Factors contributing to patients’ delay in seeking healthcare services at St Padre Pio health centre III, Mityana district. A descriptive cross-sectional study.

Authors

  • Lydia Aseru St. Michael Lubaga Hospital Health Training Institute. Author
  • Nelson Kakande St. Michael Lubaga Hospital Health Training Institute. Author
  • Donatus Kimera St. Michael Lubaga Hospital Health Training Institute. Author
  • Jane Frances Namuddu St. Michael Lubaga Hospital Health Training Institute. Author

Keywords:

Patients’ delay, seeking healthcare services, St. Padre Pio health centre III

Abstract

Background: In Uganda, healthcare access is affected by a combination of patient-related, socioeconomic, and health facility-related factors. This study therefore aimed to determine the factors contributing to patients’ delay in seeking healthcare services at St Padre Pio Health Centre III, Mityana District. 

Methods: The study employed a descriptive cross-sectional study design where a simple random sampling technique was used to obtain a sample of 45 respondents. Data were collected using structured questionnaires and analysed using Microsoft Excel, with results presented in tables, figures, and pie charts.

Results: Majority of respondents, 16 (36%), were aged 20–29 years, 28 (62%) were female, and 24 (53%) resided in rural areas. 20 (44%) reported that they usually waited and observed symptoms before seeking care, 18 (40%) believed illnesses would go away on their own, and 18 (40%) were not confident in knowing when to seek medical attention. 20 (44%) of respondents had no source of income, 18 (40%) said healthcare was hard to afford, and 28 (62%) paid out-of-pocket for services. 20 (44%) reported that limited healthcare resources always affected their decision to seek care, 22 (49%) were affected by poor cleanliness, and 20 (44%) indicated that long waiting times always caused them to delay seeking care.

Conclusion: Patients’ delay in seeking healthcare services was influenced by poor recognition of illness severity, cultural beliefs, financial constraints, and inadequacies in health facility resources such as long waiting times, frequent referrals, and poor cleanliness.

Recommendation: Targeted interventions including health education, financial support mechanisms, and improvements in health facility infrastructure are recommended to reduce delays in healthcare seeking.

 

Author Biographies

  • Lydia Aseru, St. Michael Lubaga Hospital Health Training Institute.

     is a student of St. Michael Lubaga Hospital Health Training Institute pursing a diploma in nursing.

     

  • Nelson Kakande, St. Michael Lubaga Hospital Health Training Institute.

     is a tutor at St. Michael Lubaga Hospital Health Training Institute.

References

1. Alalade, O., Dauda, J. A., Ajayi, S. O., Saka, A. B., & Njuangang, S. (2024). An in-depth analysis of facility management approaches in Nigeria’s ailing healthcare sector. Journal of Facilities Management, ahead-of-print(ahead-of-print). https://doi.org/10.1108/JFM-12-2023-0123

2. Azubuike, C. D., & Alawode, O. A. (2024). Delayed Healthcare Due to Cost Among Adults with Multimorbidity in the United States. Healthcare, 12(22), Article 22. https://doi.org/10.3390/healthcare12222271

3. Babatunde, O. I., Bismark, E. C., Amaechi, N. E., Gabriel, E. I., & Olanike, A.-U. R. (2015). Determinants of treatment delays among pulmonary tuberculosis patients in Enugu Metropolis, South-East, Nigeria. Health, 7(11), 1506–1516.

4. Biya, M., Gezahagn, M., Birhanu, B., Yitbarek, K., Getachew, N., & Beyene, W. (2022). Waiting time and its associated factors in patients presenting to outpatient departments at Public Hospitals of Jimma Zone, Southwest Ethiopia. BMC Health Services Research, 22(1), 107. https://doi.org/10.1186/s12913-022-07502-8

5. Boyanagari, V. K., Panda, P., Das, P., Lekha, K. S., Kottagi, C., & Nandimath, P. T. (2023). Socioeconomic determinants of healthcare-seeking behaviour among older people in South India: A mixed method study. Journal of Integrative Medicine and Public Health, 2(2), 54. https://doi.org/10.4103/JIMPH.JIMPH_15_23

6. Faugno, E., Galbraith, A. A., Walsh, K., Maglione, P. J., Farmer, J. R., & Ong, M.-S. (2025). Experiences with diagnostic delay among underserved racial and ethnic patients: A systematic review of the qualitative literature. BMJ Quality & Safety, 34(3), 190–200. https://doi.org/10.1136/bmjqs-2024-017506

7. Haque, Md. I., Chowdhury, A. B. M. A., Shahjahan, Md., & Harun, Md. G. D. (2018). Traditional healing practices in rural Bangladesh: A qualitative investigation. BMC Complementary and Alternative Medicine, 18(1), 62. https://doi.org/10.1186/s12906-018-2129-5

8. Kallon, I. I., Colvin, C. J., & Trafford, Z. (2022). A qualitative study of patients and healthcare workers’ experiences and perceptions to inform a better understanding of gaps in care for pre-discharged tuberculosis patients in Cape Town, South Africa. BMC Health Services Research, 22(1), 128. https://doi.org/10.1186/s12913-022-07540-2

9. Kasujja, F. X., Nuwaha, F., Daivadanam, M., Kiguli, J., Etajak, S., & Mayega, R. W. (2021). Understanding the diagnostic delays and pathways for diabetes in eastern Uganda: A qualitative study. PLOS ONE, 16(4), e0250421. https://doi.org/10.1371/journal.pone.0250421

10. Maghous, A., Rais, F., Ahid, S., Benhmidou, N., Bellahamou, K., Loughlimi, H., Marnouche, E., Elmajjaoui, S., Elkacemi, H., Kebdani, T., & Benjaafar, N. (2016). Factors influencing diagnosis delay of advanced breast cancer in Moroccan women. BMC Cancer, 16(1), 356. https://doi.org/10.1186/s12885-016-2394-y

11. Makene, F. S., Ngilangwa, R., Santos, C., Cross, C., Ngoma, T., Mujinja, P. G. M., Wuyts, M., & Mackintosh, M. (2022). Patients’ pathways to cancer care in Tanzania: Documenting and addressing social inequalities in reaching a cancer diagnosis. BMC Health Services Research, 22(1), 189. https://doi.org/10.1186/s12913-021-07438-5

12. Mbuthia, G. W., Olungah, C. O., & Ondicho, T. G. (2018). Health-seeking pathway and factors leading to delays in tuberculosis diagnosis in West Pokot County, Kenya: A grounded theory study. PLOS ONE, 13(11), e0207995. https://doi.org/10.1371/journal.pone.0207995

13. McMahon, D. E., Chemtai, L., Grant, M., Singh, R., Semeere, A., Byakwaga, H., LakerOketta, M., Maurer, T., Busakhala, N., Martin, J., Bassett, I. V., Butler, L., & Freeman, E. E. (2022). Understanding Diagnostic Delays for Kaposi Sarcoma in Kenya: A Qualitative Study. JAIDS Journal of Acquired Immune Deficiency Syndromes, 90(5), 494. https://doi.org/10.1097/QAI.0000000000003011

14. Mhalu, G., Weiss, M. G., Hella, J., Mhimbira, F., Mahongo, E., Schindler, C., Reither, K., Fenner, L., Zemp, E., & Merten, S. (2019). Explaining patient delay in healthcare seeking and loss to diagnostic follow-up among patients with presumptive tuberculosis in Tanzania: A mixed-methods study. BMC Health Services Research, 19(1), 217. https://doi.org/10.1186/s12913-019-4030-4

15. Mistry, N., Rangan, S., Dholakia, Y., Lobo, E., Shah, S., & Patil, A. (2016). Durations and Delays in Care Seeking, Diagnosis and Treatment Initiation in Uncomplicated Pulmonary Tuberculosis Patients in Mumbai, India. PLOS ONE, 11(3), e0152287. https://doi.org/10.1371/journal.pone.0152287

16. Morgan, R., Tetui, M., Muhumuza Kananura, R., Ekirapa-Kiracho, E., & George, A. S. (2017). Gender dynamics affecting maternal health and health care access and use in Uganda. Health Policy and Planning, 32(suppl_5), v13–v21.

17. Mpimbaza, A., Ndeezi, G., Katahoire, A., Rosenthal, P. J., & Karamagi, C. (2017). Demographic, Socioeconomic, and Geographic Factors Leading to Severe Malaria and Delayed Care Seeking in Ugandan Children: A Case–Control Study. The American Journal of Tropical Medicine and Hygiene, 97(5), 1513–1523. https://doi.org/10.4269/ajtmh.17-0056

18. Muttamba, W., Kyobe, S., Komuhangi, A., Lakony, J., Buregyeya, E., Mabumba, E., & Basaza, R. K. (2019). Delays in diagnosis and treatment of pulmonary tuberculosis in patients seeking care at a regional referral hospital, Uganda: A cross sectional study. BMC Research Notes, 12(1), 589. https://doi.org/10.1186/s13104-019-4616-2

19. Noman, M. Z. I., Islam, S., Aktar, S., Parray, A. A., Amando, D. G., Karki, J., Atsna, Z., Mitra, D. K., & Hossain, S. A. S. (2024). Healthcare seeking behaviour and delays in case of Drug-Resistant Tuberculosis patients in Bangladesh: Findings from a cross-sectional survey. PLOS Global Public Health, 4(1), e0001903. https://doi.org/10.1371/journal.pgph.0001903

20. Paula Bhering Nogueira, A., Drummond-Lage, A. P., Drummond Pinho Ribeiro, G., Ferreira Leite, E., Henrique Xavier, M., & Julius Alves Wainstein, A. (2022). Factors Related to Delayed Diagnosis of Cutaneous Melanoma in the Brazilian Public Health System. Journal of Cancer Education, 37(4),1253–1259. https://doi.org/10.1007/s13187-02202176-6

21. Sharma, P., Singh, M. M., Borle, A. L., Srivastava, A., & Meher, R. (2025). Delay in diagnosis and treatment of patients with oral cancer seeking treatment in a public tertiary hospital in India. Research Square. https://doi.org/10.21203/rs.3.rs-6318005/v1

22. Sk, M. I. K., Paswan, B., Anand, A., & Mondal, N. A. (2019). Praying until death: Revisiting three delays model to contextualize the socio-cultural factors associated with maternal deaths in a region with high prevalence of eclampsia in India. BMC Pregnancy and Childbirth, 19(1), 314. https://doi.org/10.1186/s12884-019-2458-5

23. Umoke, P. C. I., Umoke, M., Eyo, N., Ugwu MBBS, A., Okeke, E., Nwalieji, C. A., Agbaje, S. O., Onwe, R. N., Ekeh, D. O., Umoke, U. G., Agu, M. N., & Okide, C. C. (2021). Delay in health-seeking behaviour: Implication to yellow fever outcome in the 2019 outbreak in Nigeria. Health & Social Care in the Community, 29(3), 703–711. https://doi.org/10.1111/hsc.13329

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Published

2026-08-01

Issue

Section

Section of peer-reviewed articles

How to Cite

Aseru, L. (2026) “Factors contributing to patients’ delay in seeking healthcare services at St Padre Pio health centre III, Mityana district. A descriptive cross-sectional study”., Lubaga Journal of Health Research, 1(8), p. 13. Available at: https://lubagajournals.com/index.php/ljhr/article/view/12 (Accessed: 4 September 2026).

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