (Item S1, available as online supplementary material).
"Lack of knowledge on how to manage or supervise could be one of the reasons for insufficient management and supervision, because training on these issues was not provided to the CPH staff".
Detailed analysis of reasons for delayed management is presented in Table 4.
Limited transport and lack of concern regarding urgency among caregivers were leading reasons for delayed management.
