Table 4.
Health facility responses to transition
| Outcomes | Discontinue outreach | Workers report reduced time on HIV services | Workers report reduced time on non-HIV services | Workers report reduced time on training |
|---|---|---|---|---|
| OR (95% CI), P-value | OR (95% CI), P-value | OR (95% CI), P-value | OR (95% CI), P-value | |
| Ownership | ||||
| PNFP vs Government | 1.087 (0.518–2.281), 0.819 | 2.117 * (1.054–4.255), 0.036 | 1.429 (0.665–3.069), 0.344 | 1.146 (0.524–2.508), 0.721 |
| PFP vs Government | 3.029 * (1.325–6.925), 0.011 | 6.241 *** (2.709–14.38), <0.001 | 3.012 * (1.161–7.817), 0.025 | 2.393 (0.915–6.261), 0.073 |
| Level | ||||
| HC III vs HC II | 1.016 (0.525–1.966), 0.960 | 1.161 (0.578–2.332), 0.663 | 0.569 (0.266–1.216), 0.138 | 1.061 (0.616–1.827), 0.824 |
| IV/Hospital vs HC II | 1.361 (0.568–3.260), 0.473 | 0.917 (0.345–2.438), 0.856 | 1.165 (0.402–3.372), 0.769 | 1.867 (0.938–3.714), 0.073 |
| Transition impact index | 2.480 *** (1.821–3.376), <0.001 | 1.731 ** (1.247–2.404), 0.002 | 0.994 (0.703–1.406), 0.974 | 1.184 (0.924–1.517), 0.172 |
| Preparedness index | 1.285 (0.838–1.970), 0.237 | 0.699 (0.463–1.055), 0.085 | 1.000 (0.665–1.501), 0.998 | 0.598 * (0.386–0.926), 0.023 |
| Time since transition | 1.026 * (1.002–1.050), 0.032 | 1.000 (0.973–1.026), 0.975 | 1.028 (0.988–1.071), 0.166 | 1.029 * (1.004–1.054), 0.023 |
| Number of HIV workers prior to transition | 0.929 (0.850–1.014), 0.095 | 0.976 (0.889–1.072), 0.602 | 1.126 * (1.009–1.258), 0.036 | 0.959 (0.893–1.031), 0.247 |
| Central Support District | 0.820 (0.424–1.585), 0.540 | 0.381 ** (0.204–0.714), 0.004 | 0.859 (0.377–1.955), 0.705 | 0.818 (0.518–1.292), 0.373 |
| New district | 1.108 (0.489–2.512), 0.797 | 1.787 (0.839–3.802), 0.126 | 2.519 (0.921–6.892), 0.070 | 1.384 (0.769–2.489), 0.265 |
| Constant | 0.084 * (0.010–0.681), 0.022 | 0.287 (0.055–1.491), 0.131 | 0.113 * (0.02–0.648), 0.017 | 3.656 (0.529–25.26), 0.179 |
| N | 179 | 427 | 426 | 428 |
*
P < 0.05
**
P < 0.01
***
P < 0.001.
HIV, human immunodeficiency virus; HC, health centre; PFP, private for-profit; PNFP, private not-for-profit. Bold values provide direct information about statistical significance.