Table 3.
Regression analysis of facility readiness and competency in the management of severe malaria comparing pre-Champions OTSS scores to post-Champions OTSS scores*
| Variables | Pre-Champions | Post-Champions round 1 % change (95% CI) |
Post-Champions round 2 % change (95% CI) |
Post-Champions round 3 % change (95% CI) |
|---|---|---|---|---|
| Overall management of severe malaria (score) | Ref | 3.3 (–7.0 to 13.6) P = 0.519 |
11.3 (0.4–22.1) P = 0.042 |
14.3 (3.2–25.4) P = 0.013 |
| Patient assessment (score) | Ref | 8.7 (–4.9 to 22.4) P = 0.204 |
16.2 (1.8–30.6) P = 0.029 |
21.0 (6.2–35.8) P = 0.006 |
| Providing the right treatment (score) | Ref | 8.8 (–0.6 to 18.2) P = 0.065 |
9.7 (–0.2 to 19.6) P = 0.056 |
8.0 (–2.1 to 18.1) P = 0.119 |
| Health facility readiness score (score) | Ref | 6.9 (2.5–11.3) P = 0.003 |
5.9 (1.5–10.3) P = 0.010 |
6.5 (2.0–11.0) P = 0.006 |
| Material availability (score) | Ref | 13.9 (7.6–20.2) P = 0.000 |
15.9 (9.6–22.2) P = 0.000 |
14.8 (8.3–21.3) P = 0.000 |
| Documentation availability (score) | Ref | 3.0 (–8.5 to 14.4) P = 0.604 |
7.5 (–4.0 to 19.0) P = 0.193 |
10.8 (–1.0 to 22.5) P = 0.071 |
CI = confidence interval; OTSS = Outreach Training and Supportive Supervision; Ref = reference variable: round 3.
*
Regression analysis was not possible for ACT availability by age group as ACTs were available at almost all facilities across all rounds. Regression analysis also was not possible for complications (hypoglycemia, anemia, alteration of consciousness) due to small sample sizes.