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Table 3 Association between allocation of China’s development assistance for health projects and sub-national health and social related factors

From: Determinants of China’s development assistance for health at the sub-national level of African countries (2006–2015)

 

Medical teams

Hospitals

Anti-malaria centers

Univariate model

Multivariate model

Univariate model

Multivariate model

Univariate model

Multivariate model

cOR

P-value

aOR

P-value

cOR

P-value

aOR

P-value

cOR

P-value

aOR

P-value

Causes of health facility accessibility problems

 Distance (% of the population)

0.91

<  0.001

0.96

0.214

0.89

<  0.001

0.93

0.201

0.89

<  0.001

1.01

0.705

 Finance (% of the population)

0.93

<  0.001

1.01

0.717

0.88

<  0.001

0.92

0.262

0.92

0.002

1.03

0.294

 Transport (% of the population)

0.90

<  0.001

0.95

0.106

0.91

<  0.001

0.94

0.242

0.91

<  0.001

1.02

0.468

Maternal and child health

 Facility delivery rate (% of live births in the previous 5 years)

1.06

<  0.001

1.01

0.614

1.08

<  0.001

1.08

0.015

1.09

<  0.001

0.99

0.754

 Under 5 mortality rate(per thousand live births in previous 5 years)

0.98

<  0.001

1.00

0.927

0.97

0.002

0.97

0.040

0.96

<  0.001

0.99

0.521

 Low birth weight rate (% of live births in previous 5 years)

1.00

0.966

1.05

0.367

0.93

0.270

0.93

0.452

1.01

0.785

1.10

0.075

Malaria prevention and treatment

 Access to an insecticide-treated mosquito net (% of the population)

1.03

0.302

0.90

0.218

1.05

0.138

1.02

0.661

1.08

0.059

1.02

0.494

 ACT used in treatment(% of child with fever)

1.10

0.043

1.25

0.018

0.97

0.662

0.95

0.612

1.00

0.992

0.98

0.600

Social factors

 Male literacy rate (%)

1.12

<  0.001

1.04

0.268

1.11

<  0.001

1.08

0.092

1.12

<  0.001

0.99

0.748

 Female literacy rate (%)

1.10

<  0.001

1.03

0.270

1.11

<  0.001

1.12

0.022

1.10

<  0.001

0.99

0.519

 Male unemployment rate (%)

1.04

0.120

0.97

0.526

1.02

0.348

1.00

0.901

1.05

0.112

0.96

0.377

 Female unemployment rate (%)

1.03

0.061

1.01

0.786

1.02

0.284

1.01

0.771

1.05

0.009

0.99

0.582

  1. Abbreviations: DAH Development Assistance for Health; cOR = crude odds ratio; aOR = adjusted odds ratio; ACT: Artemisinin-based combination therapy. Conditional logistic regression model was used to calculate the odds ratio for each outcome (allocation of the China medical teams, hospitals or anti-malaria centers). Univariate model only included one potential factor and multivariate model was additional adjusted for Leaders’ birth place, national capital city, total population number, population density and nighttime light. P values were reported for both models. Missingness on individual variables < 10%, except for ACT used in treatment (23%, n = 49 principle subdivisions) and access to an insecticide-treated mosquito net (19%, n = 41 principle subdivisions)