Table 5 Factors influencing health worker's practices in management of patients with artemether-lumefantrine
From: Malaria case-management under artemether-lumefantrine treatment policy in Uganda
Outcomes and factors (No of patients in analysis*) | No (%) of patients with outcome | % of patients with the outcome for each level of the factor | OR (95% CI) | P- value |
|---|---|---|---|---|
Statistically significant factors (P < 0.05): multivariate results | ||||
Outcome 1: Health worker treats for malaria (n = 1064) | 892 (83.8) | Â | Â | Â |
   Fever main complaint (yes vs no) |  | 88.6 vs 60.6 | 5.22 (3.61–7.54) | < 0.001 |
   Supervision including AL (supervised vs non-supervised HWs) |  | 87.2 vs 82.1 | 1.63 (1.06–2.50) | 0.027 |
   Health worker's cadre (qualified†vs non-qualified) |  | 82.1 vs 86.7 | 0.61 (0.40–0.93) | 0.020 |
   Skin problem main complaint (yes vs no) |  | 65.3 vs 84.7 | 0.29 (0.15–0.55) | < 0.001 |
Outcome 2: Health worker selects AL treatment (n = 892) | 682 (76.5) | Â | Â | Â |
   Availability of weight-specific AL pack (yes vs no) |  | 83.8 vs 43.6 | 6.15 (3.43–11.05) | < 0.001 |
   Absence of chloroquine in stock (yes vs no) |  | 84.3 vs 74.1 | 2.16 (1.09–4.28) | 0.027 |
Statistically non-significant factors – univariate results | ||||
Outcome 1: Health worker treats for malaria (n = 1064) | 892 (83.8) | Â | Â | Â |
   Malaria in-service training including AL (yes vs no) |  | 82.8 vs 87.9 | 0.65 (0.41–1.05) | 0.078 |
   Access to malaria guidelines (yes vs no) |  | 84.8 vs 81.8 | 1.19 (0.81–1.76) | 0.370 |
   Availability of malaria wall charts (yes vs no) |  | 83.8 vs 83.9 | 1.02 (0.70–1.50) | 0.906 |
   Availability of weight-specific AL pack (yes vs no) |  | 83.5 vs 85.3 | 0.87 (0.49–1.55) | 0.635 |
   Absence of chloroquine in stock (yes vs no) |  | 84.7 vs 83.6 | 1.06 (0.66–1.70) | 0.819 |
   Age of the patient (<5 years vs ≥ 5 years) |  | 85.7 vs 82.6 | 1.27 (0.88–1.82) | 0.203 |
   Cough main complaint (yes vs no) |  | 84.6 vs 83.0 | 1.09 (0.78–1.53) | 0.598 |
Outcome 2: Health worker selects AL treatment (n = 892) | 682 (76.5) | Â | Â | Â |
   Malaria in-service training including AL (yes vs no) |  | 77.4 vs 73.0 | 1.37 (0.78–2.40) | 0.267 |
   Access to malaria guidelines (yes vs no) |  | 76.8 vs 75.6 | 1.12 (0.68–1.86) | 0.656 |
   Availability of malaria wall charts (yes vs no) |  | 76.5 vs 76.4 | 0.93 (0.58–1.50) | 0.778 |
   Health worker's cadre (qualified†vs non-qualified) |  | 74.8 vs 79.0 | 0.88 (0.55–1.41) | 0.583 |
   Supervision including AL (supervised vs non-supervised HWs) |  | 79.6 vs 74.7 | 1.41 (0.85–2.32) | 0.180 |
   Age of the patient (< 5 years vs = 5 years) |  | 81.2 vs 73.2 | 1.59 (1.02–2.47) | 0.039 |
   Fever main complaint (yes vs no) |  | 75.9 vs 80.7 | 0.81 (0.52–1.26) | 0.345 |
   Cough main complaint (yes vs no) |  | 79.2 vs 73.5 | 1.32 (0.98–1.77) | 0.064 |
   Skin problem main complaint (yes vs no) |  | 78.1 vs 76.4 | 1.03 (0.43–2.47) | 0.943 |