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Table 4 Factors associated with health worker compliance to treatment guideline. N = 750

From: Provider compliance to artemisinin-based combination therapy at primary health care facilities in the middle belt of Ghana

Factors

n (%) complied

Univariate logistic regression

Multivariate logistic regression

OR

95 % CI

p value

OR

95 % CI

p value

Malaria transmission season

 Low

65.81

1

  

1

  

 High

68.93

1.15

0.82–1.63

0.418

0.99

0.68–1.46

0.996

Mode of diagnosis

 Parasite based

67.61

1

  

1

  

 Presumptive

52.17

0.52

0.29–0.95

0.034

0.31

0.15–0.62

0.001

Age category of patient

 ≥5 years

59.71

1

  

1

  

 <5 years

85.93

4.12

2.67–6.36

0.000

4.49

2.85–7.08

0.000

Active member of the National Health Insurance Scheme

 Yes

65.68

1

     

 No

76.06

1.65

0.94–2.93

0.080

N/A

N/A

N/A

Type of health facility

 Private

59.87

1

  

1

  

 Public (MOH)

71.18

1.66

1.23–2.25

0.001

1.25

0.80–1.97

0.328

Level of health facility

 Hospital

65.13

1

  

1

  

 Health centre/clinic

65.17

1.00

0.68–1.46

0.994

0.66

0.37–1.16

0.148

 CHPS

78.16

1.92

1.04–3.52

0.036

0.99

0.45–2.19

0.976

Cadre of health worker

 Medical doctor

57.34

1

  

1

  

 Medical assistant

60.47

1.14

0.74–1.75

0.556

0.97

0.61–1.54

0.900

 Trained nurse

64.94

1.38

0.78–2.44

0.274

1.62

0.81–3.23

0.169

 Nurse aide or lower

69.49

1.69

1.07–2.69

0.025

1.61

0.88–2.94

0.124

 Community health nurse

81.01

3.17

1.65–6.10

0.001

2.95

1.37–6.38

0.006

 Midwife

86.44

4.74

2.10–10.72

0.000

4.87

1.99–11.08

0.001

Health worker received any ACT-specific training

 Yes

67.82

1

     

 No

64.04

0.84

0.61–1.17

0.313

N/A

N/A

N/A

Availability of malaria diagnostic tools

 Yes

67.50

1

     

 No

61.68

0.77

0.51–1.18

0.238

N/A

N/A

N/A

Availability of wall flowchart in the consulting room

 Yes

66.10

1

     

 No

70.30

1.21

0.77–1.92

0.406

N/A

N/A

N/A

Availability of revised malaria treatment guidelines in the consulting room

 Yes

69.85

1

     

 No

64.10

0.77

0.57–1.05

0.097

N/A

N/A

N/A

Health worker attended any training on Integrated Management of Childhood Illness

 Yes

73.91

1

  

1

  

 No

64.69

0.65

0.44–0.96

0.028

0.66

0.42–1.05

0.079

Health worker had any supervisory visits within 6 months preceding the survey

 Yes

66.58

1

     

 No

66.76

1.01

0.74–1.37

0.959

N/A

N/A

N/A

  1. N = 750
  2. N/A non applicable