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Table 7 Unadjusted and adjusted logistic regression results of correct diagnosis of pneumonia vs. not (reference) and correct treatment of pneumonia vs. not (reference) using multiple imputation analysis

From: Determinants affecting utilisation of health services and treatment for children under-5 in rural Nepali health centres: a cross-sectional study

 

Correct diagnosis of Pneumonia (n = 2,611)

Correct treatment of Pneumonia (n = 1,739)

OR

95% CI

P-Value

AOR

95% CI

P-Value

OR

95% CI

P-Value

AOR

95% CI

P-Value

District

            

Gorkha

REF

  

REF

  

REF

  

REF

  

Sindhupalchowk

1.22

0.59, 2.53

0.584

1.19

0.57, 2.49

0.635

4.05

0.96, 17.19

0.058

5.48

0.96, 31.28

0.056

Humla

0.98

0.37, 2.64

0.974

1.43

0.44, 4.61

0.551

2.00

0.57, 6.95

0.276

3.92

0.87, 17.63

0.075

Mugu

3.34

1.48, 7.52

0.004

5.71

2.03, 16.10

0.001

7.68

2.38, 24.76

0.001

12.00

3.10, 46.50

< 0.001

Bajura

1.31

0.59, 2.91

0.500

1.73

0.60, 5.02

0.311

2.96

1.09, 8.00

0.032

3.44

0.98, 12.08

0.053

Visit year Nepali year

            

2070 to 2073

REF

  

REF

  

REF

  

REF

  

2074 to 2076

0.80

0.55, 1.16

0.233

0.73

0.48, 1.10

0.131

2.49

0.90, 6.87

0.077

1.81

0.69, 4.75

0.231

Ethnicity

            

Dalit

REF

  

REF

     

REF

  

Janajati

1.29

0.80, 2.07

0.293

2.06

1.16, 3.67

0.014

1.15

0.60, 2.18

0.679

1.22

0.65, 2.31

0.530

Brahmin/Chhetri

1.16

0.92, 1.46

0.197

1.29

0.86, 1.95

0.222

1.13

0.86, 1.49

0.391

1.16

0.86, 1.57

0.339

Others

0.90

0.71, 1.15

0.388

1.30

0.81, 2.07

0.274

0.87

0.47, 1.61

0.656

0.98

0.57, 1.67

0.939

Sex

            

Female

REF

  

REF

  

REF

  

REF

  

Male

1.36

1.12, 1.66

0.002

1.59

1.27, 2.01

< 0.001

0.89

0.66, 1.20

0.437

1.29

0.46, 3.63

0.628

Age (months)

1.00

0.99, 1.00

0.488

1.00

0.99, 1.01

0.469

1.00

0.99, 1.02

0.879

1.00

0.99, 1.01

0.952

Temperature (°C)

1.23

1.08, 1.41

0.002

1.19

1.01, 1.41

0.039

1.04

0.93, 1.16

0.520

   

Referred

            

No

REF

     

REF

  

REF

  

Yes

0.97

0.66, 1.44

0.887

   

4.82

2.43, 9.56

< 0.001

3.98

2.23, 7.10

< 0.001

GDS

            

No

REF

  

REF

  

REF

     

Yes

0.03

0.01, 0.05

< 0.001

0.02

0.01, 0.05

< 0.001

1.28

0.17, 9.81

0.808

   

ARI

            

No

REF

     

REF

     

Yes

0.84

0.54, 1.30

0.434

   

1.18

0.33, 4.23

0.796

   

Diarrhoea

            

No

REF

     

REF

     

Yes

0.98

0.81, 1.19

0.824

   

0.93

0.69, 1.27

0.663

   

Ear Infection

            

No

REF

  

REF

  

REF

     

Yes

0.51

0.31, 0.86

0.012

0.60

0.36, 1.00

0.049

0.58

0.26, 1.29

0.173

0.54

0.22, 1.31

0.167

Fever

            

No

REF

  

REF

  

REF

  

REF

  

Yes

1.57

1.22, 2.02

< 0.001

1.57

1.18, 2.09

0.002

1.32

0.89, 1.95

0.161

1.40

0.86, 2.27

0.176

Interaction: Gender*Ethnicity

            

Male*Janajati

   

0.76

0.38, 1.53

0.442

      

Male*Brahmin/ Chhetri

   

0.84

0.56, 1.26

0.406

      

Male*Others

   

0.51

0.30, 0.85

0.011

      

Interaction: Gender*District

            

Male*Sindhupalchowk

         

0.59

0.20, 1.79

0.355

Male*Humla

         

0.37

0.13, 1.06

0.064

Male*Mugu

         

0.37

0.12, 1.09

0.070

Male*Bajura

         

0.86

0.29, 2.57

0.788

  1. Also adjusted for visit year; Muslim and Madhesi removed due to sample size; AOR = Adjusted Odds Ratio; ARI = Acute Respiratory Infection; CI = Confidence Interval; °C = degrees Celsius; GDS = General Danger Sign; OR = Odds Ratio; REF = Reference category
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