Table 5 |
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Factors influencing health worker's practices in management of patients with artemether-lumefantrine |
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Outcomes and factors (No of patients in analysis*) |
No (%) of patients with outcome |
% of patients with the outcome for each level of the factor |
OR (95% CI) |
P- value |
|
|
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Statistically significant factors (P < 0.05): multivariate results |
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|
|
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|
Outcome 1: Health worker treats for malaria (n = 1064) |
892 (83.8) |
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|
Fever main complaint (yes vs no) |
88.6 vs 60.6 |
5.22 (3.61–7.54) |
< 0.001 |
|
|
Supervision including AL (supervised vs non-supervised HWs) |
87.2 vs 82.1 |
1.63 (1.06–2.50) |
0.027 |
|
|
Health worker's cadre (qualified† vs non-qualified) |
82.1 vs 86.7 |
0.61 (0.40–0.93) |
0.020 |
|
|
Skin problem main complaint (yes vs no) |
65.3 vs 84.7 |
0.29 (0.15–0.55) |
< 0.001 |
|
|
Outcome 2: Health worker selects AL treatment (n = 892) |
682 (76.5) |
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|
Availability of weight-specific AL pack (yes vs no) |
83.8 vs 43.6 |
6.15 (3.43–11.05) |
< 0.001 |
|
|
Absence of chloroquine in stock (yes vs no) |
84.3 vs 74.1 |
2.16 (1.09–4.28) |
0.027 |
|
|
|
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|
Statistically non-significant factors – univariate results |
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|
|
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|
Outcome 1: Health worker treats for malaria (n = 1064) |
892 (83.8) |
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|
Malaria in-service training including AL (yes vs no) |
82.8 vs 87.9 |
0.65 (0.41–1.05) |
0.078 |
|
|
Access to malaria guidelines (yes vs no) |
84.8 vs 81.8 |
1.19 (0.81–1.76) |
0.370 |
|
|
Availability of malaria wall charts (yes vs no) |
83.8 vs 83.9 |
1.02 (0.70–1.50) |
0.906 |
|
|
Availability of weight-specific AL pack (yes vs no) |
83.5 vs 85.3 |
0.87 (0.49–1.55) |
0.635 |
|
|
Absence of chloroquine in stock (yes vs no) |
84.7 vs 83.6 |
1.06 (0.66–1.70) |
0.819 |
|
|
Age of the patient (<5 years vs ≥ 5 years) |
85.7 vs 82.6 |
1.27 (0.88–1.82) |
0.203 |
|
|
Cough main complaint (yes vs no) |
84.6 vs 83.0 |
1.09 (0.78–1.53) |
0.598 |
|
|
Outcome 2: Health worker selects AL treatment (n = 892) |
682 (76.5) |
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|
Malaria in-service training including AL (yes vs no) |
77.4 vs 73.0 |
1.37 (0.78–2.40) |
0.267 |
|
|
Access to malaria guidelines (yes vs no) |
76.8 vs 75.6 |
1.12 (0.68–1.86) |
0.656 |
|
|
Availability of malaria wall charts (yes vs no) |
76.5 vs 76.4 |
0.93 (0.58–1.50) |
0.778 |
|
|
Health worker's cadre (qualified† vs non-qualified) |
74.8 vs 79.0 |
0.88 (0.55–1.41) |
0.583 |
|
|
Supervision including AL (supervised vs non-supervised HWs) |
79.6 vs 74.7 |
1.41 (0.85–2.32) |
0.180 |
|
|
Age of the patient (< 5 years vs = 5 years) |
81.2 vs 73.2 |
1.59 (1.02–2.47) |
0.039 |
|
|
Fever main complaint (yes vs no) |
75.9 vs 80.7 |
0.81 (0.52–1.26) |
0.345 |
|
|
Cough main complaint (yes vs no) |
79.2 vs 73.5 |
1.32 (0.98–1.77) |
0.064 |
|
|
Skin problem main complaint (yes vs no) |
78.1 vs 76.4 |
1.03 (0.43–2.47) |
0.943 |
|
|
|
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* 8 observations with incomplete data omitted to allow for a common denominator † The category qualified heath workers include patients seen by doctors, nurses, clinical officers and midwives. |
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|
Zurovac et al. Malaria Journal 2008 7:181 doi:10.1186/1475-2875-7-181 |
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