Table 3.
Health worker factors associated with correct prescription of ACT (N = 685)
| |
Univariate |
|
Multivariate |
|
|---|---|---|---|---|
| Variable | Unadjusted odds ratio (95% CI) | P-value | Adjusted odds ratio (95% CI) | P-value |
|
Health worker cadre |
|
|
|
|
| Seen by medical officer |
Ref |
|
Ref |
|
| Seen by a clinical officer |
1.9(0.99-3.63) |
0.051 |
2.2(1.05-4.49) |
0.037 |
| Seen by a nurse aide or lower cadre |
2.8(1.41-5.73) |
0.004 |
3.1(1.34-7.12) |
0.009 |
|
Working experience, |
|
|
|
|
| Seen by HW with less than 3 years work experience |
Ref |
|
Ref |
|
| Seen by HW with 3 or more years’ work experience |
2.7(1.30-5.65) |
0.008 |
2.9(1.20-7.10) |
0.019 |
|
Supervision visit |
|
|
|
|
| Seen by HW who had no supervision visit |
Ref |
|
Ref |
|
| Seen by HW who had supervision visit in the previous 6 months |
0.8(0.42-1.48) |
0.460 |
1.3(0.55-3.22) |
0.515 |
|
In-service training |
|
|
|
|
| Seen by HW who not received in-service training |
Ref |
|
Ref |
|
| Seen by HW who received in-service training in case management |
1.3(0.77-2.09) |
0.343 |
1.1(0.57-1.83) |
0.942 |
|
Job aids |
|
|
|
|
| Seen by HW with no malaria case management job aid |
Ref |
|
Ref |
|
| Seen by HW with malaria case management job aid |
1.3(0.79-2.09) |
0.313 |
1.1(0.63-1.83) |
0.788 |
|
Age of health worker |
|
|
|
|
| Seen by HW aged below 35 or 35 |
Ref |
|
Ref |
|
| Seen by HW aged 36-60 |
1.3(0.68-2.35) |
0.450 |
0.9(0.47-1.78) |
0.791 |
| Seen by HW aged above 60 | 1.0(0.46-2.25) | 0.974 | 1.0(0.49-2.15) | 0.948 |