Effects of a performance and quality improvement intervention on the work environment in HIV-related care: a quasi-experimental evaluation in Zambia

Table 4 Percent of providers who agreed with negative statements on the work environment, by study group ^a

Item	Intervention			Comparison			Adjusted model – interaction P value
Item	Baseline, n = 27	Endline, n = 33	P value^b	Baseline, n = 16	Endline, n = 29	P value^b	Adjusted model – interaction P value
Provider feels isolated	25.9	3.4	0.02	6.3	6.9	0.94	0.232
Provider lacks confidence in some clinical skills	44.4	13.8	0.01	25.0	42.8	0.25	0.005
Provider feels overworked	59.3	34.5	0.07	43.8	62.1	0.25	0.135
Provider feels job is stressful	63.0	48.3	0.28	75.0	75.9	0.95	0.507

^aResponse scale is 1 to 5, with 5 meaning ”strongly agree” and 1 meaning “strongly disagree”. This table reflect the percent of respondents who ‘agreed’ and ‘strongly agreed’.
^bBivariate results show P value from t-test comparing values at baseline or at endline. Interaction term P value is from multivariate logistic regression models of each result on the intervention status, time point, and interaction of these two, while controlling for provider cadre and ZDF branch, and accounting for clustering of responses within each facility.

ISSN: 1478-4491