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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