Health worker knowledge of Integrated Disease Surveillance and Response standard case definitions: a cross-sectional survey at rural health facilities in Kenya

Table 4 Predictors influencing knowledge of dysentery: univariate and multivariable regression results

	N	n (%)	OR [95% CI]	p-value	aOR [95% CI]	p-value
General characteristics
County
Busia	48	25 (52.1)	1.11 [0.55–2.27]	0.767	–	–
Kajiado	83	41 (49.4)	1.0 (Ref)		–
Size of facility
Smaller^a	92	49 (53.3)	1.47 [0.69–3.13]	0.313	–	–
Larger^b	39	17 (43.6)	1.0 (Ref)		–
IDSR focal person at facility
Available	91	50 (55.0)	1.83 [0.86–3.89]	0.117	1.83 [0.82–4.09]	0.139
Not available	40	16 (40.0)	1.0 (Ref)		1.0 (Ref)
Age^c
35+ years old	71	38 (53.5)	1.23 [0.62–2.47]	0.553	–	–
20–34 years old	58	28 (48.3)	1.0 (Ref)		–
Gender
Female	68	35 (51.5)	1.09 [0.55–2.17]	0.796	–	–
Male	63	31 (49.2)	1.0 (Ref)		–
Qualification
Nurse	92	53 (57.6)	2.72 [1.24–5.95]	0.012	2.71 [1.20–6.12]	0.017
MD/CO/other^d	39	13 (33.3)	1.0 (Ref)		1.0 (Ref)
Exposure to IDSR interventions
Training
Attended	80	43 (53.8)	1.41 [0.70–2.86]	0.335	–	–
Did not attend	51	23 (45.1)	1.0 (Ref)		–
Case definition poster
Displayed	90	52 (57.8)	2.64 [1.22–5.70]	0.013	2.24 [1.01–4.98]	0.048
Not displayed	41	14 (34.2)	1.0 (Ref)		1.0 (Ref)
Technical guidelines
Available	20	8 (40.0)	0.61 [0.23–1.61]	0.316	–	–
Not available	111	58 (52.3)	1.0 (Ref)		–
Supervision in past 6 months
Received	97	48 (49.5)	0.87 [0.40–1.90]	0.729	–	–
Not received	34	18 (52.9)	1.0 (Ref)		–

^aIncludes 65 dispensaries, 3 maternity homes, 18 medical clinics, and 6 nursing homes
^bIncludes 29 health centers and 4 hospitals
^cThe denominator excludes 2 health worker with missing age information
^dOther includes: 1 Community Health Extension Worker, 1 health records officer, 1 public health officer, 1 Prevention of Mother to Child Transmission worker, and 6 laboratory technician/technologist
Abbreviations
aOR adjusted odds ratio, CO clinical officer, IDSR integrated disease surveillance and response, MD medical doctor

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