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. 2017 Nov 24;32(Suppl 4):iv82–iv90. doi: 10.1093/heapol/czx141

Table 4.

Impact of plausible determinants on log transformed minutes of clients’ consultation duration times

Model 1 (n = 3160)
Model 2 (n = 2929)
Model 3 (n = 2491)
Beta % changea 95% CIsa Beta % changea 95% CIsa Beta % changea 95% CIsa
Integration characteristics
Integrated PITC and FP (reference)
    PITC only 0.558*** 74.72 39.70; 118.40 0.485*** 62.47 30.09; 102.90 0.018 1.84 −20.98; 31.24
    FP only −0.566*** −43.22 −54.34; −29.36 −0.509*** −39.87 −50.42; −27.08 −1.106*** −66.90 −75.81; −54.70
    Total number of services provided per facility −0.007 −0.70 −1.48; 0.01 −0.009* −0.91 −1.58; −0.24 −0.003 −0.32 −1.06; 0.42
Client characteristics
    Age (years) −0.006* −0.60 −1.09; −0.09 −0.004 −0.41 −0.93; 0.10 −0.007* −0.68 −1.23; −0.12
Client typeb(Adult—reference)
    Adult + child 0.042 4.29 −9.99; 20.77 0.029 2.97 −9.52; 17.18 0.066 6.87 −7.28; 23.19
    Unknown −0.241 −21.41 −51.04; 26.01 −0.355 −29.90 −56.70; 13.49 −0.350 −29.56 −59.05; 21.18
Inpatient/facility characteristics
Inpatient (reference)
    Outpatient 0.129 13.77 −17.98; 57.82 0.093 9.70 −17.51; 45.88 0.112 11.81 −19.58; 55.45
    Location (Rural – reference)
    Urban 0.535* 70.74 1.93; 186.04 0.369 44.70 −5.13; 120.70 0.385 46.93 −16.17; 157.53
Facility size characteristics
    Total number of mother and child health (MCH) visits per facility (at baseline in 2009) c 0.000 0.00 −0.01; 0.00 0.000 0.00 −0.01; 0.00 0.000 0.00 −0.01; 0.00
    Total outpatient visits per year per facility d 0.000 0.00 0.00; 0.00 0.000 0.00 0.00; 0.00 0.000 0.00 0.00; 0.00
    Size of facility (total square meters of consultation rooms) e 0.000 0.00 0.00; 0.01 0.000 0.00 0.00; 0.01 0.000 0.00 0.00; 0.01
    Total staff FTE across all services per facility −0.007 −0.70 −1.97; 0.51 −0.007 −0.72 −1.81; 0.39 −0.005 −0.54 −1.97; 0.92
    Proportion of clinical staff out of total stuff per facility −3.920** −98.02 −99.80; −80.23 −3.548** −97.12 −99.63; −77.62 −3.828** −97.83 −99.80; −76.18
Study selection characteristics
    Intervention/Arm (Comparison – reference)
    Intervention 0.396** 48.59 18.56; 86.31 0.353** 42.37 16.07; 74.62 0.315* 36.99 7.15; 75.14
    FP/PNC (FP model – reference)
    PNC model −0.367* −30.72 −51.65; −0.82 −0.283 −24.63 −43.74; 0.96 −0.331 −28.15 −51.70; 6.88
Workload characteristics
    Facility Workload (at baseline in 2009) 1.189 228.38 −4.21; 1026.47 0.992* 169.53 3.28; 603.43 1.132 210.14 −7.10; 935.44
    Time of arrival at facility −0.001** −0.10 −0.12; −0.02 −0.001*** −0.08 −0.12; −0.04 −0.001* −0.07 −0.13; −0.01
    Waiting timef,g 0.000 0.00 −0.09; 0.09 −0.000 −0.01 −0.09; 0.06 0.000 0.03 −0.07; 0.13
R2 0.309 0.311 0.307
AIC 8208 6999 6603
BIC 8323 7113 6714

AIC, Akaike Information Criterion; BIC, Bayesian Information Criterion; CIs, Confidence Intervals; FP, Family planning; HR, Human resources; OLS, Ordinary Least Squares; PITC, Provider-initiated HIV counselling and testing; PNC, Postnatal Care

Model 1 using full range of consultation duration times, Model 2 restricted to consultation duration times of over 3 min; Model 3 restricted to separate consultations only

a

Regression coefficients were converted into per cent change in consultation duration times using the formula [exp(β)−1]×100

b

‘Adult’ indicates an individual going to the consultation alone, and ‘adult with child’ indicates an individual going to the consultation with a child

c

Beta  = −0.0000317, % change = −0.003%, 95% CIs = −0.0068% to 0.0005% in Model 1. Beta = −0.0000263, % change = −0.003%, 95% CIs = −0.0055% to 0.0002% in Model 2

d

Beta = −0.0000072, % change = −0.001%, 95% CIs = −0.003% to 0.001% in Model 1. Beta = −0.00000631, % change = −0.001%, 95% CIs = −0.002% to 0.001% in Model 2

e

Beta = 0.0000373, % change = 0.004%, 95% CIs = −0.001% to 0.009% in Model 1. Beta = 0.0000333, % change = 0.003%, 95% CIs = −0.001% to 0.007% in Model 2

f

Beta = 0.0000065, % change = 0.001% in Model 1. Beta = −0.0001351, % change = −0.001%, 95% CIs = −0.004% to 0.001% in Model 2

g

Between arrival and first consultation (and subsequent consultations when there was more than one consultation)

*

P < 0.05, **P < 0.01, ***P < 0.001