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Table 4 Provider-related factors and adherence to national malaria management guidelines

From: Cross-sectional study on the adherence to malaria guidelines in lakeshore facilities of Buyende and Kaliro districts, Uganda

Provider demographics (n = 26)

Reported adherence to IMM guidelines

Chi square test (X2) statistic (df)/FET

p-value

Gender

No

Yes

  

 Female

16 (88.9)

2 (11.1)

0.821 (1)

0.563

 Male

6 (27.3)

2 (50.0)

  

Age of providers

 19–24 years

4 (18.2)

0 (0.0)

  

 25–30 years

12 (54.5)

3 (75.0)

9.996

0.694

 31–36 years

3 (13.6)

0 (0.0)

  

 37 years and above

3 (13.6)

1 (25.0)

  

Years worked in current position

 0–5

20

3

  

 6–10

2

0

7.239 (5)

0.203

 Over 10

0

1

  

Training the last 36 months on the national treatment guidelines for malaria?**

 No

16 (72.7)

0 (0.0)

7.564

0.014

 Yes

6 (27.3)

4 (100)

  

Highest level of education attained

 Primary education

7 (31.8)

2 (50.0)

  

 Secondary education

6 (27.3)

0 (0.0)

3.381

0.336

 Some university

1 (4.5)

1 (25.0)

  

 University/college

8 (36.4)

1 (25.0)

  

Healthcare provider cadre**

 Health Assistant/Nursing Assistant/Nursing Aide

8 (36.4)

1 (25.0)

  

 Community Medicine Distributor/Village Health Team

1 (4.5)

0 (0.0)

27.468 (7)

< 0.001

 Clinical Officer

1 (4.5)

1 (25.0)

  

 Nurse/Nursing Officer

7 (31.8)

1 (25.0)

  

 Midwife

3 (13.6)

1 (25.0)

  

 Laboratory technician/Laboratory assistant

2 (9.1)

0 (0.0)

  

Provider knowledge about first-line anti-malarials for uncomplicated malaria

 Correctly identified first-line medications

17 (77.3)

4 (100.0)

1.600 (2)

0.449

 Incorrectly identified first-line line medications

4 (18.2)

0 (0.0)

  

 Admitted did not know

1 (5.5)

0 (0.0)

  

Provider perceptions towards IMM guidelines

 If a patient comes with mild fever, he/she must be tested before any treatment

  Agree

20 (90.9)

4 (100.0)

0.688 (1)

0.407

  Disagree

2 (9.1)

0 (0.0)

  

 Sometimes RDTs do not provide correct results

  Agree

16 (72.7)

3 (75.0)

  

  Disagree

5 (22.7)

0 (0)

2.368 (2)

0.306

  Neither agree nor disagree

1 (4.6)

1 (25.0)

  

 I do not trust results of RDT

  Agree

17 (77.3)

3 (75.0)

  

  Disagree

4 (18.2)

1 (25.0)

1.143 (2)

0.565

  Neither agree nor disagree

1 (4.5)

0 (0.0)

  

 There are times when I treat patients with an anti-malarial even when they test negative for malaria as long as they have symptoms for malaria

  Agree

19 (86.4)

4 (100.0)

0.811 (1)

0.368

  Disagree

3 (13.6)

0 (0.0)

  

 It is ‘okay’ to treat a patient with fever without testing

  Agree

7 (31.8)

1 (25.0)

0.015 (1)

0.902

  Disagree

15 (68.2)

3 (75.0)

  
  1. Source: primary data
  2. ** Statistically significant variable