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Table 3 Regression analysis for the association between inappropriate ACT prescription and prescriber-related factors

From: Extent of inappropriate prescription of artemisinin and anti-malarial injections to febrile outpatients, a cross-sectional analytic survey in the Greater Accra region, Ghana

Prescriber level factors Crude OR (95% CI) p-value AOR (95% CI) p-value
Prescriber work experience (years)
 < 3 yearsa 1   1  
 3 to less than 6 years 0.96 (0.6–1.6) 0.871 0.84 (0.45–1.6) 0.568
 ≥ 6 years to < 10 years 0.5 (0.25–1.0) 0.054 0.4 (0.21–0.74) 0.004
 ≥ 10 years 3.4 (1.7–6.8) 0.001 5 (2.4–10.4) < 0.001
Professional category
 Physician assistantsa 1   1  
 Doctors 0.48 (0.28–0.80) 0.005 5.8 (2.5–13.7) < 0.001
 Others 1.73 (0.08–0.38) < 0.001 0.1 (0.03–0.27) < 0.001
Supervision in past 6 months
 Noa 1    
 Yes 0.77 (0.5–1.2) 0.245   
Number of MCM supervisory visits
 0a     
 Once 1.4 (0.77–2.5) 0.271 8.2 (3.3–20.6) < 0.001
 2–3 times 0.47 (0.28–0.77) 0.003 1.0 (0.44–2.12) 0.944
 > 4 times 0.74 (0.43–1.24) 0.284 1.4 (0.79–2.50) 0.246
Supervision on MCM in past 6 months
 Noa 1    
 Yes 0.86 (0.45–1.66) 0.653   
Access to any reference material on MCM
 Noa 1   1  
 Yes 1.6 (1.1–2.4) 0.022 1.7 (0.95–3.0) 0.075
Access to revised 2014 guideline
 Noa 1    
 Yes 1.37 (0.80–2.3) 0.25   
ACT treatment chart availability
 Noa 1   1  
 Yes 0.59 (0.4–0.9) 0.021 9.0 (3.7–22.2) < 0.001
Availability of MCM wall chart
 Noa 1   1  
 Yes 0.39 (0.26–0.59) < 0.001 0.12 (0.06–0.24) < 0.001
Visibility of wall charts
 Noa 1    
 Yes 0.39 (0.26–0.59) < 0.001 Omitted  
Training in MCM in past 12 months
 Noa 1   1  
 Yes 3.5 (2.3–5.2) < 0.001 0.95 (0.33–2.7) 0.922
Number of IMNCI training in past 12 months
 0a 1   1  
 Only 1 0.25 (0.15–0.44) < 0.001 0.07 (0.03–0.15) < 0.001
 2 to 3 2.3 (0.34–15.9) 0.389 2.8 (0.31–25.6) 0.36
 4 and above 1.55 (0.16–15.2) 0.706 2 (0.19–20.7) 0.563
Number of MCM training in past 12 months
 0a 1   1  
 Only 1 3.4 (2.2–5.3) < 0.001 4.1(1.5–11.6) 0.007
 2 to 3 4.2 (2.1–8.5) < 0.001 Omitted  
 4 and above 0.6 (0.14–2.3) 0.429   
Training in IMNCI in past 12 months
 Noa    1  
 Yes 0.31 (0.18–0.53) 0.001 Omitted  
Ever trained in MCM
 Noa 1   1  
 Yes 1.8 (1.1–3.0) 0.016 0.97 (0.47–2.02) 0.94
  1. AOR adjusted odds ratio, OR odds ratio
  2. aReference category/group