Integrating a diabetes and hypertension case management package within primary health care: a mixed methods feasibility study in Bangladesh

Table 6 Adjusted odds ratios for associations between patient-level and facility-level variables and whether NCD patients received different appropriate management components

Variable	Appropriate management component				Additional management factor
	Appropriate diagnosis	Drug initiation	Appropriate referral	Given follow-up 22 pt.	Off-EML^b
	AOR (95% CI); P value	AOR (95% CI); P value	AOR (95% CI); P value	AOR^a (95% CI); P value	AOR (95% CI); P value
Patient sex: female (vs male)	0.74 (0.23, 2.38); 0.61	0.54 (0.19, 1.56); 0.26	0.88 (0.10, 8.10); 0.91	0.45 (0.12, 1.69); 0.24	4.18 (0.84, 20.9); 0.08
Patient age	1.00 (0.95, 1.04); 0.88	0.98 (0.93, 1.02); 0.29	1.01 (0.92, 1.11); 0.87	0.97 (0.92, 1.02); 0.28	1.03 (0.98, 1.09); 0.24
UHC 2 (vs 1)	0.18 (0.06, 0.56); 0.003	0.36 (0.09, 1.41); 0.14	–	0.59 (0.13, 2.67); 0.50	3.8 (0.64, 22.43); 0.14
Diabetes (vs HTN)	–	1.57 (0.41, 5.99); 0.51	1.18 (0.09, 15.29); 0.90	3.68 (0.83, 16.3); 0.09	0.17 (0.03, 1.04); 0.06
Diabetes & HTN (vs HTN)	–	2.29 (0.37, 14.41); 0.38	0.42 (0.02, 7.97); 0.56	5.21 (0.45, 60.4); 0.19	4.85 (0.6, 38.95); 0.14

Note the management component attending the NCD nurse (educator) for counselling was not included in logistic regression analyses as all patients received this component
^aAOR = adjusted odds ratios obtained from multiple logistic regressions for each appropriate management component outcome in relation to patient sex (male or female), patient age (continuous), UHC facility (1 or 2) and patient diagnosis (diabetes, hypertension or both). However, some AORs are missing where the relevant logistic regression model was not able to estimate all coefficients appropriately given the data. Where this occurred the model was refitted without the relevant problematic variable and the results presented are from these ‘reduced’ models. The AORs for age, as a continuous variable, represents the relative (multiplicative) change in the odds of an outcome for every additional year older a patient is
^bOff-EML = patient prescribed drugs not on the Essential Medicine List

ISSN: 1472-6963