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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.
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Malaria Journal

ISSN: 1475-2875

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