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Table 4 Predictorsa of correct malaria testing among patients with suspected malariab in outpatient health facilities, Huambo Province, Angola

From: Quality of malaria case management at outpatient health facilities in Angola

Attribute No. of patients tested/no. of patients who needed testing (weighted %) Multivariate
odds ratio
(95% confidence interval)
p-value
Health worker's caseload (all patients) on the day of the survey visit    
   0-24 patients 53/103 (49.0) 18.4 (6.8-49.6) < 0.0001
   25-43 patients 3/27 (7.5) reference  
Patient's temperature measured by surveyor (N = 135; 1 missing value)    
   39.0-39.9°C 9/11 (80.5%) odds ratio per 1°C 0.0073
   38.0-38.9°C 3/9 (29.9%) increase in measured  
   37.0-37.9°C 19/37 (30.2%) temperature:  
   36.0-36.9°C 25/70 (26.2%) 2.5 (1.3-5.0)  
   35.0-35.9°C 1/8 (6.0%)   
Health worker training on case-management policy recommending AL and diagnostic testing    
   Any training (formal or informal training) 48/99 (38.1%) 5.4 (0.9-33.5) 0.072
   Not trained 9/32 (17.2%) reference  
  1. AL = artemether-lumefantrine.
  2. a This table presents results from the reduced model, which only included variables with multivariable p-values < 0.10. The full model, which included all variables with a univariate p-value < 0.15, also included health facility type (hospital versus health center), health worker supervised on AL use in the past 6 months, and health worker's age. In the full model, none of these factors had statistically significant associations with malaria testing (p-values ranged from 0.12 to 0.99). Both the full and reduced models were based on analyses of 129 patients because of missing values of predictors. The r-squared value for the full and reduced models were 94.9% and 94.4%, respectively.
  3. b In this analysis, all the patients needed testing by either microscopy or a rapid diagnostic test.