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Table 4 Multivariate models describing factors associated with incorrect case management

From: Management of uncomplicated malaria among children under five years at public and private sector facilities in Mali

 

Odds of incorrect case management of febrile children under 5 years

Model 1: Children not receiving diagnostic test considered as ‘incorrectly managed’

(N = 1510)

Model 2: Children not receiving diagnostic test excluded from model

(N = 742)

Variable

OR

95% CI

p

OR

95% CI

p

Type of health facility

 Public urban

1.00

–

–

1.00

–

–

 Public rural

20.75

0.96, 447.4

0.053

2.76

0.62, 12.24

0.182

 Community health worker

0.49

0.05, 4.72

0.536

0.15

0.5, 0.45

0.001

 Private

2.16

0.18, 25.89

0.542

0.30

0.08, 1.16

0.080

Day of visit to health facility

 Weekday (Monday – Friday)

1.00

–

–

1.00

–

–

 Weekend (Saturday – Sunday)

1.71

1.09, 2.68

0.019

1.73

1.03, 2.88

0.037

Transmission season

 Early transmission season (July)

1.00

–

–

   

 Peak transmission season (September–November)

1.32

0.96, 1.81

0.091

   

Caregiver age

 18–24

1.00

–

–

   

 25–34

1.23

0.88, 1.74

0.228

   

 35–44

1.59

1.03, 2.44

0.035

   

 ≥45

1.42

0.75, 2.69

0.286

   

Caregiver sex

 Female

   

1.00

–

–

 Male

   

1.52

0.93, 2.48

0.092

Axillary temperature of child (increasing)

1.38

1.18, 1.61

< 0.001

1.77

1.48, 2.13

< 0.001

  1. Correct management was defined in both models as receipt of ACT but no non-ACT antimalarials following a positive test, or receipt of neither ACTs nor non-ACT antimalarials following a negative test. Incorrect management in both models included receipt of non-ACT antimalarial following either as positive or negative test, or receipt of ACT following a negative test. In model 1, children who did not receive a parasitological test were considered as incorrectly managed; in model 2 children who did not receive any parasitological test were excluded