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Table 2 Factors associated with not seeking treatment outside the home, by disease, baseline community case management (CCM) survey in 4 districts in Sierra Leone 2010*

From: Healthcare seeking for diarrhoea, malaria and pneumonia among children in four poor rural districts in Sierra Leone in the context of free health care: results of a cross-sectional survey

  

Bivariate

Multivariable logistic regression model

Variable

N

% not seeking healthcare

Odds

95% confidence interval

P value

Adjusted odds ratio

95% confidence interval

P value

Diarrhea

1511

       

District type:

Will not receive CCM Will receive

719

10.2%

      

CCM

792

16.5%

1.7

1.2,2.5

.0009

1.5

0.9,2.4

0.09

Age:

        

≥1 year

1167

13.7%

      

< 1 year

344

11.6%

0.8

0.7,2.1

0.5

0.7

0.4,1.2

0.2

Gender:

Male

772

12.6%

      

Female

739

13.9%

1.1

0.7,1.7

0.6

1.0

0.6,1.5

0.9

Tribe of household:

Other

315

16.1%

      

Temne

505

10.2%

0.6

0.3,1.1

 

0.6

0.3,1.5

 

Mende

691

14.3%

0.9

0.5,1.4

0.2

1.0

0.6,1.8

0.5

Religion:

Other

240

8.5%

      

Muslim

1089

14.1%

1.7

0.9,3.3

0.08

1.6

0.7,3.8

0.2

Polygamy:

No

1075

12.4%

      

Yes

436

15.2%

1.3

0.8,1.9

0.2

1.3

0.9,1.9

0.2

Household distance to nearest health facility:

< 5 Km

1071

12.4%

      

≥ 5 Km

 

13.9%

1.2

0.4,1.5

 

1.0

0.3,3.0

 

unknown

302

10.4%

0.8

0.3,1.7

0.6

1.0

0.4,2.7

1.0

 

138

       

Wealth quintile:

Other

1132

13.5%

      

lowest

379

12.3%

0.9

0.6,1.4

0.6

0.9

0.5,1.6

0.8

Atleast one women in household went to school

No

1012

11.1%

      

yes

347

13.5%

1.2

0.8,2.0

0.4

1.1

0.7,1.9

0.6

Traditional treatment

No

1003

11.2%

      

Yes

508

17.5%

1.7

1.2,2.5

.003

1.5

1.0,2.2

0.04

Homemade SSS:

No

527

9.1%

      

Yes

984

15.2%

2.0

1.2,2.5

.003

2.0

1.1,2.4

0.002

Disease:

Diarrhea only

246

20.8%

      

Also Fever or presumed pneumonia

909

12.9%

0.6

0.4,1.1

 

0.6

0.4,0.9

 

Also fever and presumed pneumonia

356

8.8%

0.4

0.2,0.7

.0003

0.4

0.2,0.7

0.005

Fever

3851

       

District type:

Will not receive CCM Will receive

1845

13.0%

      

CCM

2006

16.1%

1.3

1.0,1.7

.07

1.2

0.9,1.8

0.1

Age:

≥1 year

2922

15.0%

      

< 1 year

929

13.1%

1.2

0.9,1.6

0.3

0.9

0.6,1.3

0.6

Gender:

Male

1904

14.5%

      

Female

1947

14.5%

1.0

0.8,1.2

0.9

1.0

0.8,1.2

0.9

Tribe of household:

Other

712

15.1%

      

Temne

1287

14.9%

1.0

0.7,1.5

 

1.2

0.6,1.4

 

Mende

1852

14.0%

0.9

0.7,1.2

0.8

1.1

0.8,1.7

0.7

Religion:

Other

529

13.5%

      

Muslim

3322

14.7%

1.1

0.8,1.7

0.6

0.9

0.6,1.4

0.8

Polygamy:

No

2661

14.8%

      

Yes

1190

14.1%

0.9

0.7,1.2

0.6

0.9

0.6,1.4

0.7

Household distance to nearest health facility:

< 5 Km

2577

15.2%

      

≥ 5 Km

968

12.1%

0.8

0.4,1.4

 

0.6

0.3,1.2

 

unknown

306

15.7%

1.0

0.5,1.9

0.4

0.7

0.3,1.4

0.3

Wealth quintile:

Other

2957

15.6%

      

lowest

894

15.2%

1.0

0.5,1.9

0.2

0.7

0.5,1.0

0.08

Atleast one women in household went to school

No

2611

13.6%

      

yes

865

14.4%

1.1

0.8,1.4

0.6

1.1

0.8,1.4

0.5

Traditional treatment

No

2963

11.6%

      

Yes

888

24.7%

2.5

1.8,3.4

<0.001

2.9

2.1,4.0

<.0001

Disease:

Fever only

1934

15.8%

      

Also diarrhea or presumed pneumonia

1561

13.7%

0.7

0.4,1.2

 

0.8

0.6,1.1

 

Also diarrhea and presumed pneumonia

356

11.3%

0.8

0.4,1.4

0.2

0.6

0.3,1.2

0.2

Presumed Pneumonia

1078

       

District type:

Will not receive CCM Will receive

607

8.7%

      

CCM

408

12.5%

1.5

0.9,2.4

0.1

1.8

1.0,3.3

0.04

Age:

≥1 year

838

9.8%

      

< 1 year

240

11.4%

1.2

0.7,2.0

0.5

1.0

0.5,2.0

1.0

Gender:

Male

524

9.6%

      

Female

554

10.8%

1.1

0.7,2.0

0.6

0.9

0.5,1.7

0.8

Tribe of household:

Other

188

8.8%

      

Temne

262

12.3%

1.4

0.7,3.3

 

1.6

0.5,5.1

 

Mende

628

9.9%

1.1

0.6,2.5

0.6

1.1

0.5,2.5

0.7

Religion:

Other

155

7.3%

      

Muslim

923

10.7%

1.5

0.8,3.1

0.2

1.3

0.5,3.4

0.5

Polygamy:

No

732

9.2%

      

Yes

346

12.1%

1.4

0.8,2.5

0.3

1.2

0.7,2.3

0.4

Household distance to nearest health facility:

< 5 Km

798

11.0%

      

≥ 5 Km

209

6.3%

0.4

0.1,1.4

 

0.4

0.1,1.4

 

unknown

71

13.3%

1.2

0.4,3.4

0.2

0.5

0.1,1.9

0.3

Wealth quintile:

Other

795

13.9%

      

lowest

283

9.1%

0.6

0.3,1.0

0.05

0.5

0.3,0.8

0.008

Atleast one women in household went to school

No

777

8.8%

      

yes

183

14.6%

1.8

1.0,2.9

0.04

1.6

0.8,3.3

0.2

Traditional treatment

No

776

7.1%

      

Yes

302

18.4%

2.9

1.7,5.2

<.001

3.5

2.0,6.2

<.001

Disease:

Presumed Pneumonia only

48

14.1%

      

Also Fever or diarrhea

674

9.4%

0.8

0.3,2.2

 

0.6

0.2,1.8

 

Also fever and diarrhea

356

11.3%

1.2

0.6,2.4

0.6

0.7

0.2,2.4

0.7

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