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Table 7 Multivariable logistic regression results of impact of intervention on six-month service uptake outcomes

From: Randomized evaluation and cost-effectiveness of HIV and sexual and reproductive health service referral and linkage models in Zambia

 

Uptake of HTC

Uptake of FP

Uptake of VMMC

Uptake of CCS

Uptake of HIV C&T

Uptake of STI C&T

 

OR

CI

Sign.

OR

CI

Sign.

OR

CI

Sign.

OR

CI

Sign.

OR

CI

Sign.

OR

CI

Sign.

Model 1: Study arm

 Study arm

  Standard of care

1

  

1

  

1

  

1

  

1

  

1

  

  Enhanced referral

1.36

0.95–1.94

†

0.77

0.51–1.17

 

1.45

0.75–2.79

 

2.67

1.89–3.77

***

1.21

0.89–1.63

 

0.90

0.60–1.37

 

  Enhanced referral & escort

1.30

0.91–1.87

 

0.93

0.61–1.40

 

2.89

1.60–5.25

***

2.89

2.05–4.07

***

1.27

0.94–1.71

 

0.99

0.66–1.50

 

  N

838

  

772

  

1110

  

1660

  

3204

  

3204

  

  Chi-square

3.33

  

1.53

  

14.79

 

***

47.42

 

***

2.66

  

0.28

  

  Degrees of freedom

2

  

2

  

2

  

2

  

2

  

2

  

Model 2: Study Arm + Site + Demographic Covariates

 Study Arm

AOR

CI

Sign.

AOR

CI

Sign.

AOR

CI

Sign.

AOR

CI

Sign.

AOR

CI

Sign.

AOR

CI

Sign.

  Standard of care

1

  

1

  

1

  

1

  

1

  

1

  

  Enhanced referral

1.36

0.95–1.95

†

0.79

0.50–1.23

 

1.49

0.77–2.90

 

2.76

1.94–3.91

***

1.26

0.92–1.72

 

0.89

0.59–1.36

 

  Enhanced referral & escort

1.28

0.89–1.85

 

0.87

0.56–1.35

 

2.85

1.55–5.23

***

2.98

2.10–4.22

***

1.30

0.95–1.77

†

0.98

0.64–1.48

 

 Entry Sitea

  SFH HTC - Cairo Road

   

1

  

1

  

1

  

1

  

1

  

  Chawama Clinic - MCH

1

        

1.45

0.79–2.66

 

2.11

1.16–3.84

*

1.58

0.57–4.36

 

  Chawama Clinic - Out Patient Ward (VMMC)

            

1.06

0.45–2.49

 

1.55

0.56–4.28

 

  Kamwala Clinic - TB, STI & HIV Clinic

   

1.15

0.56–2.38

 

0.26

0.06–1.20

†

0.88

0.41–1.88

 

2.17

1.21–3.90

**

2.78

1.19–6.49

*

  Kapata Urban Clinic, MCH

1.38

0.99–1.93

†

      

2.12

1.20–3.73

**

1.77

1.00–3.13

†

2.74

1.14–6.55

*

  Kapata Urban Clinic, TB, STI & HIV

   

1.87

1.00–3.50

†

0.90

0.40–2.01

 

1.39

0.78–2.48

 

1.02

0.59–1.76

 

1.89

0.86–4.13

 

  Chipata Gen Hosp - OP VMMC

            

0.81

0.29–2.24

 

1.40

0.47–4.17

 

  SFH New Start

   

1.02

0.52–2.02

 

1.82

0.87–3.79

 

0.73

0.38–1.41

 

1.64

0.97–2.78

†

2.57

1.20–5.48

*

  SFH VMMC

            

1.22

0.34–4.34

 

0.55

0.06–4.72

 

 Genderb

  Male

            

1

  

1

  

  Female

            

1.65

1.15–2.35

**

0.93

0.58–1.48

 

 Age

1.02

0.99–1.06

 

0.96

0.92–1.00

*

0.99

0.94–1.05

 

1.03

1.00–1.06

*

1.09

1.06–1.11

***

1.04

1.00–1.08

*

 Highest grade completed

1.02

0.97–1.07

 

1.09

1.02–1.17

*

0.99

0.90–1.08

 

1.02

0.98–1.06

 

0.95

0.92–0.99

**

0.97

0.92–1.03

 

 Marital Status

  Not currently married

1

  

1

  

1

  

1

  

1

  

1

  

  Currently married/living with partner

0.73

0.49–1.08

 

4.14

2.69–6.35

***

0.52

0.24–1.14

 

1.1

0.80–1.52

 

0.89

0.66–1.20

 

0.73

0.48–1.11

 

 Number of children

1.00

0.87–1.15

 

1.17

1.00–1.37

*

1.01

0.78–1.30

 

0.99

0.89–1.10

 

0.97

0.89–1.07

 

0.92

0.80–1.07

 

 Residence

  Urban

1

  

1

  

1

  

1

  

1

  

1

  

  Rural

0.80

0.39–1.66

 

1.82

0.68–4.87

 

0.30

0.04–2.25

 

1.23

0.67–2.24

 

0.60

0.32–1.11

 

0.78

0.35–1.76

 

 Employment status

  Not working

1

  

1

  

1

  

1

  

1

  

1

  

  Currently working

1.06

0.77–1.47

 

0.95

0.65–1.40

 

0.76

0.45–1.28

 

1.19

0.90–1.56

 

1.08

0.83–1.41

 

1.28

0.88–1.86

 

 Number of household assets

0.99

0.91–1.06

 

0.98

0.89–1.08

 

1.10

0.97–1.24

 

0.94

0.88–1.00

†

0.96

0.90–1.03

 

0.91

0.83–0.99

*

 Distance to health facilityc

0.98

0.90–1.05

 

1.01

0.97–1.06

 

1.00

0.96–1.05

 

1.00

0.95–1.05

 

1.01

0.99–1.04

 

1.03

1.00–1.05

†

  N

828

  

764

  

1096

  

1642

  

3172

  

3172

  

  Chi-Square

14.84

  

83.28

 

***

47.69

 

***

96.20

 

***

170.18

 

***

35.30

 

*

  Degrees of Freedom

12

  

14

  

14

  

16

  

20

  

20

  
  1. OR Odds Ratio, AOR Adjusted Odds Ratio, CI 95 % Confidence Interval, Sign Statistical Significance of p-value
  2. ***p < .001; **p < .01; *p < .05; †p < .10
  3. aEntry sites included in model dependent on outcome variable
  4. bGender of outcome variable constant if omitted from model
  5. c38 % of baseline sample don’t know distance, therefore a dummy was also included (1 = Yes if don’t know distance)