Skip to main content

Table 6 Estimated associations between selected factors and the health status of febrile children 28 days after initial contact with the health system (cured versus still sick)

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

Determinants

N

%

Adjusted OR

95% CI

p-value

Age

     

 Children (0–2 years)

1198

56.5

Ref.

  

 Children (2–5 years)

922

43.5

0.83

0.63–1.10

0.20

Health Zone

     

 Ipamu

842

39.7

Ref.

  

 Kenge

734

34.6

1.48

1.05–2.07

0.02

 Kingandu

544

25.7

0.62

0.40–0.97

0.04

Danger signs

     

 No/Others

392

18.5

Ref.

  

 Yes (iCCM general danger signs)

1477

69.7

1.08

0.75–1.55

0.68

 Weakness or asthenia

103

4.9

1.16

0.59–2.28

0.67

 Unable to sit

148

7.0

1.13

0.61–2.12

0.70

RAS administration

     

 No

306

14.4

Ref.

  

 Yes

1814

85.6

0.64

0.45–0.92

0.02

Injectable antimalarial

     

 No/NA

928

43.8

Ref.

  

 Yes

1192

56.2

1.03

0.67–1.59

0.89

Oral antimalarial given at RHF

     

 No

996

47.0

Ref.

  

 Yes

1124

53.0

1.08

0.68–1.72

0.74

Oral treatment given at discharge or prescribed

     

 No

1432

67.6

Ref.

  

 Yes

688

32.5

1.12

0.76–1.64

0.58

Malaria test result on day 28

     

 Negative/not done

1279

60.3

Ref.

  

 Positive

841

39.7

4.67

3.47–6.30

< 0.001

Anaemia (day 28)

     

 No anaemia/not done

790

37.3

Ref.

  

 Anaemia (Hb < 11 g/dL)

1330

62.7

2.01

1.46–2.77

< 0.001

  1. N = 2120 alive on Day 28. OR: odds ratio; CHW: Community Health Worker; PHC: Primary Health Care; RHF: Referral Health Facilities; RAS: rectal artesunate; ACT: artemisinin-based combination therapy; 95% CI: 95% confidence interval; Hb: Haemoglobin; NA: not applicable (because not at RHF)