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Table 3 Prevalence, unadjusted and adjusted prevalence risk ratios (PRRs) of factors associated with adherence to national malaria treatment guidelines among health workers in Kamuli District, Uganda

From: Factors affecting adherence to national malaria treatment guidelines in management of malaria among public healthcare workers in Kamuli District, Uganda

Characteristic Adhered N (%) Unadjusted PRRs (95 % CI) P value Adjusted PRRs (95 % CI) P value
All 122/241 (50.6)     
Age of health worker (years)
 21–30 60 (53.6) 1   
 31–40 40 (46.5) 1.04 (0.74 1.47) 0.79  
 >40 22 (51.6) 0.91 (0.63 1.32) 0.61  
Facility level
 HC III 115 (53) 1   1  
 HC IV 7 (29) 0.55 (0.29 1.04) 0.06 0.28 (0.148 0.52) 0.000
Gender of health worker
 Male 49 (40.1) 1   
 Female 73 (59.8) 0.87 (0.68 1.12) 0.29  
Highest educational level
 Below certificate 11 (55) 1   
 Certificate 56 (57.1) 1.03 (0.67 1.6) 0.86  
 Diploma 55 (45.1) 0.82 (0.53 1.27) 0.38  
Category of health worker
 Nurse aide 11 (55) 1   1  
 Enrolled nurse 50 (55.6) 0.91 (0.64 1.29) 0.62 1.57 (1.4 1.75) 0.004
 Nursing officer 13 (52.0) 0.85 (0.53 1.38) 0.53 1.68 (1.35 2.20) 0.238
 Clinical officer 42 (42.9) 0.71 (0.48 1.02) 0.38 1.16 (0.76 1.76) 0.48
Refresher training in last 2 years
 Yes 76 (62.3) 1   
 No 46 (37.7) 1.07 (0.83 1.38) 0.59  
Attended facility CME on malaria in last year
 Yes 105 (49.3) 1   1  
 No 5 (25.0) 1.52 (1.14 2.02) 0.004 1.9 (1.29 2.78) 0.001
Malaria treatment job aides displayed in consultation room
 Yes 105 (49.3) 1   1  
 No 5 (25.0) 1.52 (1.14 2.02) 0.004 0.64 (0.4 1.03) 0.07
Laboratory functionality in last 6 months
 All days of week 75 (56.8) 1   1  
 Only on week days 38 (40.4) 0.71 (0.53 0.95) 0.02 0.47 (0.35 0.63) 0.000
 Rarely open 9 (60.0) 1.06 (0.68 1.63) 0.08 0.63 (0.41 0.97) 0.037
Facility supervised in last 6 months
 Supervised by DHT 91 (46.1) 1    
 Supervised by HSD 14 (82.6) 1.76 (1.34 2.29) 0.000  
 Supervised by MoH 6 (75.0) 1.6 (1.04 2.45) 0.031  
Facility had anti-malarial stock-out in last 3 months
 Yes 30 (41.7) 1   1  
 No 92 (54.4) 1.31 (1.06 1.77) 0.0000 1.17 (0.79 1.72) 0.43
Age of patient
 <5years 43 (49.3) 1   1  
 ≥5years 79 (51.3) 1.03 (0.798345 1.34) 0.08 1.07 (0.83 1.39) 0.543