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
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 | ||