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Table 4 Reported fever care-seeking and treatment behaviour by intervention arm

From: Strengthening malaria service delivery through supportive supervision and community mobilization in an endemic Indian setting: an evaluation of nested delivery models

  Supportive supervision + community mobilization Community mobilization Control Supportive supervision + community mobilization versus control Community mobilization versus control
n/N (%) n/N (%) n/N (%) Odds ratio (95% CI) p value Odds ratio (95% CI) p value
Prompt fever diagnosis (<24 hrs)
Total fever cases 261/378 (69.05) 260/381 (68.24) 248/365 (67.95) 1.05 [0.772, 1.434] 0.746 1.014 [0.745, 1.379] 0.931
Children under 5 years 46/68 (67.65) 54/74 (72.97) 42/68 (61.76) 0.773 [0.382, 1.564] 0.473` 0.598 [0.295, 1.22] 0.156
Women 71/99 (71.72) 81/126 (64.29) 65/106 (61.32) 1.054 [0.777, 1.429] 0.736 1.106 [0.814, 1.501] 0.520
Prompt fever diagnosis (<24 hrs) by a trained provider
Total 229/378 (60.58) 226/381 (59.32) 183/365 (50.14) 1.529 [1.143, 2.045] 0.004 1.450 [1.086, 1.937] 0.012
Children under 5 years 43/68 (63.24) 47/74 (63.51) 32/68 (47.06) 1.935 [0.975, 3.840] 0.059 1.958 [1.001, 3.832] 0.049
Women 61/99 (61.61) 81/126 (64.29) 49/106 (47.22) 1.867 [1.070, 3.258] 0.028 2.094 [1.235, 3.549] 0.006
Fever diagnosed by a CHW
Total 106/378 (28.04) 105/381 (27.56) 70/365 (19.18) 1.642 [1.164, 2.316] 0.005 1.603 [1.114, 2.262] 0.007
Children under 5 years 13/53 (24.53) 12/55 (21.82) 9/53 (16.98) 1.589 [0.614, 4.115] 0.340 1.364 [0.522, 3.567] 0.526
Women 29/99 (29.29) 34/126 (26.98) 20/106 (18.87) 1.782 [0.929, 3.417] 0.082 1.589 [0.850, 2.971] 0.147
Prompt (<24 hrs) fever diagnosis by a CHW
Total 87/106 (82.08) 83/105 (79.05) 47/70 (67.14) 2.241 [1.108, 4.529] 0.025 1.846 [0.930, 3.664] 0.080
Children under 5 years 12/13 (92.31) 9/12 (75.00) 6/9 (66.67) 7.549 [0.509, 70.668] 0.154 1.500 [0.223, 10.077] 0.677
Women 24/29 (82.76) 26/34 (76.47) 16/20 (80.00) 1.2 [0.279, 5.162] 0.807 1.846 [0.930, 3.664] 0.080
Fever treatment by provider
Community Health Worker 106/378 (28.04) 105/381 (27.56) 70/365 (19.18) 1.642 [1.164, 2.316] 0.005 1.603 [1.137, 2.617] 0.007
Other trained providers 43/378 (11.38) 44/381 (11.55) 29/365 (7.95) 1.487 [0.907, 2.439] 0.116 1.513 [0.924, 2.476] 0.100
Medical Doctors 161/378 (42.59) 154/381 (40.42) 164/365 (44.93) 0.909 [0.680, 1.215] 0.521 0.832 [0.622, 1.112] 0.213
Untrained providers 41/378 (10.85) 52/381 (13.65) 77/365 (21.10) 0.455 [0.302, 0.686] 0.000 0.591 [0.402, 0.869] 0.008
No treatment sought 27/378 (7.14) 26/381 (6.82) 25/365 (6.85) 1.046 [0.595, 1.839] 0.875 0.996 [0.564, 1.759] 0.989
Prompt (<24 hrs) fever treatment
Total 236/378 (62.44) 226/381 (59.32) 190/365 (52.06) 1.530 [1.143, 2.051] 0.004 1.343 [1.005, 1.794] 0.046
Children under 5 years 48/71 (67.61) 47/74 (63.51) 35/68 (51.47) 1.968 [0.989, 3.915] 0.054 1.641 [0.839, 3.211] 0.148
Women 61/99 (61.61) 67/126 (53.18) 50/106 (47.17) 1.798 [1.031, 3.136] 0.039 1.272 [0.758, 2.134] 0.363
Prompt (<24 hrs) fever treatment by a trained provider
Total 229/378 (60.58) 226/381 (59.32) 183/365 (50.14) 1.529 [1.143, 2.045] 0.004 1.450 [1.086, 1.937] 0.012
Children under 5 years 43/71 (63.24) 47/74 (63.51) 32/68 (47.06) 1.935 [0.975, 3.840] 0.059 1.958 [1.001 3.832] 0.050
Women 61/99 (61.62) 67/126 (54.03) 49/106 (47.12) 1.802 [1.030, 3.151] 0.039 1.319 [0.783, 2.224] 0.298