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Table 3 Factors associated with CHW adherence to referral guideline among children eligible for referral (temperature ≥38.5 °C) in the moderate-to-high transmission setting

From: Community health workers adherence to referral guidelines: evidence from studies introducing RDTs in two malaria transmission settings in Uganda

Variables Eligible for referral (≥38.5 °C) Referrals made (%) Unadjusted odds ratio (95% CI) p value Adjusted odds ratio (95% CI) p value
Test result
 Not tested 405 73 (18.0) 1   1  
 RDT negative 657 497 (75.6) 6.93 (3.45–13.92) <0.001 0.54 (0.16–1.79) 0.567
 RDT positive 401 33 (8.2) 0.11 (0.05–0.24)   1.03 (0.29–3.61)  
Age group (years)
 <1.0 292 155 (53.1) 1   1  
 1.0–2.9 628 258 (41.1) 0.55 (0.39–0.78)   0.98 (0.59–1.63)  
 3.0–4.9 527 184 (34.9) 0.39 (0.27–0.56) <0.001 1.11 (0.64–1.91) 0.805
 5.0–15.0 8 3 (37.5) 0.38 (0.07–1.98)   0.45 (0.64–1.91)  
Gender
 Male 756 306 (40.5) 1   1  
 Female 698 290 (41.5) 0.94 (0.73–1.21) 0.626 1.05 (0.71–1.56) 0.795
Slept under a net the previous night
 No 138 65 (47.1) 1   1  
 Yes 1305 523 (40.1) 1.35 (0.84–2.17) 0.211 1.39 (0.66–2.92) 0.382
Resident in the same village as a CHW
 No 122 73 (59.8) 1   1  
 Yes 1336 526 (39.4) 0.73 (0.46–1.16) 0.184 0.59 (0.28–1.25) 0.169
Time of visit to CHW after onset of symptoms (h)
 >24 181 90 (49.7) 1   1  
 Within 24 1256 496 (39.5) 0.77 (0.53–1.13) 0.189 0.70 (0.39–1.27) 0.244
ACT prescription
 No ACT 665 504 (75.8) 1   1  
 ACT 709 16 (2.3) 0.004 (0.002–0.009) <0.001 0.003 (0.001–0.010) <0.001
Day of visit to a CHW
 Weekday 1046 451 (43.1) 1   1  
 Weekend 417 152 (36.5) 0.74 (0.56–0.98) 0.033 0.62 (0.41–0.95) 0.027
Season of visit to a CHW
 Dry 508 235 (46.3) 1 0.004 1  
 Wet 955 368 (38.5) 0.68 (0.52–0.88)   0.65 (0.42–0.99) 0.043
Village distance to nearest health centre (km)
 0.0–2.4 686 337 (49.1) 1 0.093 1 0.060
 2.5–4.9 721 251 (34.8) 0.52 (0.28–0.97) 0.39 (0.18–0.86)
 5.0–7.4 51 14 (27.5) 0.41 (0.08–2.12) 0.93 (0.12–7.07)
 7.5–8.9 N/A N/A N/A   N/A