The Long Road to Care: A Mixed Methods Analysis of Referral Delays for Pediatric Injury Patients in Northern Tanzania

Every day, 1990 children die from an injury, with the majority in low- and middle-income countries. In Tanzania, reaching definitive care, or the appropriate level of care for a child's injury, often requires referral to a higher level facility. This hierarchical system introduces challenges that may lead to delayed care and, for severely injured children, cause mortality. The aim was to identify patient, healthcare provider, and health system-level barriers to timely referral for pediatric injury patients at the first site of care in order to identify targets for an intervention to reduce tim

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