Table 3.

Prevalence, unadjusted and adjusted prevalence risk ratios (PRRs) of factors associated with adherence to national malaria treatment guidelines among health workers in Kamuli District, Uganda

Characteristic	Adhered N (%)	Unadjusted PRRs (95 % CI)	P value	Adjusted PRRs (95 % CI)	P value
All	122/241 (50.6)
Age of health worker (years)
21–30	60 (53.6)	1		–
31–40	40 (46.5)	1.04 (0.74 1.47)	0.79	–
>40	22 (51.6)	0.91 (0.63 1.32)	0.61	–
Facility level
HC III	115 (53)	1		1
HC IV	7 (29)	0.55 (0.29 1.04)	0.06	0.28 (0.148 0.52)	0.000
Gender of health worker
Male	49 (40.1)	1		–
Female	73 (59.8)	0.87 (0.68 1.12)	0.29	–
Highest educational level
Below certificate	11 (55)	1		–
Certificate	56 (57.1)	1.03 (0.67 1.6)	0.86	–
Diploma	55 (45.1)	0.82 (0.53 1.27)	0.38	–
Category of health worker
Nurse aide	11 (55)	1		1
Enrolled nurse	50 (55.6)	0.91 (0.64 1.29)	0.62	1.57 (1.4 1.75)	0.004
Nursing officer	13 (52.0)	0.85 (0.53 1.38)	0.53	1.68 (1.35 2.20)	0.238
Clinical officer	42 (42.9)	0.71 (0.48 1.02)	0.38	1.16 (0.76 1.76)	0.48
Refresher training in last 2 years
Yes	76 (62.3)	1		–
No	46 (37.7)	1.07 (0.83 1.38)	0.59	–
Attended facility CME on malaria in last year
Yes	105 (49.3)	1		1
No	5 (25.0)	1.52 (1.14 2.02)	0.004	1.9 (1.29 2.78)	0.001
Malaria treatment job aides displayed in consultation room
Yes	105 (49.3)	1		1
No	5 (25.0)	1.52 (1.14 2.02)	0.004	0.64 (0.4 1.03)	0.07
Laboratory functionality in last 6 months
All days of week	75 (56.8)	1		1
Only on week days	38 (40.4)	0.71 (0.53 0.95)	0.02	0.47 (0.35 0.63)	0.000
Rarely open	9 (60.0)	1.06 (0.68 1.63)	0.08	0.63 (0.41 0.97)	0.037
Facility supervised in last 6 months
Supervised by DHT	91 (46.1)	1
Supervised by HSD	14 (82.6)	1.76 (1.34 2.29)	0.000	–
Supervised by MoH	6 (75.0)	1.6 (1.04 2.45)	0.031	–
Facility had anti-malarial stock-out in last 3 months
Yes	30 (41.7)	1		1
No	92 (54.4)	1.31 (1.06 1.77)	0.0000	1.17 (0.79 1.72)	0.43
Age of patient
<5years	43 (49.3)	1		1
≥5years	79 (51.3)	1.03 (0.798345 1.34)	0.08	1.07 (0.83 1.39)	0.543