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Table 5 Caregiver factors associated with referral compliance in the moderate-to-high transmission setting

From: Caregivers’ compliance with referral advice: evidence from two studies introducing mRDTs into community case management of malaria in Uganda

Variables

Referrals by CHWs

Complied with referral (%)

Unadjusted odds Ratio (95% CI)

p-value

Adjusted odds ratio (95% CI)

p-value

Test result

 Not tested

164

7 (4.3)

1

 

1

 

 mRDT negative

2558

244 (9.5)

2.32 (0.97–5.54)

0.151

2.50 (0.84–7.44)

0.144

 mRDT positive

93

12 (12.9)

2.61 (0.90–7.63)

 

3.70 (0.94–14.56)

 

Age group

  < 1.0

820

73 (8.9)

1

 

1

 

 1.0–2.9

1169

119 (10.2)

1.05 (0.76–1.44)

 

1.13 (0.80–1.61)

 

 3.0–4.9

788

69 (8.8)

0.95 (0.66–1.37)

0.951

1.04 (0.70–1.55)

0.768

 5.0–15.0

10

0 (0.0)

n/a

 

1.00 (0.70–1.55)

 

Gender

Male

1463

134 (9.2)

1

 

1

 

Female

1330

126 (9.5)

1.07 (0.82–1.40)

0.628

1.04 (0.78–1.39)

0.778

Slept under a net the previous night

 No

267

27 (10.1)

1

 

1

 

 Yes

2500

232 (9.3)

0.87 (0.54–1.41)

0.579

1.04 (0.61–1.74)

0.897

Resident in the same village as a CHW

 No

317

23 (7.3)

1

 

1

 

 Yes

2490

239 (9.6)

1.43 (0.89–2.30)

0.137

1.17 (0.71–1.92)

0.536

Time of presentation to CHW after the onset of symptoms

  > 24 h

408

54 (13.2)

1

 

1

 

 Within 24 h

2321

202 (8.7)

0.68 (0.48–0.96)

0.030

0.50 (0.37–0.69)

< 0.001

Type of referral

 Severe referral

1013

152 (15.0)

1

 

1

 

 Non-severe referral

1607

111 (6.9)

0.47 (0.35–0.64)

< 0.001

0.63 (0.44–0.90)

0.012

ACT prescription

 No ACT

2538

242 (9.5)

1

 

1

 

 ACT

82

8 (9.8)

1.01 (0.45–2.25)

0.978

1.70 (0.54–5.41)

0.368

Day of visit to CHW

 Weekday

2022

211 (10.4)

1

0.002

1

 

 Weekend

793

52 (6.6)

0.60 (0.44–0.84)

 

0.63 (0.45–0.89)

0.009

Season of visit

 Dry

1139

142 (12.5)

1

< 0.001

1

 

 Wet

1676

121 (7.2)

0.58 (0.44–0.76)

 

0.56 (0.42–0.74)

< 0.001

Village distance to nearest health facility (km)

 0.0–2.4

1578

189 (12.0)

1

 

1

 

 2.5–4.9

1141

74 (6.5)

0.46 (0.25–0.85)

 

0.49 (0.25–0.94)

0.019

 5.0–7.4

72

0 (0.0)

n/a

0.013

n/a

 7.5–8.9

0

0 (0.0)

n/a

 

n/a