Table 4.
Provider demographics (n = 26) | Reported adherence to IMM guidelines | Chi square test (X2) statistic (df)/FET | p-value | |
---|---|---|---|---|
Gender | No | Yes | ||
Female | 16 (88.9) | 2 (11.1) | 0.821 (1) | 0.563 |
Male | 6 (27.3) | 2 (50.0) | ||
Age of providers | ||||
19–24 years | 4 (18.2) | 0 (0.0) | ||
25–30 years | 12 (54.5) | 3 (75.0) | 9.996 | 0.694 |
31–36 years | 3 (13.6) | 0 (0.0) | ||
37 years and above | 3 (13.6) | 1 (25.0) | ||
Years worked in current position | ||||
0–5 | 20 | 3 | ||
6–10 | 2 | 0 | 7.239 (5) | 0.203 |
Over 10 | 0 | 1 | ||
Training the last 36 months on the national treatment guidelines for malaria?** | ||||
No | 16 (72.7) | 0 (0.0) | 7.564 | 0.014 |
Yes | 6 (27.3) | 4 (100) | ||
Highest level of education attained | ||||
Primary education | 7 (31.8) | 2 (50.0) | ||
Secondary education | 6 (27.3) | 0 (0.0) | 3.381 | 0.336 |
Some university | 1 (4.5) | 1 (25.0) | ||
University/college | 8 (36.4) | 1 (25.0) | ||
Healthcare provider cadre** | ||||
Health Assistant/Nursing Assistant/Nursing Aide | 8 (36.4) | 1 (25.0) | ||
Community Medicine Distributor/Village Health Team | 1 (4.5) | 0 (0.0) | 27.468 (7) | < 0.001 |
Clinical Officer | 1 (4.5) | 1 (25.0) | ||
Nurse/Nursing Officer | 7 (31.8) | 1 (25.0) | ||
Midwife | 3 (13.6) | 1 (25.0) | ||
Laboratory technician/Laboratory assistant | 2 (9.1) | 0 (0.0) | ||
Provider knowledge about first-line anti-malarials for uncomplicated malaria | ||||
Correctly identified first-line medications | 17 (77.3) | 4 (100.0) | 1.600 (2) | 0.449 |
Incorrectly identified first-line line medications | 4 (18.2) | 0 (0.0) | ||
Admitted did not know | 1 (5.5) | 0 (0.0) | ||
Provider perceptions towards IMM guidelines | ||||
If a patient comes with mild fever, he/she must be tested before any treatment | ||||
Agree | 20 (90.9) | 4 (100.0) | 0.688 (1) | 0.407 |
Disagree | 2 (9.1) | 0 (0.0) | ||
Sometimes RDTs do not provide correct results | ||||
Agree | 16 (72.7) | 3 (75.0) | ||
Disagree | 5 (22.7) | 0 (0) | 2.368 (2) | 0.306 |
Neither agree nor disagree | 1 (4.6) | 1 (25.0) | ||
I do not trust results of RDT | ||||
Agree | 17 (77.3) | 3 (75.0) | ||
Disagree | 4 (18.2) | 1 (25.0) | 1.143 (2) | 0.565 |
Neither agree nor disagree | 1 (4.5) | 0 (0.0) | ||
There are times when I treat patients with an anti-malarial even when they test negative for malaria as long as they have symptoms for malaria | ||||
Agree | 19 (86.4) | 4 (100.0) | 0.811 (1) | 0.368 |
Disagree | 3 (13.6) | 0 (0.0) | ||
It is ‘okay’ to treat a patient with fever without testing | ||||
Agree | 7 (31.8) | 1 (25.0) | 0.015 (1) | 0.902 |
Disagree | 15 (68.2) | 3 (75.0) |
Source: primary data
** Statistically significant variable