Devolution and public perceptions and experience of health services in Pakistan: linked cross sectional surveys in 2002 and 2004

Table 5 Final models from multivariate analysis of variables associated with households usually using government health facilities in 2004, in the four provinces

	ORa	99% CIca
Explanatory variable/Province
Sindh
Respondent with any formal education	0.62	0.48 – 0.80
Vulnerable housholds¹	1.90	1.42 – 2.84
Know how to complain about usual service	1.47	1.32 – 2.59
Satisfied with government health services	3.22	1.19 – 6.92
Balochistan
Household head with any formal education	0.75	0.59 – 0.97
Know how to complain about usual service	1.49	1.12 – 1.98
Satisfied with government health services	1.85	1.29 – 2.66
Khyber Pakhtunkhwa
Vulnerable households¹	1.25	1.03 – 1.51
Know how to complain about usual service	1.48	1.21 – 1.81
Satisfied with government health services	1.36	1.05 – 1.76
Punjab
Urban households	0.56	0.30– 0.79
Know how to complain about usual service	1.31	1.11 – 1.68
Satisfied with government health services	2.44	1.90 – 3.61

ORa= adjusted Odds Ratio;
CIca= cluster adjusted confidence interval around the ORa
¹ Vulnerable households had at least two of three vulnerability factors: poor roof construction, overcrowding, and poor occupation of the main breadwinner.
The variables included in all initial models were: urban/rural location of household, sex of the respondent, education of the respondent, education of the household head, vulnerability status of the household, knowledge of how to complain about usual health services, whether there was a government health facility within 5 Km, satisfaction with government health services in the area.

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