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Table 3 Predictors of correct malaria treatment, among patients with confirmed malaria (N = 629)

From: Patient-, health worker-, and health facility-level determinants of correct malaria case management at publicly funded health facilities in Malawi: results from a nationally representative health facility survey

  

Unadjusted prevalence ratio

Confidence interval

p-value

Adjusted prevalence ratio

Confidence interval

p-value

Patient

Male sex

1.05

[0.93, 1.17]

0.531

   

Spontaneous complaint to provider of:

      

  Fever

2.03

[1.44, 2.85]

<0.0001

1.72

[1.30, 2.29]

<0.0001

  Cough

0.74

[0.60, 0.92]

<0.0001

0.73

[0.61, 0.88]

0.001

  Vomiting

1.23

[1.08, 1.41]

<0.0001

1.03

[0.89, 1.20]

0.663

  Chills

1.32

[1.10, 1.60]

<0.0001

1.30

[1.07, 1.58]

0.008

  Fatigue

0.29

[0.07, 1.29]

0.104

   

Age <5 years

1.18

[0.98, 1.43]

0.085

1.08

[0.91, 1.28]

0.374

High temperature (≥37.5°C) according to exit interview

1.48

[1.23, 1.78]

<0.0001

1.33

[1.19, 1.50]

<0.0001

Health provider

Female health worker

1.28

[1.04, 1.59]

0.022

1.23

[0.97, 1.55]

0.084

Type of clinician

      

  Medical officer/doctor/clinical officer

[Reference]

[Reference]

[Reference]

[Reference]

[Reference]

[Reference]

  Medical assistant

1.97

[1.26, 3.10]

0.004

1.54

[1.02, 2.31]

0.039

  Nurse

1.90

[1.16, 3.12]

0.012

1.18

[0.72, 1.92]

0.503

Copy of current malaria treatment guidelines

0.82

[0.65, 1.03]

0.084

0.87

[0.73, 1.04]

0.130

Malaria-specific training

1.00

[0.74, 1.35]

0.990

   

Supervision in previous 6 months

0.79

[0.63, 0.99]

0.042

1.10

[0.85, 1.43]

0.446

Health facility

Type of facility

      

  District hospital

[Reference]

[Reference]

[Reference]

   

  Health centre

1.27

[0.86, 1.87]

0.225

   

  Community hospital

1.03

[0.53, 1.99]

0.938

   

AL in stock for full day

0.94

[0.71, 1.24]

0.660

   

Thermometer present

1.03

[0.75, 1.43]

0.841

   

Functional microscopy

0.93

[0.68, 1.25]

0.615

   

CHAM-operated facility

1.13

[0.92, 1.37]

0.235

   

Region

Region

      

  Northern

[Reference]

[Reference]

[Reference]

   

  Central

0.98

[0.74, 1.31]

0.898

   
 

  Southern

0.91

[0.70, 1.18]

0.472

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