Key factors predicting suspected severe malaria case management and health outcomes: an operational study in the Democratic Republic of the Congo

Table 4 Estimated associations between selected determinants and referral completion

Determinant	N	%	Adjusted OR	95% CI	p-value
Age
0–2 years	1316	57.7	Ref.
2–5 years	965	42.3	0.71	0.54–0.93	0.013
Enrolment location
CHW	104	4.6	Ref.
PHC	2177	95.4	4.22	1.09–16.32	0.037
Health Zone
Ipamu	899	39.4	Ref.
Kenge	790	34.6	0.10	0.03–0.29	< 0.001
Kingandu	592	26.0	0.50	0.17–1.50	0.22
Danger signs
No/Others	415	18.2	Ref.
Yes (iCCM general danger signs)	1614	70.8	1.01	0.72–1.43	0.95
Weakness or asthenia	103	4.5	1.35	0.64–2.86	0.44
Unable to sit	149	6.5	1.89	1.01–3.54	0.08
RAS administration
Yes	1954	85.7	Ref.
No	327	14.3	0.63	0.44–0.92	0.02
Mean of transport
Going by foot	1910	83.7	Ref.
Other mean	371	16.3	0.89	0.61–1.30	0.56

N = 2281. OR: Odds ratio; CHW: Community Health Worker; PHC: Primary Health Care; 95% CI: 95% confidence interval; RAS: rectal artesunate; Ref.: Reference

ISSN: 1475-2875