Skip to main content

Table 6 Caregiver factors associated with referral compliance in the low-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

352

34 (9.7)

1

 

1

 

 mRDT negative

770

75 (9.7)

0.95 (0.44–2.05)

0.735

0.50 (0.21–1.18)

0.249

 mRDT positive

13

3 (23.1)

1.87 (0.30–11.70)

 

1.30 (0.09–18.35)

 

Age group

  < 1.0

324

29 (9.0)

1

 

1

 

 1.0–2.9

483

49 (10.1)

1.02 (0.60–1.74)

 

1.41 (0.76–2.62)

 

 3.0–4.9

302

30 (9.9)

1.00 (0.55–1.82)

0.996

1.08 (0.54–2.18)

0.490

 5.0–15.0

9

1 (11.1)

0.74 (0.06–9.38)

 

1.00 (0.54–2.18)

 

Sex

 Male

585

45 (7.7)

1

 

1

 

 Female

544

64 (11.8)

1.78 (1.14–2.77)

0.011

1.88 (1.12–3.15)

0.018

Slept under a net the previous night

 No

129

15 (11.6)

1

 

1

 

 Yes

984

93 (9.5)

0.92 (0.48–1.78)

0.815

0.63 (0.29–1.36)

0.237

Resident in the same village as a CHW

 No

187

12 (6.4)

1

 

1

 

 Yes

945

100 (10.6)

1.51 (0.74–3.09)

0.254

1.94 (0.68–5.52)

0.215

Time of presentation to CHW after the onset of symptoms

  > 24 h

220

20 (9.1)

1

 

1

 

 Within 24 h

879

83 (9.4)

1.22 (0.70–2.14)

0.483

0.94 (0.53–1.66)

0.827

Type of referral

 Severe referral

421

41 (9.7)

1

 

1

 

 Non-severe referral

636

71 (11.2)

0.81 (0.50–1.31)

0.392

1.33 (0.70–2.52)

0.391

ACT prescription

 No ACT

805

86 (10.7)

1

 

1

 

 ACT

218

10 (4.6)

0.30 (0.12–0.72)

0.007

0.24 (0.09–0.65)

0.005

Day of visit to CHW

 Weekday

791

94 (11.9)

1

0.001

1

 

 Weekend

344

18 (5.2)

0.39 (0.22–0.69)

 

0.35 (0.18–0.68)

0.002

Season of visit

 Dry

419

40 (9.5)

1

0.938

1

 

 Wet

716

72 (10.1)

0.98 (0.63–1.54)

0.938

0.93 (0.55–1.58)

0.798

Village distance to nearest health facility (km)

 0.0–2.4

296

20 (6.8)

1

 

1

 

 2.5–4.9

395

10 (2.5)

0.37 (0.15–0.94)

 

0.32 (0.11–0.89)

 

 5.0–7.4

241

44 (18.3)

2.81 (1.30–6.07)

< 0.001

2.94 (1.19–7.24)

< 0.001

 7.5–8.9

130

32 (24.6)

5.10 (2.05–12.71)

 

3.25 (1.15–9.21)