Fidelity of implementation of national guidelines on malaria diagnosis for children under-five years in Rivers State, Nigeria

Table 5 Multiple linear regression showing association between moderating factors only, and all factors

Factor	Model 1		Model 2
Factor	Coefficient (95% CI)	P-value	Coefficient (95% CI)	P-value
Moderating factors
Intervention complexity	− 0.24 (− 1.73, 1.25)	0.752	− 1.88 (− 3.42, − 0.34)	0.017*
Participant responsiveness	10.56 (5.08, 16.03)	< 0.001*	8.57 (4.83, 12.32)	< 0.001*
Facilitation strategies
No	ref	< 0.001*	ref	0.063
Yes	19.27 (12.71, 25.83)		5.73 (− 0.31, 11.76)
Facility type				0.171
Public			ref
Formal private			− 6.10 (− 12.79, 0.58)
Informal private			− 7.40 (− 17.57, 2.76)
Type of malaria test conducted at facility				< 0.001*
None			ref
RDT			16.90 (6.78, 27.03)
Light microscopy			21.88 (13.60, 30.16)
Both microscopy and RDT			26.63 (16.88, 36.38)
Availability of national malaria guidelines				0.176
No			ref
Yes			6.14 (− 2.80, 15.09)
Duration of facility operation			0.01 (− 0.02, 0.04)	0.631
Age of respondent			3.19 (− 0.42, 6.80)	0.082
Sex				0.722
Male			ref
Female			1.09 (− 4.96, 7.14)
Cadre of respondent				0.075
Doctor			ref
Nurse			− 7.50 (− 16.38, 1.38)
Pharmacist			− 6.26 (− 15.98, 3.45)
Pharmacy or laboratory technician			− 5.94 − 15.51, 3.63)
Community health extension worker			8.74 (− 10.55, 28.02)
Non-health care worker			5.72 (− 7.45, 18.90)
Model R-squared^a	31%		65.7%
Model p-value	< 0.001		< 0.001

^*significant at p < 0.05
^aR-squared—the proportion of variance of fidelity score explained by the factors in the model

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