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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)