Table 3 Factors associated with appropriate malaria case management
Variable | Number of patients appropriately managed for malaria N = 3509 | Univariate analysis | Multivariate analysis | ||
|---|---|---|---|---|---|
OR (95% CI) | p-value | OR (95% CI) | p-value | ||
Patient characteristics | Â | Â | Â | Â | Â |
 Females, n (%) | 2200 (62.7) | 0.95 (0.84, 1.07) | 0.409 |  |  |
 Age in years | NA | 1.01 (1.01, 1.02) |  < 0.001 | 1.01 (1.01, 1.02) | 0.002 |
 Prior use of anti-malarials, n (%) | 568 (16.2) | 0.85 (0.73, 0.99) | 0.05 |  |  |
Documentation of information on patient record | Â | Â | Â | Â | Â |
 Age and medicine use, n (%) | 3220 (91.7) | 1.70 (1.14, 2.51) | 0.008 | 0.87 (0.65, 1.15) | 0.342 |
 Temperature and weight, n (%) | 2744 (78.2) | 1.98 (1.55, 2.54) |  < 0.001 | 2.07 (1.46, 2.93) |  < 0.001 |
 Patient satisfaction score | NA | 1.06 (1.03, 1.10) |  < 0.001 | 1.12 (1.06, 1.18) |  < 0.001 |
Health facility characteristics | Â | Â | Â | Â | Â |
Level | Â | Â | Â | Â | Â |
 Health centre IV | 303 (8.6) | 1 |  | 1 |  |
 Health centre III | 1316 (37.5) | 1.47 (0.68, 3.30) | 0.340 | 6.86 (1.57, 29.8) | 0.010 |
 Health centre II | 1890 (53.9) | 0.87 (0.40, 1.88) | 0.735 | 8.29 (2.36, 29.0) | 0.001 |
 Health centre III#AL | NA |  |  | 0.15 (0.02, 0.95) | 0.045 |
 Health centre II#AL | NA |  |  | 0.14 (0.28, 0.71) | 0.018 |
Owner | Â | Â | Â | Â | Â |
 GOU | 3080 (87.7) | 1 |  | 1 |  |
 PNFP | 322 (9.2) | 0.73 (0.41, 1.32) | 0.308 | 0.55 (0.32, 0.97) | 0.041 |
 PFP | 107 (3.0) | 0.25 (0.13, 0.49) |  < 0.001 | 0.21 (0.10, 0.42) |  < 0.001 |
 Supervised in MCM 2019/2020 | 641 (18.3) | 4.80 (2.36, 9.75) |  < 0.001 | 4.39 (1.62, 11.9) | 0.003 |
Availability of equipment / medicines | Â | Â | Â | Â | Â |
 Weighing scale, n (%) | 3226 (92.8) | 1.92 (0.99, 3.73) | 0.051 |  |  |
 Thermometer, n (%) | 2420 (68.9) | 1.37 (0.86, 2.18) | 0.179 |  |  |
 AL in stock on survey day, n (%) | 2591 (73.8) | 0.51 (0.27, 0.94) | 0.032 | 2.27 (0.52, 9.85) | 0.271 |
 Malaria test on survey day, n (%) | 3332 (94.9) | 2.49 (1.23, 5.00) | 0.011 | 7.73 (3.84, 15.6) |  < 0.001 |
Availability of guidelines/charts | Â | Â | Â | Â | Â |
 IMM 2014, n (%) | 933 (26.6) | 0.89 (0.52, 1.53) | 0.686 |  |  |
 IMCI guidelines, n (%) | 1762 (0.50) | 2.49 (1.55, 3.99) |  < 0.001 | 0.88 (0.51, 1.52) | 0.670 |
 UCG guidelines, n (%) | 2908 (82.9) | 4.39 (2.76, 6.98) |  < 0.001 | 3.28 (1.96, 5.49) |  < 0.001 |
 AL dosing procedures, n (%) | 1183 (33.7) | 1.58 (0.84, 2.96) | 0.153 |  |  |
 % of vacancies filled | NA | 1.36 (0.44, 4.19) | 0.587 |  |  |
Health care worker characteristics | Â | Â | Â | Â | Â |
Position | Â | Â | Â | Â | Â |
 Doctor, n (%) | 9 (0.3) | 1 |  |  |  |
 Clinical Officer, n (%) | 286 (8.2) | 1.17 (0.38, 3.62) | 0.777 |  |  |
 Nurse-degree, n (%) | 24 (0.7) | 3.24 (0.58, 17.9) | 0.177 |  |  |
 Nurse diploma, n (%) | 2094 (59.7) | 1.38 (0.43, 4.37) | 0.580 |  |  |
 Nursing Assistant, n (%) | 975 (27.8) | 1.39 (0.44, 4.41) | 0.571 |  |  |
 Lab personnel | 55 (1.6) | 1.66 (0.50, 5.48) | 0.403 |  |  |
 Other, n (%) | 66 (1.9) | 1.52 (0.45, 5.13) | 0.499 |  |  |
 Supervised in MCM in the past 3 months, n (%) | 1307 (37.3) | 1.46 (1.20, 1.77) |  < 0.001 | 1.64 (1.18, 2.28) | 0.003 |
In service training in the past 5Â years | Â | Â | Â | Â | Â |
 IMCI, n (%) | 1379 (39.3) | 0.84 (0.70, 0.99) | 0.047 |  |  |
 MCM, n (%) | 1245 (35.7) | 0.80 (0.66, 0.96) | 0.021 |  |  |
Access to guidelines | Â | Â | Â | Â | Â |
 IMM guidelines, n (%) | 2023 (57.6) | 1.10 (0.91, 1.32) | 0.311 |  |  |
 UCG, n (%) | 3067 (87.4) | 1.59 (1.24, 2.05) |  < 0.001 | 1.25 (0.90, 1.72) | 0.174 |
Knowledge of malaria treatment policy | Â | Â | Â | Â | Â |
 Malaria test for all fevers, n (%) | 3375 (96.2) | 0.84 (0.57, 1.24) | 0.400 |  |  |
 Anti-malarials to only positives, n (%) | 3374 (96.4) | 1.41 (0.88, 2.25) | 0.153 |  |  |
 1st line treatment for UM, n (%) | 3168 (90.3) | 0.84 (0.63, 1.11) | 0.230 |  |  |