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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