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Table 5 Predictors of malaria diagnosis by clinician (N = 2,019)

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

1.25

[1.03, 1.52]

0.025

1.13

[0.99, 1.29]

0.067

Spontaneous complaint to provider of:

      

  Fever

2.34

[1.91, 2.86]

<0.0001

1.86

[1.59, 2.18]

<0.0001

  Cough

0.86

[0.77, 0.97]

0.011

0.81

[0.73, 0.91]

0.001

  Vomiting

1.58

[1.32, 1.89]

<0.0001

1.22

[1.09, 1.38]

0.001

  Chills

1.47

[1.26, 1.71]

<0.0001

1.35

[1.18, 1.54]

<0.0001

  Fatigue

0.37

[0.13, 1.03]

0.058

0.49

[0.24, 0.98]

0.045

Age <5 years

1.49

[1.19, 1.86]

0.001

1.04

[0.90, 1.20]

0.602

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

1.84

[1.59, 2.14]

<0.0001

1.41

[1.23, 1.60]

<0.0001

Health provider

Female health worker

1.02

[0.74, 1.40]

0.909

   

Type of clinician

      

  Medical officer/doctor /clinical officer

[Reference]

[Reference]

[Reference]

[Reference]

[Reference]

[Reference]

  Medical assistant

2.57

[1.56, 4.25]

<0.0001

2.14

[1.40, 3.27]

0.001

  Nurse

2.64

[1.53, 4.54]

0.001

1.8

[1.16, 2.79]

0.009

Copy of 2007 malaria treatment guidelines

1.11

[0.87, 1.40]

0.401

   

Malaria-specific training

1.03

[0.74, 1.44]

0.862

   

Supervision in previous 6 months

1.14

[0.88, 1.46]

0.312

   

Health facility

Type of facility

      

  District hospital

[Reference]

[Reference]

[Reference]

   

  Health centre

1.92

[0.97, 3.79]

0.060

   

  Community hospital

1.89

[0.92, 3.88]

0.082

   

AL in stock for full day

0.72

[0.57, 0.90]

0.005

0.85

[0.75, 0.97]

0.014

Thermometer present

0.82

[0.62, 1.07]

0.135

   

Functional microscopy

0.69

[0.50, 0.95]

0.025

0.91

[0.71, 1.16]

0.426

CHAM-operated facility

1.37

[1.06, 1.76]

0.015

1.25

[1.09, 1.43]

0.001

Region

Region

      

  Northern

[Reference]

[Reference]

[Reference]

   

  Central

1.17

[0.78, 1.78]

0.443

   
 

  Southern

1.15

[0.86, 1.54]

0.345

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