From: Management of febrile children under five years in hospitals and health centres of rural Ghana
POTENTIAL PREDICTORS | n | % (95% CI) | Unadjusted | Adjusted | ||
---|---|---|---|---|---|---|
OR (95% CI) | p | OR (95% CI) | p | |||
1. HOSPITALS | ||||||
CHILD: Age | ||||||
<12 months | 30 | 26.1 (3.8, 76.1) | 1.0 | 1.0 | 0.001 | |
12-23 months | 91 | 33.8 (7.2, 77.1) | 1.45 (0.96, 2.18) | 1.73 (1.25, 2.39) | ||
≥24 months | 215 | 40.3 (12.1, 76.9) | 1.92 (1.08, 3.39) | 2.23 (0.94, 5.33) | ||
CHILD: Has health insurance | ||||||
No | 24 | 54.6 (11.0, 92.1) | 1.0 | 0.09 | 1.0 | 0.03 |
Yes | 312 | 35.7 (9.2, 75.3) | 0.46 (0.19, 1.14) | 0.57 (0.35, 0.92) | ||
HEALTH WORKER: Cadre (history taking) | ||||||
Nurse | 310 | 50.9 (19.8, 81.3) | 1.0 | 0.002 | 1.0 | 0.002 |
Doctor | 0 | - | - | |||
Medical assistant | 25 | 8.7 (1.5, 37.4) | 0.09 (0.02, 0.37) | 0.10 (0.04, 0.29) | ||
Nurse assistant | 1 | 33.3 (0.6, 97.6) | 0.48 (0.05, 4.44) | 0.60 (0.05, 7.31) | ||
HEALTH WORKER: Cadre (consultation) | ||||||
Medical assistant | 127 | 31.4 (8.1, 70.5) | 1.0 | 0.03 | 1.0 | 0.05 |
Doctor | 72 | 25.4 (2.1, 84.2) | 0.74 (0.15, 3.64) | 1.06 (0.33, 3.50) | ||
Nurse | 56 | 45.9 (13.6, 82.1) | 1.85 (0.61, 5.65) | 2.72 (1.05, 7.02) | ||
Health assistant | 80 | 77.7 (47.0, 93.2) | 7.59 (2.36, 24.40) | 5.88 (1.96, 17.6) | ||
Other | 1 | 100 | - | - | ||
BLOOD TESTS: Has a malaria test | ||||||
No | 330 | 39.6 (11.1, 77.6) | 1.0 | 0.004 | 1.0 | 0.009 |
Yes | 6 | 7.1 (0.8, 43.6) | 0.12 (0.03, 0.45) | 0.18 (0.05, 0.60) | ||
2. HEALTH CENTRES | ||||||
HEALTH WORKER: Cadre (history taking) | ||||||
Nurse | 301 | 54.1 (25.7, 80.1) | 1.0 | 0.004 | 1.0 | 0.006 |
Doctor | 3 | 75.0 (13.3, 98.3) | 2.54 (0.11, 60.14) | 7.27 (0.05, >100.0) | ||
Medical assistant | 43 | 61.4 (18.9, 91.6) | 1.35 (0.48, 3.77) | 1.45 (0.56, 3.74) | ||
Nurse assistant | 10 | 13.2 (10.7, 16.1) | 0.13 (0.04, 0.40) | 0.04 (0.01, 0.17) | ||
HEALTH WORKER: Cadre (consultation) | ||||||
Medical assistant | 143 | 42.7 (13.4, 78.2) | 1.0 | 0.0001 | 1.0 | 0.006 |
Doctor | 1 | 12.5 (12.5, 12.5) | 0.19 (0.04, 0.83) | 0.13 (0.03, 0.58) | ||
Nurse | 83 | 65.9 (36.8, 86.5) | 2.59 (0.91, 7.37) | 2.30 (0.82, 6.44) | ||
Health assistant | 102 | 72.9 (49.8, 87.9) | 3.60 (0.78, 16.72) | 3.65 (0.80,, 16.7) | ||
Other | 28 | 28.9 (5.8, 72.9) | 0.54 (0.06, 5.29) | 5.12 (0.60, 43.7) | ||
PRESENTING SYMPTOMS: Lethargy | ||||||
No | 9 | 69.2 (42.7, 87.2) | 1.0 | 0.01 | 1.0 | 0.006 |
Yes | 348 | 50.2 (24.2, 76.1) | 0.45 (0.25, 0.80) | 0.40 (0.22, 0.73 | ||
PRESENTING SYMPTOMS: Oedema | ||||||
No | 331 | 49.4 (23.4, 75.7) | 1.0 | 0.02 | 1.0 | 0.04 |
Yes | 26 | 72.2 (53.4, 85.5) | 2.66 (1.16, 6.09) | 2.67 (1.03, 6.92) | ||
BLOOD TEST: Malaria test negative | ||||||
No | 356 | 51.4 (25.1, 76.9) | 1.0 | 0.09 | 1.0 | 0.04 |
Test | 1 | 7.7 (0.3, 70.8) | 0.08 (0.01, 1.65) | 0.08 (0.01, 0.91) |