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Table 4 Factors associated with malaria case management practices for febrile patients at health facilities in Guinea, November 2014 (N = 2502)

From: Adherence to Ebola-specific malaria case management guidelines at health facilities in Guinea during the West African Ebola epidemic

  Diagnostic testing Presumptive treatment Recommended febrile case managemente
aOR 95% CI aOR 95% CI aOR 95% CI
District-level
 EVD-affected district 0.07* 0.01–0.73
Facility/health worker-level
 EVD case report 0.04* 0.01–0.18 982* 24.9–999
 Glove availabilitya 5.38* 1.96–14.7 0.21* 0.06–0.74
 Adequate PPE availabilityb 4.75 0.83–27.1 192* 12.1–> 999
 Malaria trainingc 0.21* 0.05–0.88 12.2* 1.20–124 2.97 0.91–9.73
 EVD trainingd 0.25 0.05–1.14
 Received PPE training 4.97* 1.78–13.8   
 Anti-malarial availabilitya 10.4* 4.29–25.1 0.06* 0.01–0.31 0.08* 0.01–0.69
 RDT availabilitya    19.3 0.81–462
  Facility
   Health centre 3.55* 1.03–12.2 0.09* 0.02–0.36 0.04* 0.01–0.37
   Hospital < 0.01* < 0.01–0.02 0.02* < 0.01–0.36
   Health post (ref) 1
Patient-level
 Age ≥ 5 years old 0.54* 0.36–0.79 0.43* 0.21–0.88
  1. RDT rapid diagnostic test, PPE personal protective equipment, EVD Ebola virus disease, 95% CI confidence interval
  2. * Significant at p < 0.05 Note: results are weighted
  3. – Signifies variable that was included in full model but fell out of model during backwards model selection using stay criterion of α < 0.10
  4. aAvailability: Availability of examination gloves defined as ≥ 100% of average monthly glove consumption available at time of survey visit
  5. bReported availability of gloves, apron, boots, helmet, and face screen at time of survey visit
  6. cHealth worker reported having received training on malaria case management in context of EVD epidemic in previous 6 months
  7. dHealth worker reported having received training on EVD case management and identification in context of EVD epidemic in previous 6 months
  8. eRecommended febrile case management defined as diagnostic test for febrile patients in presence of adequate PPE and treatment according to result or presumptive anti-malarial treatment for febrile patients in absence of adequate PPE