Table 4 Factors associated with CHW adherence to referral guideline among children eligible for referral (temperature ≥38.5 °C) in the low transmission setting
Variables | Eligible for referral (≥38.5 °C) | Referrals made (%) | Unadjusted odds ratio (95% CI) | p value | Adjusted odds ratio (95% CI) | p value |
|---|---|---|---|---|---|---|
Test result | ||||||
Not tested | 186 | 82 (44.1) | 1 | 1 | ||
RDT negative | 225 | 202 (89.8) | 17.00 (6.53–44.26) | <0.001 | 7.14 (1.99–25.59) | 0.010 |
RDT positive | 9 | 5 (55.6) | 1.23 (0.20–7.53) | 3.19 (0.38–26.87) | ||
Age group (years) | ||||||
<1.0 | 113 | 82 (72.6) | 1 | 1 | ||
1.0–2.9 | 174 | 128 (73.6) | 0.95 (0.46–1.96) | 1.47 (0.59–3.69) | ||
3.0–4.9 | 128 | 76 (59.4) | 0.55 (0.26–1.16) | 0.195 | 0.64 (0.25–1.63) | 0.158 |
5.0–15.0 | 0 | 0 (0.0) | 1.00 (0.25–1.63) | |||
Gender | ||||||
Male | 203 | 137 (67.5) | 1 | 1 | ||
Female | 217 | 152 (70.0) | 1.26 (0.70–2.27) | 0.436 | 1.63 (0.78–3.42) | 0.193 |
Slept under a net the previous night | ||||||
No | 50 | 38 (76.0) | 1 | 1 | ||
Yes | 363 | 244 (67.2) | 0.69 (0.29–1.64) | 0.398 | 1.70 (0.51–5.64) | 0.389 |
Resident in the same village as a CHW | ||||||
No | 72 | 49 (68.1) | 1 | 1 | ||
Yes | 348 | 240 (69.0) | 1.89 (0.83–4.31) | 0.131 | 3.05 (0.94–9.92) | 0.064 |
Time of visit to CHW after onset of symptoms (h) | ||||||
>24 | 63 | 51 (81.0) | 1 | 1 | ||
Within 24 | 346 | 232 (67.1) | 0.44 (0.18–1.07) | 0.072 | 0.67 (0.23–1.89) | 0.445 |
ACT prescription | ||||||
No ACT | 225 | 201 (89.3) | 1 | 1 | ||
ACT | 146 | 39 (26.7) | 0.03 (0.01–0.07) | <0.001 | 0.07 (0.02–0.26) | <0.001 |
Day of visit to a CHW | ||||||
Weekday | 307 | 213 (69.4) | 1 | 1 | ||
Weekend | 113 | 76 (67.3) | 1.42 (0.74–2.75) | 0.295 | 1.21 (0.53–2.74) | 0.649 |
Season of visit to a CHW | ||||||
Dry | 158 | 96 (60.8) | 1 | 0.008 | 1 | |
Wet | 262 | 193 (73.7) | 2.24 (1.24–4.06) | 1.67 (0.77–3.60) | 0.191 | |
Village distance to nearest health centre (km) | ||||||
0.0–2.4 | 96 | 61 (63.5) | 1 | 1 | ||
2.5–4.9 | 158 | 116 (73.4) | 1.29 (0.27–6.29) | 0.78 (0.22–2.79) | ||
5.0–7.4 | 100 | 63 (63.0) | 1.41 (0.27–7.41) | 0.846 | 0.55 (0.14–2.14) | 0.200 |
7.5–8.9 | 43 | 34 (79.1) | 3.11 (0.27–7.41) | 5.41 (0.68–42.80) | ||