Table 4.
Health worker factors associated with adherence to national malaria treatment guidelines
| Characteristics | Public health facilities | Private health facilities | |||||
|---|---|---|---|---|---|---|---|
|
aAdhere n (%) |
Did not adhere n (%) |
bOR (95 % CI) | Adhere n (%) |
Did not adhere n (%) |
OR (95 % CI) | ||
| Provider knowledge of medicine of choice for malaria treatment and dosing regimens | Had knowledge | 127 (100) | 52 (81.3) | - | 71 (100) | 69 (52.7) | - |
| Didn’t have | 0 | 23 (18.7) | Ref | 0 | 62 (47.3) | Ref | |
| Health workers who had access to the guidelines | Had access to guidelines | 71 (64.6) | 66 (66.7) | 0.9 (0.5–1.6) | 19 (26.0) | 40 (34.2) | 0.67 (0.4–1.3) |
| Didn’t have | 39 (35.5) | 33 (33.3) | Ref | 54 (73.9) | 77 (65.8) | Ref | |
| Health workers used any malaria diagnostic tool (RDT or microscopy) | Used diagnostic tool | 128 (94.8) | 68 (81.0) | 4.3 (1.7–10.9) | 65 (85.5) | 49 (45.8) | 7.0 (3.3–14.7) |
| Didn’t use | 7 (5.2) | 16 (19.1) | Ref | 11 (14.5) | 58 (58.5) | Ref | |
| Training on malaria case management | Received training | 82 (73.9) | 85 (84.2) | 0.5 (0.3–1.1) | 13 (18.1) | 37 (27.2) | 0.6 (0.3–1.2 |
| Didn’t receive | 29 (26.1) | 16 (15.8) | Ref | 59 (81.9) | 99 (72.8) | Ref | |
aAdhere’ is strict adherence: both parasitological diagnosis and appropriate treatment i.e. only positive cases of uncomplicated malaria received ACTs
b OR Odd Ratio