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Table 3 Factors associated with receiving an ACT among febrile children under-five who received any treatment (n = 982)

From: Factors associated with access and adherence to artemisinin‐based combination therapy (ACT) for children under five: a secondary analysis of a national survey in Sierra Leone

Variable

n/N

%

Unadjusted analysis

Adjusted analysis

OR (95% CI)

p value

OR (95% CI)

p value

Location

 Rural

386/835

46.3%

Ref

0.181

Ref

0.899

 Urban

83/147

54.9%

1.41 (0.85–2.33)

1.03 (0.63–1.69)

Region

 West

36/75

47.8%

Ref

0.253

Ref

0.025

 North

203/452

45.0%

0.89 (0.51–1.56)

1.20 (0.64–2.26)

 South

125/268

45.9%

0.93 (0.51–1.70)

1.48 (0.79–2.83)

 East

105/187

56.4%

1.41 (0.75–2.66)

2.30 (1.20–4.44)

Household size

 1–5

146/269

52.2%

Ref

0.058

Ref

0. 178

 6–10

257/548

47.6%

0.83 (0.59–1.17)

0.95 (0.68–1.33)

 11+

66/165

39.9%

0.61 (0.41–0.91)

0.69 (0.46–1.04)

Household religion

 Muslim

375/796

46.9%

Ref

0.402

Ref

0.579

 Christian

94/186

50.7%

1.17 (0.81–1.67)

0.90 (0.62–1.30)

Socio-economic status

 1 (poorest)

131/317

41.0%

Ref

0.001

Ref

0.237

 2

175/382

46.1%

1.23 (0.87–1.73)

1.00 (0.68–1.47)

 3 (least poor)

163/283

57.0%

1.91 (1.31–2.77)

1.41 (0.88–2.24)

Respondent education

 None

290/644

45.1%

Ref

0.059

Ref

0.930

 Primary

63/123

51.2%

1.28 (0.87–1.89)

1.03 (0.68–1.58)

 Secondary or higher

107/196

53.8%

1.42 (0.99–2.03)

1.00 ( 0.66–1.50)

 Arabic school or Other

9/19

47.9%

1.12 (0.44–2.87)

1.41 (0.49–4.08)

Everyone is at risk

 No

120/250

47.4%

Ref

0.948

Ref

0.380

 Yes

349/732

47.6

1.01 (0.73–1.39)

0.85 (0.60–1.22)

ITNs protect from malaria

 No

129/370

35.0%

Ref

< 0.001

Ref

0.001

 Yes

340/612

55.2%

2.29 (1.66–3.15)

1.84 (1.29–2.63)

Under 5 slept under ITN

 No

119/287

40.2%

Ref

0.009

Ref

0.061

 Yes

350/695

50.6%

1.53 (1.11–2.10)

1.41 (0.98–2.02)

Knowledge of ACTs

 No

187/537

34.7%

Ref

< 0.001

Ref

< 0.001

 Yes

282/445

63.0%

3.20 (2.36–4.35)

2.78 (2.02–3.80)

Child age (months)

 0–23 months

136/321

42.6%

Ref

0.047

Ref

0.016

 24–59 months

333/661

49.9%

1.34 (1.00–1.79)

1.45 (1.07–1.96)

Prompt treatment (< 24 h)

 No

209/440

47.2%

Ref

0.842

Ref

0.866

 Yes

260/542

47.9%

1.03 (0.77–1.37)

1.03 (0.76–1.38)

Public health facility

 No

57/159

36.4%

Ref

0.004

Ref

0.001

 Yes

412/823

49.7%

1.73 (1.19–2.52)

1.86 (1.27–2.72)