Table 2.
Factors influencing the odds of bypassing a nearer facility by caretakers in the two districts (n = 348)
| Risk factor for bypassing | Reported nearer facility | Bypassers | OR1 | AOR2 |
|---|---|---|---|---|
| n = 348 | n = 206 | (95% CI) | (95% CI) | |
| Study Site | ||||
| Korogwe | 171 | 113 (66.1) | 1.8 (1.1-2.7)* | 1.8 (1.0-3.3)* |
| Muheza | 177 | 93 (52.5) | Ref | Ref |
| Child sex | ||||
| Female | 155 | 88 (56.8) | Ref | Ref |
| Male | 193 | 118 (61.1) | 1.2 (0.8-1.8) | 1.5 (0.8-2.8) |
| Child age (months) | ||||
| 0-11 | 127 | 73 (57.5) | Ref | Ref |
| 12-23 | 88 | 55 (62.5) | 1.2 (0.7-2.1) | 1.4 (0.6-3.0) |
| 24+ | 132 | 77 (58.3) | 1.0 (0.6-1.7) | 1.1 (0.5-2.3) |
| Number of living children | ||||
| 1 child | 86 | 59 (68.6) | 2.0 (1.1-3.8)* | 1.1 (0.5-2.7) |
| 2-3 children | 168 | 98 (58.3) | 1.3 (0.8-2.2) | 1.1 (0.5-2.4) |
| 4 or more | 91 | 47 (51.6) | Ref | Ref |
| Caretakers Level of Education | ||||
| No formal education | 74 | 39 (52.7) | Ref | Ref |
| Primary education | 256 | 152 (59.4) | 1.3 (0.8-2.2) | 1.0 (0.5-2.2) |
| Post-primary education. | 18 | 15 (83.3) | 4.5 (1.2-16.8)* | 1.4 (0.3-6.9) |
| SES | ||||
| Low | 108 | 59 (54.6) | Ref | Ref |
| Middle or high | 240 | 147 (61.2) | 1.3 (0.8-2.1) | 1.5 (0.8-2.8) |
| Travel time to district hospital | ||||
| 0-59 minutes | 73 | 56 (77.0) | 3.1 (1.6-5.8)* | 3.5 (1.5-8.2)* |
| 60-119 minutes | 110 | 80 (72.7) | 2.4 (1.4-4.2)* | 2.4 (1.2-4.8)* |
| 120+ minutes | 126 | 66 (52.4) | Ref | Ref |
| Symptoms duration | ||||
| 1-2 days | 167 | 131 (78.4) | 8.0 (4.4-14.4)* | 11.0 (5.1-23.7)* |
| 3-4 days | 98 | 49 (50.0) | 2.2 (1.2-4.0)* | 5.0 (2.2-11.2)* |
| 5 or more days | 85 | 28 (31.3) | Ref | Ref |
| Disease Severity3 | ||||
| Non-severe | 120 | 98 (81.7) | 5.3 (3.1-9.0)* | 4.5 (2.2-9.1)* |
| Severe disease | 203 | 93 (45.8) | Ref | Ref |
* - Significant findings
1 Unadjusted Odds Ratio from bivariate analysis
2 Adjusted Odds Ratio for all other variables
3 Non-severe disease above includes: Non-severe malaria, non-severe pneumonia and acute watery diarrhoea with no dehydration
Severe disease included: Severe malaria, moderately severe and very severe pneumonia, and acute watery diarrhoea with some and with severe dehydration.