Table 2 Factors associated with NPCS productivity (high ≥200 surgeries, low <200)
Low | High | Odds ratio (95% CI) | ||
|---|---|---|---|---|
# (%) | # (%) | P value | ||
Demographic characteristics | ||||
Mean age (SD) | 42.0 (6.9) | 44.6 (9.2) | 0.09 | |
Sex | Male | 69 (67.0) | 34 (33.0) | 0.53 (0.18-1.55) |
Female | 19 (79.2) | 5 (20.8) | p=0.36 | |
Training characteristics | ||||
Sponsor of training | Ministry of Health | 33 (71.7) | 13 (28.3) | p=0.005 |
NGO | 10 (41.7) | 14 (58.3) | ||
Self-supported | 41 (82.0) | 9 (18.0) | ||
Other | 4 (68.9) | 3 (31.1) | ||
Mean years since training (SD) | 5.3 (5.0) | 9.1 (6.9) | p=0.003 | |
Work environment | ||||
# of days doing eye care per week | Full time (5 days) | 65 (62.5) | 39 (37.5) | |
Part time (<5 days) | 16 (100) | 0 | ||
OR = 10.1 (1.29-78.5) p=0.02 | ||||
Hospital type | MoH regional | 21 (68) | 10 (32) | |
Mission/private | 13 (42) | 18 (58) | ||
MoH district | 50 (91) | 5 (11) | ||
Regional versus District OR = 4.76 (1.49 – 15.62) p = 0.01 | ||||
Regional versus Mission/Private OR = 0.34 (0.023 – 0.46) p<0.001 | ||||
Regional + Mission/Private versus District OR = 8.26 (2.89 – 23.81) p < 0.001 | ||||
Full time nurses in eye unit | Baseline | |||
<3 | 49 (89) | 6 (11) | ||
3+ | 31 (51) | 33 (49) | ||
OR = 8.69 (3.27-23.15) p<0.001 | ||||
Nursing staff in theatre | Baseline | |||
0 to 1 | 56 (80) | 14 (20) | ||
2 or more | 26 (59) | 18 (41) | ||
OR = 2.77 (1.20-6.41) p=0.03 | ||||
Operating tables | 0 to 1 | 43 (68) | 20 (32) | |
2 or more | 26 (58) | 19 (42) | ||
OR = 1.57 (0.71-3.48) p=0.36 | ||||
Separate eye theatre | Baseline | |||
No | 45 (86) | 7 (14) | ||
Yes | 38 (54) | 32 (46) | ||
OR = 5.41 (2.15-13.65) p<0.001 | ||||
Doing outreach (surgery outside of hospital) | Baseline | |||
No | 48 (84) | 9 (16) | ||
Yes | 36 (54.5) | 30 (45.5) | ||
OR = 4.44 (1.88-10.52 ) p<0.001 | ||||
Health workers in the area trained in cataract diagnosis & referral | No | 43 (75) | 14 (25) | |
Yes | 42 (65) | 23 (35) | ||
OR = 1.68 (0.76-3.70) p=0.19 | ||||
Community health workers training in eye care and referral | No | 57 (74) | 20 (26) | |
Yes | 28 (61) | 18 (39) | ||
OR = 1.83 (0.84-4.00) p=0.13 | ||||
Patients provided transport to get surgery | Baseline | |||
No | 74 (79) | 20 (21) | ||
Yes | 11 (37) | 19 (63) | ||
OR = 6.39 (2.62-15.59) p<0.001 | ||||
Cataract surgical sets | Baseline | |||
2 or less | 57 (79) | 15 (21) | ||
3 or more | 28 (54) | 24 (46) | ||
OR = 3.26 (1.48-7.16) p = 0.005 | ||||
Operating microscope | Baseline | |||
None or not working well | 20 (95) | 1 (5) | ||
Working well | 65 (63) | 38 (37) | ||
OR = 11.69 (1.51-90.63) p = 0.008 | ||||
Problems obtaining IOLs | Baseline | |||
No | 55 (63) | 32 (37) | ||
Yes | 18 (33) | 6 (67) | ||
OR = 0.57 (0.21-1.59) p = 0.28 | ||||
Visited by an ophthalmologist | Baseline (2008) | |||
No | 11 (65) | 6 (35) | ||
Yes | 52 (65) | 28 (35) | ||
OR = 0.99 (0.33-2.95) p=0.98 | ||||
Who is your supervisor | Ophthalmologist | 76 (72) | 30 (28) | |
Hospital supervisor | 8 (50) | 8 (50) | ||
OR = 2.53 (0.87-7.37) p=0.14 | ||||