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Table 4 Factors associated with CHW adherence to referral guideline among children eligible for referral (temperature ≥38.5 °C) in the low 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 186 82 (44.1) 1   1  
 RDT negative 225 202 (89.8) 17.00 (6.53–44.26) <0.001 7.14 (1.99–25.59) 0.010
 RDT positive 9 5 (55.6) 1.23 (0.20–7.53)   3.19 (0.38–26.87)  
Age group (years)
 <1.0 113 82 (72.6) 1   1  
 1.0–2.9 174 128 (73.6) 0.95 (0.46–1.96)   1.47 (0.59–3.69)  
 3.0–4.9 128 76 (59.4) 0.55 (0.26–1.16) 0.195 0.64 (0.25–1.63) 0.158
 5.0–15.0 0 0 (0.0)    1.00 (0.25–1.63)  
Gender
 Male 203 137 (67.5) 1   1  
 Female 217 152 (70.0) 1.26 (0.70–2.27) 0.436 1.63 (0.78–3.42) 0.193
Slept under a net the previous night
 No 50 38 (76.0) 1   1  
 Yes 363 244 (67.2) 0.69 (0.29–1.64) 0.398 1.70 (0.51–5.64) 0.389
Resident in the same village as a CHW
 No 72 49 (68.1) 1   1  
 Yes 348 240 (69.0) 1.89 (0.83–4.31) 0.131 3.05 (0.94–9.92) 0.064
Time of visit to CHW after onset of symptoms (h)
 >24 63 51 (81.0) 1   1  
 Within 24 346 232 (67.1) 0.44 (0.18–1.07) 0.072 0.67 (0.23–1.89) 0.445
ACT prescription
 No ACT 225 201 (89.3) 1   1  
 ACT 146 39 (26.7) 0.03 (0.01–0.07) <0.001 0.07 (0.02–0.26) <0.001
Day of visit to a CHW
 Weekday 307 213 (69.4) 1   1  
 Weekend 113 76 (67.3) 1.42 (0.74–2.75) 0.295 1.21 (0.53–2.74) 0.649
Season of visit to a CHW
 Dry 158 96 (60.8) 1 0.008 1  
 Wet 262 193 (73.7) 2.24 (1.24–4.06)   1.67 (0.77–3.60) 0.191
Village distance to nearest health centre (km)
 0.0–2.4 96 61 (63.5) 1   1  
 2.5–4.9 158 116 (73.4) 1.29 (0.27–6.29)   0.78 (0.22–2.79)  
 5.0–7.4 100 63 (63.0) 1.41 (0.27–7.41) 0.846 0.55 (0.14–2.14) 0.200
 7.5–8.9 43 34 (79.1) 3.11 (0.27–7.41)   5.41 (0.68–42.80)