From: Assessing the quality of care in sick child services at health facilities in Ethiopia
Facility/provider characteristics | Model I | Model II | Model III | Model IV | ||||
---|---|---|---|---|---|---|---|---|
β Coeff | 95% CI | β Coeff | 95% CI | β Coeff | 95% CI | β Coeff | 95% CI | |
Facility managing authority | ||||||||
Public | Reference | Reference | Reference | |||||
Private or Non-governmental organization | 0.44 * | (0.26, 0.63) | 0.43 * | (0.25, 0.60) | 0.44 * | (0.26, 0.63) | ||
Urban/Rural | ||||||||
Urban | Reference | Reference | Reference | |||||
Rural | 0.04 | (−0.09, 0.17) | 0.09 | (−0.02, 0.21) | 0.04 | (− 0.09, 0.16) | ||
Facility type | ||||||||
Hospitals | Reference | Reference | Reference | |||||
Health centers | −0.08 | (− 0.23, 0.06) | 0.06 | (− 0.06, 0.18) | − 0.09 | (− 0.23, 0.06) | ||
Health posts | − 0.20 | (− 0.53, 0.14) | 0.08 | (− 0.19, 036) | − 0.19 | (− 0.53, 0.14) | ||
Clinics | −0.35 * | (− 0.62, − 0.08) | −0.20 | (− 0.40, 0.002) | −0.35* | (− 0.62, − 0.08) | ||
Provider in the facility received sick child care training in the past two years | ||||||||
No | Reference | Reference | Reference | |||||
Yes | 0.11 * | (0.02, 0.21) | 0.11 * | (0.01, 0.20) | 0.11 * | (0.02, 0.20) | ||
Caregivers education level | ||||||||
No formal education | Reference | Reference | Reference | |||||
Primary | 0.01 | (−0.10, 0.13) | 0.01 | (− 0.11, 0.12) | 0.02 | (−0.10, 0.13) | ||
Secondary | 0.10 | (−0.03, 0.23) | 0.08 | (−0.05, 0.20) | 0.10 | (−0.03, 0.22) | ||
Higher | 0.002 | (− 0.14, 0.15) | −0.01 | (− 0.15, 0.13) | 0.005 | (− 0.14, 0.15) | ||
Structure composite indicator | 0.03 | (− 0.01, 0.08) | ||||||
Routine management meetings | 0.06 | (−0.13, 0.26) | 0.07 | (−0.13, 0.26) | ||||
System to collect client opinion | −0.08 | (− 0.22, 0.06) | − 0.08 | (− 0.22, 0.06) | ||||
Quality assurance system | 0.03 | (−0.09, 0.14) | 0.03 | (−0.09, 0.14) | ||||
Supervision | 0.16 | (−0.03, 0.35) | 0.16 | (−0.03, 0.35) | ||||
Health workers always available | −0.10 | (− 0.29, 0.10) | − 0.10 | (− 0.29, 0.09) | ||||
IMCI guide followed | −0.01 | (− 0.13, 0.10) | − 0.02 | (− 0.13, 0.10) | ||||
Diagnose and/or treat malaria | 0.20 | (−0.21, 0.61) | 0.21 | (−0.20, 0.62) | ||||
Number of basic amenities | −0.08* | (− 0.13, − 0.03) | − 0.08* | (−0.13, − 0.03) | ||||
Number of infection prevention precautions | −0.02 | (− 0.06, 0.02) | − 0.02 | (− 0.06, 0.02) | ||||
Number of sick child equipment available | 0.03 | (−0.02, 0.07) | 0.03 | (−0.02, 0.07) | ||||
IMCI mother’s card | 0.10 | (−0.01, 0.20) | 0.10 | (−0.007, 0.20) | ||||
Process composite indicator | 0.04 | (−0.003, 0.09) | ||||||
Provider used visual aids | 0.11 | (−0.21, 0.43) | 0.14 | (−0.18, 0.46) | ||||
Provider discussed follow-up visit | 0.06 | (−0.05, 0.17) | 0.04 | (−0.07, 0.15) | ||||
Number of symptoms checked | 0.01 | (−0.02, 0.04) | 0.01 | (−0.02, 0.04) | ||||
Number of physical examinations of sick child | 0.004 | (−0.02, 0.03) | 0.002 | (−0.02, 0.02) | ||||
Number of information provided to caregiver | −0.02 | (−0.05, 0.02) | − 0.01 | (− 0.05, 0.02) | ||||
Random effect (region) | ||||||||
Variance (SE) | 0.07 (0.04) | (0.03, 0.19) | 0.08 (0.04) | (0.03, 0.21) | 0.07 (0.04) | (0.03, 0.18) | ||
ICC | 0.069 | 0 .079 | 0.068 | |||||
Model fitness | ||||||||
AIC | 5349.299 | 5353.751 | 5356.999 | 5416.084 | ||||
BIC | 5482.59 | 5448.166 | 5518.06 | 5438.299 |