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Table 2 Factors influencing the odds of bypassing a nearer facility by caretakers in the two districts (n = 348)

From: Why caretakers bypass Primary Health Care facilities for child care - a case from rural Tanzania

Risk factor for bypassing

Reported nearer facility

Bypassers

OR1

AOR2

 

n = 348

n = 206

(95% CI)

(95% CI)

Study Site

    

Korogwe

171

113 (66.1)

1.8 (1.1-2.7)*

1.8 (1.0-3.3)*

Muheza

177

93 (52.5)

Ref

Ref

Child sex

    

Female

155

88 (56.8)

Ref

Ref

Male

193

118 (61.1)

1.2 (0.8-1.8)

1.5 (0.8-2.8)

Child age (months)

    

0-11

127

73 (57.5)

Ref

Ref

12-23

88

55 (62.5)

1.2 (0.7-2.1)

1.4 (0.6-3.0)

24+

132

77 (58.3)

1.0 (0.6-1.7)

1.1 (0.5-2.3)

Number of living children

    

1 child

86

59 (68.6)

2.0 (1.1-3.8)*

1.1 (0.5-2.7)

2-3 children

168

98 (58.3)

1.3 (0.8-2.2)

1.1 (0.5-2.4)

4 or more

91

47 (51.6)

Ref

Ref

Caretakers Level of Education

    

No formal education

74

39 (52.7)

Ref

Ref

Primary education

256

152 (59.4)

1.3 (0.8-2.2)

1.0 (0.5-2.2)

Post-primary education.

18

15 (83.3)

4.5 (1.2-16.8)*

1.4 (0.3-6.9)

SES

    

Low

108

59 (54.6)

Ref

Ref

Middle or high

240

147 (61.2)

1.3 (0.8-2.1)

1.5 (0.8-2.8)

Travel time to district hospital

    

0-59 minutes

73

56 (77.0)

3.1 (1.6-5.8)*

3.5 (1.5-8.2)*

60-119 minutes

110

80 (72.7)

2.4 (1.4-4.2)*

2.4 (1.2-4.8)*

120+ minutes

126

66 (52.4)

Ref

Ref

Symptoms duration

    

   1-2 days

167

131 (78.4)

8.0 (4.4-14.4)*

11.0 (5.1-23.7)*

   3-4 days

98

49 (50.0)

2.2 (1.2-4.0)*

5.0 (2.2-11.2)*

   5 or more days

85

28 (31.3)

Ref

Ref

Disease Severity 3

    

Non-severe

120

98 (81.7)

5.3 (3.1-9.0)*

4.5 (2.2-9.1)*

Severe disease

203

93 (45.8)

Ref

Ref

  1. * - Significant findings
  2. 1 Unadjusted Odds Ratio from bivariate analysis
  3. 2 Adjusted Odds Ratio for all other variables
  4. 3 Non-severe disease above includes: Non-severe malaria, non-severe pneumonia and acute watery diarrhoea with no dehydration
  5. Severe disease included: Severe malaria, moderately severe and very severe pneumonia, and acute watery diarrhoea with some and with severe dehydration.