Table 6.
Results of multinomial logistic regression models predicting likelihood of utilization for comparisons between selected sources of care for children reported sick with diarrhea, fever, and/or pneumonia*
| Variables | HP/home care only† | HC/home care only | Private/home care only | HC/HP | Private/HP | HC/Private |
|---|---|---|---|---|---|---|
| aRRR (95% CI) | aRRR (95% CI) | aRRR (95% CI) | aRRR (95% CI) | aRRR (95% CI) | aRRR (95% CI) | |
| Type of child health services | ||||||
| Routine CCM | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
| iCCM | 1.21 (0.81–1.83) | 0.79 (0.54–1.15) | 0.53 (0.33–0.85)*** | 0.65 (0.39–1.09)* | 0.44 (0.25–0.76)*** | 1.47 (0.85–2.57) |
| Maternal education | ||||||
| None | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
| Some formal | 0.84 (0.51–1.39) | 1.69 (1.20–2.38)*** | 2.41 (1.56–3.73)*** | 2.01 (1.13–3.59)** | 2.86 (1.60–5.12)*** | 0.70 (0.42–1.18) |
| Child gender | ||||||
| Male | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
| Female | 1.10 (0.76–1.59) | 0.80 (0.59–1.08) | 0.77 (0.51–1.15) | 0.72 (0.47–1.12) | 0.70 (0.41–1.19) | 1.03 (0.62–1.72) |
| Zone of residence | ||||||
| Jimma | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
| West Hararghe | 0.66 (0.42–1.05)* | 0.75 (0.51–1.10) | 1.22 (0.72–2.08) | 1.13 (0.66–2.01) | 1.84 (0.95–3.57)* | 0.61 (0.33–1.14) |
| Household wealth | ||||||
| Poorest 40% | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
| Middle 40% | 1.00 (0.66–1.51) | 1.41 (0.97–2.06)* | 1.50 (0.84–2.69) | 1.41 (0.84–2.35) | 1.50 (0.77–2.92) | 0.94 (0.50–1.75) |
| Wealthiest 20% | 0.92 (0.54–1.58) | 1.01 (0.56–1.81) | 1.03 (0.44–2.39) | 1.10 (0.56–2.16) | 1.11 (0.43–2.89) | 0.98 (0.42–2.30) |
| Household distance to the HP in minutes travel time | ||||||
| 0–30 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
| 31–60 | 0.54 (0.34–0.87)** | 0.54 (0.37–0.80)*** | 1.19 (0.68–2.08) | 0.99 (0.59–1.67) | 2.19 (1.11–4.31)** | 0.45 (0.24–0.84)** |
| 61–120 | 0.52 (0.33–0.84)*** | 0.52 (0.36–0.76)*** | 1.12 (0.62–2.03) | 0.99 (0.56–1.76) | 2.14 (1.07–4.28)** | 0.47 (0.24–0.91)** |
| > 120 | 0.46 (0.24–0.88)** | 0.40 (0.19–0.81)** | 0.94 (0.41–2.17) | 0.87 (0.36–2.09) | 2.07 (0.84–5.10) | 0.42 (0.15–1.15)* |
| Experienced previous child death | ||||||
| No | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
| Yes | 0.76 (0.50–1.17) | 0.91 (0.66–1.26) | 1.09 (0.71–1.68) | 1.19 (0.75–1.88) | 1.43 (0.80–2.54) | 0.83 (0.50–1.40) |
aRRR = adjusted relative risk ratio; CI = confidence interval; HC = health center; HEW = health extension worker; HP = health post; iCCM = integrated community case management; OR = unadjusted odds ratio.
†
Three multinomial logistic regression models estimated with base categories being alternately 1) home care only, 2) health post, and 3) private.
‡
Home care only also includes no actions taken.
*
Significant at the P < 0.10 level.
**
Significant at the P < 0.05 level.
***
Significant at the P < 0.01 level.