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Table 5 Association between health system factors and performance of CHWs

From: Performance of community health workers managing malaria, pneumonia and diarrhoea under the community case management programme in central Uganda: a cross sectional study

Variable Performance Crude analysis
  Good [n, %] Poor [n, %] OR (95% CI) P value
Received iCCM training     
Yes 73 (100) 262 (99.6)   
No 0 1 (0.4) - 0.598
Refresher training in iCCM    
Yes 64 (87.7) 236 (89.7) 1.00  
No 9(12.3) 27 (10.3) 1.23 (0.55-2.75) 0.614
Received appointment letter    
No 39 (53.4) 211 (80.2) 1.00  
Yes 34 (46.6) 52 (19.8) 3.57 (2.00-6.25) <0.001
Received job aids     
Yes 73 (100) 255 (96.6)   
No 0 8 (3.4) - 0.132
Workload     
Okay 57 (78.1) 162 (61.6) 1.00  
Too much 16 (21.9) 101 (38.4) 0.45 (0.24-0.83) 0.009
Facilitation given     
Inadequate 53 (72.6) 194 (73.8) 1.00  
Adequate 20 (27.4) 69 (26.2) 1.06 (0.59-1.9) 0.843
Support from health facilities    
Yes 68 (91.2) 222 (84.4) 1.00  
No 5 (8.8) 41 (15.6) 0.40 (0.15-1.05) 0.055
Feedback from supervisors    
More than a month 15 (21.5) 138 (52.9) 1.00  
Within a month 58 (79.5) 123 (47.1) 4.34 (2.28-8.24) <0.001
Attendance of review meetings    
Every month 11 (15.1) 37 (14.1) 1.00  
Every 3 months 57 (78.1) 219 (83.4) 0.88 (0.42-1.83) 0.723
Once a year 5 (6.8) 7(2.5) 2.4 (0.62-9.37) 0.193
Drug stock outs in last 3 months    
Yes 37 (50.7) 192 (73.0) 1.00  
No 36 (49.3) 71 (27.0) 2.63 (1.53-4.54) <0.001