Table 5:
Association of intervention with diarrheal management practices and their rationality among informal healthcare providers in Kolkata (N = 124)
Impact of Intervention on | Drivers of Antibiotic Use (Reference: Disease Severity) | Prescribing (Reference: Not) Antibiotic to Every | ||||||||
---|---|---|---|---|---|---|---|---|---|---|
Patient\'s Age | Affordability/Preference | Diarrhea Case | Cholera Case | |||||||
In Overall Samplea | aOR | P Value | aOR | P Value | aOR | P Value | aOR | P Value | ||
0.86 | .6240 | 0.41 | .1513 | 1.36 | .2668 | 0.29 | <.0001 | |||
Across the strata of b | Gender | Male | 0.85 | .6163 | 0.41 | .1505 | 1.50 | .1552 | 0.30 | <.0001 |
Qualification/ Training | Alternative Medicine | 0.64 | .2823 | 0.51 | .4448 | 0.96 | .9003 | 0.24 | .0003 | |
No such | 1.11 | .8125 | 0.45 | .3521 | 1.93 | .1193 | 0.31 | .0038 | ||
Office type | Has fixed clinic/office | 0.78 | .4978 | 0.36 | .3762 | 1.11 | .7598 | 0.27 | .0003 | |
Pharmacy | 0.75 | .5885 | 0.47 | .3118 | 1.38 | .4882 | 0.26 | .0039 | ||
Duration of practice | ≥10 years | 0.88 | .7313 | 0.39 | .1782 | 1.27 | .4376 | 0.37 | .0017 | |
<10 years | 0.75 | .5785 | 1.08 | .9557 | 1.59 | .4921 | 0.11 | .0005 | ||
Suggesting (Reference: Not) Some Laboratory Investigation to Each | Rational (Reference: Irrational) Antibiotic Use in Case of | |||||||||
Acute Watery and Bloody Diarrhea | Mucoid Diarrhea | Diarrheal Diseases as a Whole | ||||||||
In Overall Samplea | aOR | P Value | aOR | P Value | aOR | P Value | aOR | P Value | ||
0.38 | .0003 | 1.23 | .5980 | 2.34 | .0203 | 1.81 | .0487 | |||
Across the strata of b | Gender | Male | 0.37 | .0003 | 1.24 | .5808 | 2.15 | .0388 | 1.70 | .0805 |
Qualification/ Training | Alternative Medicine | 0.29 | .0002 | 1.18 | .7226 | 2.13 | .0653 | 1.58 | .1941 | |
No such | 0.37 | .0252 | 1.44 | .5504 | 4.41 | .0665 | 3.14 | .0407 | ||
Office type | Has fixed clinic/office | 0.34 | .0009 | 0.74 | .4953 | 1.94 | .0940 | 1.35 | .3693 | |
Pharmacy | 0.24 | .0063 | 6.32 | .0949 | 8.91 | .0440 | 6.53 | .0198 | ||
Duration of practice | ≥10 years | 0.36 | .0009 | 0.93 | .8737 | 2.20 | .0413 | 1.62 | .1414 | |
<10 years | 0.28 | .0098 | 3.39 | .1454 | 5.82 | .1116 | 3.92 | .0513 | ||
Rational (Reference: Irrational) Fluid Management of Diarrhea Cases | Rational (Reference: Irrational) Lab Test to Identify the Agent | Rational (Reference: Irrational) Strategy (Timing) for Lab Test | Overall Rational Lab Test (Reference: Irrational) Approach | |||||||
In Overall Samplea | aOR | P Value | aOR | P Value | aOR | P Value | aOR | P Value | ||
1.31 | .3496 | 1.22 | .5922 | 8.39 | <.0001 | 4.19 | <.0001 | |||
Across the strata of b | Gender | Male | 1.29 | .3964 | 1.15 | .7231 | 8.29 | <.0001 | 4.13 | <.0001 |
Qualification/ Training | Alternative Medicine | 1.45 | .2828 | 1.27 | .6445 | 6.35 | <.0001 | 3.59 | .0004 | |
No such | 1.09 | .8678 | 1.12 | .8314 | 9.17 | <.0001 | 3.81 | .0015 | ||
Attachment | Has fixed clinic/office | 1.29 | .4537 | 1.23 | .6408 | 7.61 | <.0001 | 3.45 | .0003 | |
Pharmacist | 1.60 | .4472 | 0.72 | .6408 | 8.05 | .0002 | 4.35 | .0026 | ||
Duration of practice | ≥10 years | 1.41 | .2774 | 0.95 | .8980 | 6.77 | <.0001 | 3.14 | .0003 | |
<10 years | 1.02 | .9717 | 2.19 | .2850 | 9.17 | .0004 | 5.70 | .0016 |
Boldfaced figures indicate that association is considered to be statistically significant as P < .05.
Abbreviations: aOR, adjusted odds ratio; Lab, laboratory.
aOR in overall sample adjusted for the characteristics of the informal healthcare providers.
aOR across the strata of characteristics of the informal healthcare providers are adjusted for the rest of their characteristics.