Skip to main content

Table 6 Factors influencing whether a patient received an ACT

From: Treatment of uncomplicated malaria at public health facilities and medicine retailers in south-eastern Nigeria

Variable

n/N

%

Univariable Analysis

Multivariable Analysis

OR

95% CI

P value

OR

95% CI

P value

Study Site

Enugu

211/989

22.7

1.71

(0.81-3.61)

0.148

   
 

Udi

71/531

14.7

1.0

     

Patient characteristics

Gender

Male

173/795

25.3

1.63

(1.00-2.65)

0.051

1.91

(1.02-3.55)

0.045

 

Female

109/725

17.2

1.0

  

1.0

  

Age Group

>15 yrs

157/1023

19.8

1.0

 

0.336

   
 

10-15 yrs

16/104

20.7

1.06

(0.44-2.53)

    
 

5-9 yrs

38/124

37.8

2.46

(0.90-6.74)

    
 

<5 yrs

71/269

29.0

1.65

(0.88-3.09)

    

Quintile

Richest

57/230

28.8

2.35

(1.12-4.96)

0.201

   
 

Fourth

48/217

26.2

2.07

(0.99-4.35)

    
 

Third

48/257

18.7

1.34

(0.58-3.12)

    
 

Second

61/297

19.8

1.44

(0.64-3.25)

    
 

Poorest

68/519

14.6

1.0

     

Education Level

No formal

3/61

2.1

0.09

(0.02-0.31)

0.001

0.13

(0.03-0.50)

0.045

 

Primary

45/297

19.9

1.0

  

1.0

  
 

Secondary

113/651

19.1

0.95

(0.47-1.95)

 

0.81

(0.35-1.85)

 
 

Tertiary

121/511

25.4

1.37

(0.70-2.70)

 

0.84

(0.41-1.73)

 

First-time go for treatment

Yes

207/1091

21.5

0.93

(0.50-1.73)

0.811

   
 

No

75/429

22.7

1.0

     

Time before treatment

Same day

30/229

15.5

1.0

 

0.368

   
 

1 day

58/302

17.8

1.17

(0.49-2.83)

    
 

2 days

60/307

23.0

1.62

(0.78-3.38)

    
 

3-5 days

95/446

28.0

2.11

(0.97-4.58)

    
 

6+ days

39/236

23.4

1.66

(0.64-4.29)

    

Consultation with health worker (HW)

HW told of symptoms

Yes

170/1030

18.0

0.65

(0.34-1.22)

0.162

   
 

No

112/490

25.4

1.0

     

HW is told of patient's fever

Yes

165/961

19.2

0.76

(0.41-1.43)

0.373

   
 

No

117/559

23.8

1.0

     

HW asks follow up Qs

Yes

139/700

23.6

1.33

(0.68-2.61)

0.376

   
 

No

143/819

18.5

1.0

     

Patient is examined

Yes

83/370

19.5

0.88

(0.42-1.87)

0.724

   
 

No

199/1150

22.0

1.0

     

Takes patient temperature

Yes

53/251

19.1

0.90

(0.44-1.85)

0.755

   
 

No

229/1269

21.9

1.0

     

Patient has a prescription

Yes

99/327

42.1

3.51

(1.77-6.95)

0.001

   
 

No

183/1193

17.1

1.0

     

Asked for ACT

Yes

114/138

86.2

53.28

(15.9-179.1)

<0.001

55.47

(15.0-205.6)

<0.001

 

No

168/1382

10.6

1.0

  

1.0

  

Health facility characteristics

Type of facility

Public

94/430

16.6

0.70

(0.29-1.67)

0.385

   
 

Retailer

188/1090

22.2

1.0

     

Weighing scale available

Yes

216/892

27.2

2.13

(1.05-4.32)

0.037

   
 

No

66/628

14.6

1.0

     

Thermometer available

Yes

198/872

27.5

1.94

(1.01-3.71)

0.046

1.99

(0.94-4.18)

0.068

 

No

84/648

16.2

1.0

  

1.0

  

Offer malaria microscopy

Yes

17/70

24.0

1.12

(0.77-1.63)

0.519

   
 

No

265/1430

21.7

1.0

     

Facility has one or more HWs that...

... have attended malaria training

Yes

137/660

22.0

1.03

(0.52-2.02)

0.927

   
 

No

145/860

21.6

1.0

     

... have access to guidelines

Yes

66/236

19.2

0.83

(0.51-1.34)

0.413

   
 

No

216/1284

22.0

1.0

     

... know ACT is recommended

Yes

251/1136

24.8

2.40

(1.03-5.57)

0.043

2.47

(0.91-6.73)

0.073

 

No

31/384

11.5

1.0

    Â