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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