Table 5.
Factors associated with not receiving correct treatment as per national guidelines among people with confirmed malaria diagnosed by EHO in rural hard-to-reach areas under BHT project in Myanmar, 2017–2018.
| Variables | N | Not Correct Treatment | PR | (95%CI) | aPR | (95%CI) | |
|---|---|---|---|---|---|---|---|
| n | (%) | ||||||
| Total | 2881 | 155 | (5.4) | - | - | ||
| Age in years | |||||||
| <1 | 25 | 19 | (76.0) | 19.75 | (14.27–27.32) | 21.17 | (12.45–35.99) * |
| 1–4 | 338 | 25 | (7.4) | 1.92 | (1.23–3.00) | 2.49 | (1.59–3.89) * |
| 5–9 | 442 | 21 | (4.8) | 1.23 | (0.76–2.00) | 1.53 | (0.96–2.43) |
| 10–14 | 387 | 25 | (6.5) | 1.68 | (1.07–2.63) | 1.71 | (1.13–2.60) * |
| ≥15 | 1689 | 65 | (3.9) | Ref | |||
| Gender | |||||||
| Male | 1836 | 99 | (5.4) | 1.01 | (0.73–1.38) | 1.17 | (0.85–1.60) |
| Female | 1045 | 56 | (5.4) | Ref | |||
| Severe malaria | |||||||
| Yes | 22 | 9 | (40.9) | 8.01 | (4.73–13.56) | 5.21 | (2.49–10.93) * |
| No | 2859 | 146 | (5.1) | Ref | |||
| RDT result | |||||||
| Pf | 1024 | 62 | (6.1) | 1.90 | (1.34–2.72) | 1.84 | (1.29–2.63) * |
| Pv | 1730 | 55 | (3.2) | Ref | |||
| Mixed | 127 | 38 | (29.9) | 9.41 | (6.49–13.65) | 5.49 | (3.57–8.44) * |
| EHO | |||||||
| EHO A | 912 | 50 | (5.5) | 4.05 | (2.17–7.55) | 2.57 | (1.37–4.82) * |
| EHO B | 121 | 12 | (9.9) | 7.32 | (3.37–15.93) | 2.35 | (0.84–6.55) |
| EHO C | 202 | 15 | (7.4) | 5.48 | (2.61–11.53) | 4.82 | (2.35–9.90) * |
| EHO D | 491 | 63 | (12.8) | 9.47 | (5.16–17.39) | 7.11 | (3.82–13.24) * |
| EHO E | 886 | 12 | (1.4) | Ref | |||
| EHO F | 269 | 3 | (1.1) | 0.82 | (0.23–2.9) | 0.00 | (0.00–0.00) |
| State/Region | |||||||
| Kachin | 202 | 15 | (7.4) | 1.38 | (0.82–2.31) | - ** | |
| Kayah | 129 | 14 | (10.9) | 2.01 | (1.19–3.39) | ||
| Kayin | 2279 | 123 | (5.4) | Ref | |||
| Mon | 65 | 0 | (0.0) | - | |||
| Tanintharyi | 206 | 3 | (1.5) | 0.27 | (0.09–0.84) | ||
| Service delivery type | |||||||
| Health posts ^ | 923 | 49 | (5.3) | Ref | |||
| Mobile | 139 | 1 | (0.7) | 0.14 | (0.02–0.97) | 0.10 | (0.01–0.73) * |
| Village-based ICMV | 1283 | 73 | (5.7) | 1.07 | (0.75–1.52) | 0.50 | (0.30–0.83) * |
| Missing | 536 | 32 | (6.0) | 1.12 | (0.73–1.73) | 0.61 | (0.36–1.04) |
EHO: Ethnic Health Organisations; BHT: Better Health Together funded by the Three Millennium Development Goal Fund (3MDG); RDT: rapid diagnostic test; Pf: Plasmodium falciparum; Pv: Plasmodium vivax; ICMV: integrated community malaria volunteers; PR: prevalence ratio; aPR: adjusted prevalence ratio; CI: confidence interval; * aPR programmatically significant (>1.5 or <0.7) and statistically significant (p < 0.05); ** excluded by the model due to collinearity; ^ these are manned by EHO trained basic health staff.