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Table 4 Health worker factors associated with adherence to national malaria treatment guidelines

From: Adherence to malaria diagnosis and treatment guidelines among healthcare workers in Ogun State, Nigeria

Characteristics Public health facilities Private health facilities
aAdhere
n (%)
Did not adhere
n (%)
bOR (95 % CI) Adhere
n (%)
Did not adhere
n (%)
OR (95 % CI)
Provider knowledge of medicine of choice for malaria treatment and dosing regimens Had knowledge 127 (100) 52 (81.3) - 71 (100) 69 (52.7) -
Didn’t have 0 23 (18.7) Ref 0 62 (47.3) Ref
Health workers who had access to the guidelines Had access to guidelines 71 (64.6) 66 (66.7) 0.9 (0.5–1.6) 19 (26.0) 40 (34.2) 0.67 (0.4–1.3)
Didn’t have 39 (35.5) 33 (33.3) Ref 54 (73.9) 77 (65.8) Ref
Health workers used any malaria diagnostic tool (RDT or microscopy) Used diagnostic tool 128 (94.8) 68 (81.0) 4.3 (1.7–10.9) 65 (85.5) 49 (45.8) 7.0 (3.3–14.7)
Didn’t use 7 (5.2) 16 (19.1) Ref 11 (14.5) 58 (58.5) Ref
Training on malaria case management Received training 82 (73.9) 85 (84.2) 0.5 (0.3–1.1) 13 (18.1) 37 (27.2) 0.6 (0.3–1.2
Didn’t receive 29 (26.1) 16 (15.8) Ref 59 (81.9) 99 (72.8) Ref
  1. aAdhere’ is strict adherence: both parasitological diagnosis and appropriate treatment i.e. only positive cases of uncomplicated malaria received ACTs
  2. b OR Odd Ratio