Table 3.
Regression analysis for the association between inappropriate ACT prescription and prescriber-related factors
| Prescriber level factors | Crude OR (95% CI) | p-value | AOR (95% CI) | p-value |
|---|---|---|---|---|
| Prescriber work experience (years) | ||||
| < 3 yearsa | 1 | 1 | ||
| 3 to less than 6 years | 0.96 (0.6–1.6) | 0.871 | 0.84 (0.45–1.6) | 0.568 |
| ≥ 6 years to < 10 years | 0.5 (0.25–1.0) | 0.054 | 0.4 (0.21–0.74) | 0.004 |
| ≥ 10 years | 3.4 (1.7–6.8) | 0.001 | 5 (2.4–10.4) | < 0.001 |
| Professional category | ||||
| Physician assistantsa | 1 | 1 | ||
| Doctors | 0.48 (0.28–0.80) | 0.005 | 5.8 (2.5–13.7) | < 0.001 |
| Others | 1.73 (0.08–0.38) | < 0.001 | 0.1 (0.03–0.27) | < 0.001 |
| Supervision in past 6 months | ||||
| Noa | 1 | |||
| Yes | 0.77 (0.5–1.2) | 0.245 | ||
| Number of MCM supervisory visits | ||||
| 0a | ||||
| Once | 1.4 (0.77–2.5) | 0.271 | 8.2 (3.3–20.6) | < 0.001 |
| 2–3 times | 0.47 (0.28–0.77) | 0.003 | 1.0 (0.44–2.12) | 0.944 |
| > 4 times | 0.74 (0.43–1.24) | 0.284 | 1.4 (0.79–2.50) | 0.246 |
| Supervision on MCM in past 6 months | ||||
| Noa | 1 | |||
| Yes | 0.86 (0.45–1.66) | 0.653 | ||
| Access to any reference material on MCM | ||||
| Noa | 1 | 1 | ||
| Yes | 1.6 (1.1–2.4) | 0.022 | 1.7 (0.95–3.0) | 0.075 |
| Access to revised 2014 guideline | ||||
| Noa | 1 | |||
| Yes | 1.37 (0.80–2.3) | 0.25 | ||
| ACT treatment chart availability | ||||
| Noa | 1 | 1 | ||
| Yes | 0.59 (0.4–0.9) | 0.021 | 9.0 (3.7–22.2) | < 0.001 |
| Availability of MCM wall chart | ||||
| Noa | 1 | 1 | ||
| Yes | 0.39 (0.26–0.59) | < 0.001 | 0.12 (0.06–0.24) | < 0.001 |
| Visibility of wall charts | ||||
| Noa | 1 | |||
| Yes | 0.39 (0.26–0.59) | < 0.001 | Omitted | |
| Training in MCM in past 12 months | ||||
| Noa | 1 | 1 | ||
| Yes | 3.5 (2.3–5.2) | < 0.001 | 0.95 (0.33–2.7) | 0.922 |
| Number of IMNCI training in past 12 months | ||||
| 0a | 1 | 1 | ||
| Only 1 | 0.25 (0.15–0.44) | < 0.001 | 0.07 (0.03–0.15) | < 0.001 |
| 2 to 3 | 2.3 (0.34–15.9) | 0.389 | 2.8 (0.31–25.6) | 0.36 |
| 4 and above | 1.55 (0.16–15.2) | 0.706 | 2 (0.19–20.7) | 0.563 |
| Number of MCM training in past 12 months | ||||
| 0a | 1 | 1 | ||
| Only 1 | 3.4 (2.2–5.3) | < 0.001 | 4.1(1.5–11.6) | 0.007 |
| 2 to 3 | 4.2 (2.1–8.5) | < 0.001 | Omitted | |
| 4 and above | 0.6 (0.14–2.3) | 0.429 | ||
| Training in IMNCI in past 12 months | ||||
| Noa | 1 | |||
| Yes | 0.31 (0.18–0.53) | 0.001 | Omitted | |
| Ever trained in MCM | ||||
| Noa | 1 | 1 | ||
| Yes | 1.8 (1.1–3.0) | 0.016 | 0.97 (0.47–2.02) | 0.94 |
AOR adjusted odds ratio, OR odds ratio
aReference category/group