Determinants of Delay in Seeking Medical Care among Patients with Chronic Illnesses in Two Hospitals in Port Sudan: A Cross-Sectional Study

Abstract Introduction: Chronic illnesses represent a major global health burden, especially in low- and middle-income countries such as Sudan. A main challenge in their management is the delay in seeking medical care, which leads to serious complications and higher costs. This study aimed to identify factors influencing such delays among patients with chronic illnesses in Port Sudan. Methods: A descriptive cross-sectional study was conducted at Port Sudan Teaching Hospital and Prince Digna Hospital between July and September 2025. A total of 392 patients with chronic diseases were interviewed using a structured questionnaire. Data were analyzed using SPSS version 27. Descriptive statistics, correlation, and regression analyses were used to identify determinants of delay. Results: Only 19.6% of patients sought medical care within a week of symptom onset. The majority delayed for 8 days or more, with the largest proportion (33.7%) delaying for 15–29 days. Main factors associated with delay included waiting for symptoms to disappear, high cost of care, long distance to health facilities, and the use of traditional medicine. Rural residence was linked to longer delays. Patients with higher education and frequent hospital visits were less likely to delay. Conclusion: Delay in seeking medical care for chronic illnesses remains a serious problem in Port Sudan. Patient beliefs, financial barriers, and access challenges contribute to this issue. Strengthening community education, decentralizing care, and reducing costs are essential to promote timely care-seeking.