How socioeconomic status affected the access to health facilities and malaria diagnosis in children under five years: findings from 19 sub-Saharan African countries

Table 3 Associations between socioeconomic status and receipt of blood tests for malaria in children (stratified analysis)

Times	Public hospital		Public PHC		Private hospital		Private PHC
Times	aOR 95% CI	P value	aOR 95% CI	P value	aOR 95% CI	P value	aOR 95% CI	P value
Mother and partner’s highest education level
No education	1.000		1.000		1.000		1.000
Primary	0.942 (0.647–1.371)	0.754	1.183** (1.044–1.340)	0.008	0.906 (0.578–1.418)	0.664	1.216 (0.830–1.780)	0.315
Secondary	0.786 (0.545–1.134)	0.198	1.238** (1.062–1.444)	0.006	0.908 (0.572–1.441)	0.681	1.286 (0.868–1.905)	0.210
Higher	1.227 (0.751–2.004)	0.415	1.814*** (1.366–2.409)	< 0.001	1.265 (0.734–2.181)	0.397	1.443 (0.820–2.540)	0.204
Wealth quintile
Highest	1.000		1.000		1.000		1.000
Fourth	1.092 (0.740–1.612)	0.658	1.180 (0.935–1.490)	0.162	0.626* (0.427–0.917)	0.016	1.126 (0.695–1.827)	0.629
Middle	1.424 (0.912–2.223)	0.120	1.294* (1.030–1.626)	0.027	0.388*** (0.252–0.599)	< 0.001	1.101 (0.661–1.833)	0.713
Second	1.353 (0.841–2.177)	0.212	1.423** (1.128–1.795)	0.003	0.490** (0.313–0.769)	0.002	0.919 (0.534–1.583)	0.762
Lowest	1.249 (0.728–2.145)	0.419	1.413** (1.122–1.780)	0.003	0.437*** (0.282–0.677)	0.000	1.108 (0.613–2.004)	0.733

Multiple logistic regressions were used. ORs were adjusted for sex, age, age of mother, type of residence, number of children in household, parents’ highest education level, country, survey year, and season. Survey weights were adjusted
Sample: Febrile children under five who were taken to only one health facility except for the facility that was recorded as “other” in Demographic Health Surveys and Malaria Indicators Surveys
CI confidence interval, aOR adjusted odds ratio
*P < 0.05; ** P < 0.01; ***P < 0.001

ISSN: 2049-9957