Table 5.
Factors associated with correct management of suspect malaria cases attending health facilities in Maputo, Zambezia, and Cabo Delgado Provinces, Mozambique, 2015
| Variable | Maputo | Zambia | Cabo Delgado | |||
|---|---|---|---|---|---|---|
| Adjusted odds ratio | 95% CI | Adjusted odds ratio | 95% CI | Adjusted odds ratio | 95% CI | |
| Patient age (years) | ||||||
| <5 | Ref | – | Ref | Ref | ||
| 5–15 | 1.1 | 0.57–2.2 | 1.1 | 0.62–2 | 1.1 | 0.66–2 |
| >15 | 0.61 | 0.32–1.1 | 0.3 | 0.19–0.47 | 0.29 | 0.19–0.45 |
| Patient sex | ||||||
| Female | Ref | Ref | Ref | |||
| Male | 1.4 | 0.83–2.4 | 0.93 | 0.61–1.4 | 1.1 | 0.72–1.5 |
| Health facility type | ||||||
| Hospital | Ref | Ref | Ref | |||
| Health center | 0.04 | 0.008–0.14 | 0.87 | 0.5–1.5 | 0.93 | 0.49–1.8 |
| RDT or microscopy available on day of visit | 5.1 | 1.4–22 | 0.43 | 0.11–1.4 | ||
| ACT available on day of visit | 10 | 1.6–208 | 2.4 | 1.2–5 | ||
| Proportion of interviewed HCWs supervised in last 6 months | 4.3 | 1.1–18 | 0.47 | 0.2–1.1 | 1.9 | 1.1–3.5 |
| Proportion of interviewed HCWs trained in malaria case management | 0.55 | 0.16–1.8 | 3.2 | 1.3–7.8 | 0.87 | 0.41–1.8 |
| Mean score on knowledge test of interviewed HCWs | 1.1 | 0.1–12 | 0.3 | 0.069–1.3 | 4.7 | 0.81–28 |
| Proportion of patients testing true positive by ROT during re-examination | 144 | 0.75–29,540 | 0.78 | 0.19–3.2 | 0.49 | 0,19–1.3 |
RDT, rapid diagnostic test; ACT, artemisinin-based combination therapy; HCW, healthcare worker; CI, confidence interval