Table 6.
Factors associated with not receiving ‘correct and timely’ 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 and Timely’ Treatment | PR | (95%CI) | aPR | (95%CI) | |
|---|---|---|---|---|---|---|---|
| n | (%) | ||||||
| Total | 2881 | 1596 | (55.4) | - | - | ||
| Age in years | |||||||
| <1 | 25 | 21 | (84.0) | 1.50 | (1.26–1.79) | 1.47 | (1.2–1.79) |
| 1–4 | 338 | 193 | (57.1) | 1.02 | (0.92–1.13) | 1.09 | (0.99–1.2) |
| 5–9 | 442 | 229 | (51.8) | 0.93 | (0.84–1.02) | 0.94 | (0.86–1.04) |
| 10–14 | 387 | 209 | (54.0) | 0.97 | (0.87–1.07) | 0.96 | (0.87–1.06) |
| ≥15 | 1689 | 944 | (55.9) | Ref | |||
| Gender | |||||||
| Male | 1836 | 1044 | (56.9) | 1.08 | (1.00–1.15) | 1.08 | (1.01–1.15) |
| Female | 1045 | 552 | (52.8) | Ref | |||
| Severity | |||||||
| Severe | 22 | 22 | (100.0) | 1.90 | (1.84–1.97) | 1.66 | (1.42–1.93)* |
| Not severe | 2859 | 1574 | (55.1) | Ref | |||
| RDT result | |||||||
| Pf | 1024 | 621 | (60.6) | 1.19 | (1.11–1.27) | 1.22 | (1.14–1.31) |
| Pv | 1730 | 881 | (50.9) | Ref | |||
| Mixed | 127 | 94 | (74.0) | 1.45 | (1.30–1.63) | 1.35 | (1.21–1.52) |
| EHO ID | |||||||
| EHO A | 912 | 558 | (61.2) | 1.28 | (1.18–1.40) | 1.14 | (1.03–1.27) |
| EHO B | 121 | 90 | (74.4) | 1.56 | (1.38–1.77) | 1.46 | (0.95–2.26) |
| EHO C | 202 | 59 | (29.2) | 0.61 | (0.49–0.77) | 0.59 | (0.47–0.74) |
| EHO D | 491 | 349 | (71.1) | 1.49 | (1.37–1.63) | 1.45 | (1.32–1.6) |
| EHO E | 886 | 422 | (47.6) | Ref | |||
| EHO F | 269 | 118 | (43.9) | 0.92 | (0.79–1.07) | 1.06 | (0.68–1.66) |
| State/Region | |||||||
| Kachin | 202 | 59 | (29.2) | 0.50 | (0.40–0.62) | 1.00 | |
| Kayah | 129 | 96 | (74.4) | 1.28 | (1.15–1.43) | 1.10 | (0.73–1.67) |
| Kayin | 2279 | 1324 | (58.1) | Ref | |||
| Mon | 65 | 23 | (35.4) | 0.61 | (0.44–0.85) | 0.74 | (0.47–1.18) |
| Tanintharyi | 206 | 94 | (45.6) | 0.79 | (0.67–0.92) | 0.94 | (0.58–1.51) |
| Service delivery type | |||||||
| Health post ^ | 923 | 569 | (61.7) | Ref | |||
| Mobile | 139 | 61 | (43.9) | 0.71 | (0.59–0.86) | 0.68 | (0.56–0.82) * |
| Village-based ICMV | 1283 | 661 | (51.5) | 0.84 | (0.78–0.90) | 0.79 | (0.71–0.88) |
| Missing | 536 | 305 | (56.9) | 0.92 | (0.84–1.01) | 0.91 | (0.82–1.01) |
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.