Table 4 Predictors of receiving any artemisinin combination therapy in hospitals and health centres (final models)
From: Management of febrile children under five years in hospitals and health centres of rural Ghana
POTENTIAL PREDICTORS | n | % (95% CI) | Unadjusted | Adjusted: final model | ||
|---|---|---|---|---|---|---|
OR (95% CI) | p | OR (95% CI) | p | |||
1. HOSPITALS | ||||||
CHILD: Age | ||||||
<12 months | 115 | 74.2 (54.2, 87.5) | 1.0 | 0.01 | 1.0 | 0.007 |
12-23 months | 458 | 81.8 (67.6, 90.6) | 1.56 (1.19, 2.05) | 1.60 (1.16, 2.20) | ||
≥24 months | 922 | 83.7 (61.4, 94.3) | 1.78 (1.15, 2.76) | 1.75 (1.25, 2.46) | ||
CARER: Speak any of 3 major dialects | ||||||
No | 77 | 76.2 (54.8,89.5) | 1.0 | <0.0001 | 1.0 | <0.0001 |
Yes | 841 | 82.4 (63.1, 92.8) | 1.45 (1.28, 1.65) | 1.72 (1.47, 2.01) | ||
HEALTH WORKER: Cadre (history taking) | ||||||
Nurse | 609 | 82.2 (58.0, 93.9) | 1.0 | 0.09 | 1.0 | 0.02 |
Doctor | 17 | 73.9 (33.3, 94.1) | 0.61 (0.16, 2.30) | 0.61 (0.20, 1.90) | ||
Medical assistant | 288 | 81.6 (68.7, 90.0) | 0.96 (0.49, 1.89) | 1.02 (0.62, 1.69) | ||
Nurse assistant | 3 | 75.0 (5.9, 99.3) | 0.65 (0.04, 10.60) | 0.72 (0.04, 14.24) | ||
CONSULTATIONS/EXAMINATIONS: Asked about or reported cough | ||||||
No | 611 | 85.5 (68.3, 94.1) | 1.0 | 0.0001 | 1.0 | <0.0001 |
Yes | 306 | 75.4 (58.0, 87.1) | 0.52 (0.40, 0.67) | 0.50 (0.42, 0.60) | ||
CONSULTATIONS/EXAMINATIONS: Abdomen examined | ||||||
No | 803 | 83.0 (65.3, 92.7) | 1.0 | 0.03 | 1.0 | 0.02 |
Yes | 114 | 74.0 (50.3, 88.9) | 0.58 (0.36, 0.94) | 0.54 (0.33, 0.89) | ||
TREATMENT SEEKING: Time since fever began | ||||||
≤2 days | 529 | 86.3 (64.0,95.7) | 1.0 | 0.0005 | 1.0 | 0.0006 |
3-7 days | 370 | 80.8 (63.4, 91.1) | 0.67 (0.38, 1.18) | 0.68 (0.39, 1.18) | ||
>7 days | 18 | 36.0 (9.5, 75.0) | 0.09 (0.03, 0.23) | 0.08 (0.03, 0.22) | ||
TREATMENT SEEKING: Given medicines at other HF | ||||||
No | 870 | 82.8 (65.5, 92.4) | 1.0 | 1.0 | 0.0001 | |
Yes | 47 | 67.1 (42.4, 85.0) | 0.43 (0.31, 0.58) | <0.0001 | 0.44 (0.33, 0.60) | |
TREATMENT SEEKING: Got medicines at an LCS | ||||||
No | 593 | 79.2 (57.6, 91.4) | 1.0 | 0.0002 | 1.0 | 0.002 |
Yes | 324 | 87.1 (72.9, 94.4) | 1.78 (1.39, 2.27) | 1.34 (1.14, 1.59) | ||
2. HEALTH CENTRES | ||||||
CARER: Mother of child | ||||||
No | 86 | 90.5 (78.9, 96.1) | 1.0 | 0.0004 | 1.0 | 0.0005 |
Yes | 620 | 80.9 (66.0, 90.3) | 0.44 (0.30, 0.65) | 0.44 (0.30, 0.65) | ||
HEALTH WORKER: Cadre (history taking) | ||||||
Nurse | 556 | 79.7 (63.6, 89.8) | 1.0 | 0.0007 | 1.0 | 0.006 |
Doctor | 4 | 100.0 | - | - | ||
Medical assistant | 70 | 87.5 (76.9, 93.7) | 1.79 (1.08, 2.95) | 1.84 (1.02, 3.29) | ||
Nurse assistant | 76 | 96.2 (95.7, 96.7) | 6.47 (3.07, 13.6) | 6.36 (2.90, 13.95) | ||
BLOOD TESTS: Malaria parasite negative | ||||||
No | 693 | 82.5 (67.8, 91.3) | 1.0 | 0.001 | 1.0 | 0.02 |
Yes | 13 | 61.9 (52.9, 70.1) | 0.34 (0.20, 0.60) | 0.49 (0.27, 0.89) | ||
TREATMENTS: Given quinine | ||||||
No | 80 | 70.2 (48.9, 85.3) | 1.0 | 0.01 | 1.0 | 0.02 |
Yes | 626 | 83.8 (69.9, 92.0) | 2.20 (1.25, 3.86) | 2.09 (1.15, 3.77) | ||