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Table 4 Factors associated with health worker compliance to treatment guideline. N = 750

From: Provider compliance to artemisinin-based combination therapy at primary health care facilities in the middle belt of Ghana

Factors n (%) complied Univariate logistic regression Multivariate logistic regression
OR 95 % CI p value OR 95 % CI p value
Malaria transmission season
 Low 65.81 1    1   
 High 68.93 1.15 0.82–1.63 0.418 0.99 0.68–1.46 0.996
Mode of diagnosis
 Parasite based 67.61 1    1   
 Presumptive 52.17 0.52 0.29–0.95 0.034 0.31 0.15–0.62 0.001
Age category of patient
 ≥5 years 59.71 1    1   
 <5 years 85.93 4.12 2.67–6.36 0.000 4.49 2.85–7.08 0.000
Active member of the National Health Insurance Scheme
 Yes 65.68 1      
 No 76.06 1.65 0.94–2.93 0.080 N/A N/A N/A
Type of health facility
 Private 59.87 1    1   
 Public (MOH) 71.18 1.66 1.23–2.25 0.001 1.25 0.80–1.97 0.328
Level of health facility
 Hospital 65.13 1    1   
 Health centre/clinic 65.17 1.00 0.68–1.46 0.994 0.66 0.37–1.16 0.148
 CHPS 78.16 1.92 1.04–3.52 0.036 0.99 0.45–2.19 0.976
Cadre of health worker
 Medical doctor 57.34 1    1   
 Medical assistant 60.47 1.14 0.74–1.75 0.556 0.97 0.61–1.54 0.900
 Trained nurse 64.94 1.38 0.78–2.44 0.274 1.62 0.81–3.23 0.169
 Nurse aide or lower 69.49 1.69 1.07–2.69 0.025 1.61 0.88–2.94 0.124
 Community health nurse 81.01 3.17 1.65–6.10 0.001 2.95 1.37–6.38 0.006
 Midwife 86.44 4.74 2.10–10.72 0.000 4.87 1.99–11.08 0.001
Health worker received any ACT-specific training
 Yes 67.82 1      
 No 64.04 0.84 0.61–1.17 0.313 N/A N/A N/A
Availability of malaria diagnostic tools
 Yes 67.50 1      
 No 61.68 0.77 0.51–1.18 0.238 N/A N/A N/A
Availability of wall flowchart in the consulting room
 Yes 66.10 1      
 No 70.30 1.21 0.77–1.92 0.406 N/A N/A N/A
Availability of revised malaria treatment guidelines in the consulting room
 Yes 69.85 1      
 No 64.10 0.77 0.57–1.05 0.097 N/A N/A N/A
Health worker attended any training on Integrated Management of Childhood Illness
 Yes 73.91 1    1   
 No 64.69 0.65 0.44–0.96 0.028 0.66 0.42–1.05 0.079
Health worker had any supervisory visits within 6 months preceding the survey
 Yes 66.58 1      
 No 66.76 1.01 0.74–1.37 0.959 N/A N/A N/A
  1. N = 750
  2. N/A non applicable