Factors influencing health workers’ compliance with outpatient malaria ‘test and treat’ guidelines during the plateauing performance phase in Kenya, 2014–2016

Table 3 Factors associated with compliance with no anti-malarial treatment for test negative patients, 2014–2016

	Factor	N	Proportion not treated n (%)	Unadjusted OR (95% CI)	P-value	Adjusted OR (95% CI)	P-value
Health facility level	Type of malaria diagnostic at the facility
	RDTs^a	479	443 (92.5)	Ref		Ref
	Microscopy	212	180 (84.9)	0.36 (0.1- 1.0)	0.054	0.32 (0.1–0.9)	0.031
	Both	390	369 (94.6)	1.83 (0.7–5.1)	0.249	2.27 (0.8–6.4)	0.120
Health worker level	HW^b age
	≤ 35 years	680	628 (92.4)	Ref		Ref
	> 35 years	387	350 (90.4)	0.47 (0.2–1.1)	0.074	0.28 (0.1–0.7)	0.005
	HW perception of endemicity				0.003		< 0.001
	Low	540	512 (94.8)	Ref		Ref
	High	539	478 (88.7)	0.27 (0.1–0.7)		0.16 (0.1–0.4)
	Correct knowledge on malaria treatment policy						< 0.001
	No	116	85 (73.3)	Ref	< 0.001	Ref
	Yes	965	907 (94.0)	10.32 (4.0–26.6)	< 0.001	8.89 (3.2–25.1)	< 0.001
	MCM^c in-service training
	No	422	365 (86.5)	Ref		Ref
	Yes	659	627 (95.1)	5.49 (2.5–12.2)	0.105	5.34 (2.2–12.9)	0.013
Patient-level	Temperature			0.79 (0.6–1.1)	0.002	0.69 (0.5–0.9)	0.035
	Headache main complaint
	No	623	584 (93.7)	Ref		Ref
	Yes	458	408 (89.1)	0.38 (0.2–0.7)		0.51 (0.3–1.0)	0.002
	Cough main complaint
	No	574	510 (88.9)	Ref		Ref
	Yes	501	482 (95.1)	3.31 (1.7–6.6)	0.001	2.91 (1.5–5.8)

ISSN: 1475-2875