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Table 5 Factors influencing health worker's practices in management of patients with artemether-lumefantrine

From: Malaria case-management under artemether-lumefantrine treatment policy in Uganda

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
Statistically significant factors (P < 0.05): multivariate results
Outcome 1: Health worker treats for malaria (n = 1064) 892 (83.8)    
   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)    
   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
Statistically non-significant factors – univariate results
Outcome 1: Health worker treats for malaria (n = 1064) 892 (83.8)    
   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)    
   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
  1. * 8 observations with incomplete data omitted to allow for a common denominator
  2. † The category qualified heath workers include patients seen by doctors, nurses, clinical officers and midwives.