Table 5.
Results of multivariate logistic regression models predicting likelihood of utilization of the HEW/HP for children reported sick with diarrhea, fever, and/or pneumonia stratified into communities receiving routine CCM child health services and communities receiving iCCM child health services
| Variables | Routine CCM available in community | iCCM available in community | ||||
|---|---|---|---|---|---|---|
| Model 1† aOR (95% CI) | Model 2‡ aOR (95% CI) | Model 3§ aOR (95% CI) | Model 1† aOR (95% CI) | Model 2‡ aOR (95% CI) | Model 3§ aOR (95% CI) | |
| Predisposing characteristics | ||||||
| Religion | ||||||
| Muslim | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
| Christian | 1.22 (0.61–2.44) | 1.18 (0.58–2.39) | 1.23 (0.59–2.57) | 1.08 (0.38–3.09) | 0.93 (0.35–2.46) | 0.82 (0.28–2.45) |
| Household size (number of members) | ||||||
| ≤ 3 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
| 4–6 | 1.07 (0.31–3.68) | 1.10 (0.33–3.67) | 1.19 (0.35–4.09) | 0.61 (0.28–1.32) | 0.62 (0.28–1.38) | 0.61 (0.27–1.39) |
| s≥ 7 | 0.78 (0.24–2.55) | 0.78 (0.24–2.51) | 0.84 (0.26–2.73) | 0.55 (0.23–1.29) | 0.56 (0.23–1.32) | 0.56 (0.23–1.35) |
| Maternal education | ||||||
| None | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
| Some formal | 1.08 (0.50–2.35) | 1.03 (0.44–2.43) | 1.05 (0.44–2.48) | 0.59 (0.34–1.03)* | 0.50 (0.29–0.86)** | 0.46 (0.26–0.79)*** |
| Child gender | ||||||
| Male | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
| Female | 0.93 (0.56–1.56) | 0.92 (0.56–1.53) | 0.90 (0.54–1.51) | 1.28 (0.76–2.16) | 1.32 (0.79–2.22) | 1.28 (0.76–2.15) |
| Maternal age in years | ||||||
| 15–19 | 0.06 (0.01–0.58)** | 0.07 (0.01–0.61)** | 0.06 (0.01–0.58)** | 0.85 (0.25–2.83) | 0.94 (0.29–3.03) | 1.23 (0.35–4.29) |
| 20–29 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
| 30–39 | 1.51 (0.84–2.73) | 1.46 (0.81–2.65) | 1.55 (0.83–2.91) | 0.94 (0.49–1.77) | 0.93 (0.48–1.80) | 0.90 (0.46–1.76) |
| 40–49 | 1.22 (0.44–3.35) | 1.18 (0.43–3.25) | 1.32 (0.44–3.91) | 0.50 (0.14–1.76) | 0.45 (0.12–1.68) | 0.46 (0.12–1.71) |
| Enabling characteristics | ||||||
| Zone of residence | ||||||
| Jimma | – | 1.00 | 1.00 | – | 1.00 | 1.00 |
| West Hararghe | – | 0.87 (0.47–1.61) | 0.87 (0.46–1.63) | – | 0.58 (0.29–1.18) | 0.65 (0.32–1.33) |
| Household distance to the HP in minutes travel time | ||||||
| 0–30 | – | 1.00 | 1.00 | – | 1.00 | 1.00 |
| 31–60 | – | 0.51 (0.24–1.05)* | 0.51 (0.24–1.07)* | – | 0.69 (0.38–1.23) | 0.71 (0.41–1.23) |
| 61–120 | – | 1.05 (0.57–1.93) | 1.04 (0.56–1.94) | – | 0.31 (0.15–0.63)*** | 0.31 (0.15–0.69)*** |
| > 120 | – | 1.14 (0.56–2.34) | 1.13 (0.55–2.31) | – | 0.29 (0.11–0.75)** | 0.29 (0.11–0.73)*** |
| Household wealth | ||||||
| Poorest 40% | – | 1.00 | 1.00 | – | 1.00 | 1.00 |
| Middle 40% | – | 0.80 (0.47–1.45) | 0.82 (0.46–1.46) | – | 0.96 (0.54–1.70) | 1.05 (0.57–1.92) |
| Wealthiest 20% | – | 1.16 (0.49–2.76) | 1.13 (0.45–2.82) | – | 0.87 (0.44–1.71) | 1.00 (0.49–2.07) |
| Need characteristics | ||||||
| Experienced previous child death | ||||||
| No | – | – | 1.00 | – | – | 1.00 |
| Yes | – | – | 0.83 (0.47–1.47) | – | – | 0.74 (0.40–1.38) |
| Child age in years | ||||||
| < 1 | – | – | 1.31 (0.55–3.14) | – | – | 0.31 (0.13–0.74)*** |
| 1 | – | – | 1.00 | – | – | 1.00 |
| 2 | – | – | 1.37 (0.64–2.93) | – | – | 0.94 (0.41–2.16) |
| 3 | – | – | 1.22 (0.59–2.52) | – | – | 0.85 (0.39–1.87) |
| 4 | – | – | 0.84 (0.34–2.07) | – | – | 1.26 (0.46–3.50) |
| Illness type | ||||||
| Diarrhea only | – | – | 1.00 | – | – | 1.00 |
| Any pneumonia | – | – | 0.70 (0.38–1.28) | – | – | 2.69 (1.30–5.56)*** |
| Other | – | – | 0.68 (0.37–1.26) | – | – | 1.52 (0.69–3.32) |
aOR = adjusted odds ratio; CI = confidence interval; HEW = health extension worker; HP = health post; iCCM = integrated community case management.
†
Model 1 includes predisposing characteristics.
‡
Model 2 includes predisposing + enabling characteristics.
§
Model 3 includes predisposing + enabling + need characteristics.
*
Significant at the P < 0.10 level.
**
Significant at the P < 0.05 level.
***
Significant at the P < 0.01 level.