| User fees | Informal payments | Private payment | Non-clinical activities | Performance payments | Per diems | ||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Explanatory variables | Odds ratio (SE) | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | |
 | Full | Reduced | Full | Reduced | Full | Reduced | Full | Reduced | Full | Reduced | Full | Reduced |
Years in position | 1.02 (0.02) | Â | 1.03 (0.03) | Â | 1.02 (0.05) | Â | 0.97 (0.02) | Â | 1.02 (0.04) | Â | 0.99 (0.02) | Â |
Kasai Occidental (vs Equateur) | 0.52 (0.23) | 0.87 (0.32) | 3.13 (2.13)* | 2.34 (1.17)* | 8.72 (10.09)* | 8.42 (8.88)** | 0.69 (0.25) | 0.65 (0.23) | 2.62 (3.02) | 2.69 (3.13) | 1.29 (0.48) | 1.24 (0.41) |
Kasai Orientale (vs Equateur) | 3.22 (3.86) | 3.81 (2.94)* | 5.84 (4.64)** | 3.77 (2.37)** | 1 | 1 | 0.99 (0.91) | 0.46 (0.37) | 1 | 1 | 3.67 (3.50) | 2.02 (1.35) |
Maniema (vs Equateur) | 2.65 (1.58) | 3.76 (1.73)*** | 23.82 (18.79)*** | 12.49 (7.39)*** | 21.87 (25.97)*** | 14.53 (16.24)** | 3.59 (1.68)*** | 4.02 (1.81)*** | 158.86 (191.31)*** | 132.02 (147.97)*** | 0.50 (0.26) | 0.56 (0.25) |
Province Orientale (vs Equateur) | 1.54 (0.89) | 1.08 (0.47) | 9.18 (5.93)*** | 5.76 (3.00)*** | 1 | 1 | 3.99 (2.27)** | 4.42 (2.17)*** | 1 | 1 | 0.41 (0.20)* | 0.37 (0.15)** |
Population served | 1.00 (0.00) | Â | 1.00 (0.00) | Â | 1.00 (0.00) | Â | 1.00 (0.00) | Â | 1.00 (0.00)** | 1.00 (0.00)** | 1.00 (0.00) | Â |
Total personnel | 1.12 (0.20) | Â | 0.69 (0.11)** | 0.67 (0.10)** | 0.83 (0.16) | Â | 0.79 (0.11)* | 0.83 (0.12) | 0.98 (0.21) | Â | 0.68 (0.11)** | 0.72 (0.10)** |
Urban (vs rural) | 0.63 (0.32) | Â | 0.95 (0.48) | Â | 2.81 (1.85) | 2.44 (0.99)** | 0.51 (0.18)* | 0.51 (0.15)** | 1.17 (0.82) | Â | 1.37 (0.55) | Â |
Number of services | 0.98 (0.14) | Â | 0.96 (0.14) | Â | 0.90 (0.10) | Â | 1.35 (0.12)*** | 1.24 (0.11)** | 1.71 (0.26)*** | 1.51 (0.22)*** | 1.24 (0.11)** | 1.24 (0.09)** |
Distance of facility from village | 0.98 (0.03) | Â | 0.97 (0.05) | Â | 0.78 (0.07)** | 0.88 (0.06)** | 0.99 (0.03) | Â | 0.78 (0.05)*** | 0.79 (0.06)*** | 0.99 (0.03) | Â |
Reference heath centre (vs heath centre) | 0.49 (0.25) | 0.64 (0.26) | 0.54 (0.38) | Â | 2.53 (1.27)* | Â | 0.89 (0.36) | Â | 0.45 (0.28) | Â | 0.41 (0.16)** | 0.50 (0.16)** |
Age | 0.97 (0.02)* | 0.97 (0.01)* | 0.94 (0.03)** | 0.96 (0.02)** | 0.89 (0.04)*** | 0.92 (0.02)*** | 1.03 (0.02) | Â | 0.96 (0.03) | Â | 1.01 (0.02) | Â |
Male (vs female) | 0.82 (0.27) | Â | 0.80 (0.32) | Â | 1.32 (0.68) | Â | 1.03 (0.32) | Â | 3.37 (1.62)** | 2.36 (1.01)** | 1.57 (0.47) | 1.74 (0.44)** |
Number of dependents | 1.08 (0.05)* | 1.07 (0.04)** | 0.99 (0.05) | Â | 1.01 (0.08) | Â | 1.06 (0.03)* | 1.08 (0.03)*** | 1.09 (0.04)** | Â | 1.05 (0.03) | 1.04 (0.03) |
Married (vs not married) | 0.92 (0.11) | Â | 0.95 (0.17) | Â | 0.88 (0.20) | Â | 1.08 (0.13) | Â | 1.34 (0.24) | Â | 0.84 (0.10) | Â |
University (vs school education) | 0.83 (0.33) | Â | 0.84 (0.38) | Â | 1.32 (0.79) | Â | 0.93 (0.27) | Â | 1.02 (0.43) | Â | 1.28 (0.36) | Â |
ASSP programme | 1.55 (0.64) | Â | 0.41 (0.17)** | 0.48 (0.17)** | 2.47 (1.13)** | Â | 1.51 (0.44) | Â | 1.74 (1.05) | Â | 1.98 (0.64)** | 1.80 (0.49)** |
Receives any government paya | 0.20 (0.08)*** | Â | 0.95 (0.39) | Â | 4.11 (2.37)** | 2.76 (1.33)** | 0.55 (0.17)* | 0.51 (0.15)** | b | Â | 1.68 (0.47)* | 1.92 (0.50)** |
Receives user fees | – | – | 0.89 (0.41) |  | – | – | 1.32 (0.41) |  | – | – | – | – |
Receives informal payments | – | – | – | – | – | – | 1.32 (0.48) |  | – | – | – | – |
Receives payment from private practice | – | – | – | – | – | – | 3.00 (1.56)** | 2.64 (1.21)** | – | – | – | – |
Receives performance payments | – | – | – | – | – | – | 0.67 (0.21) |  | – | – | – | – |
Constant | 14.87 (20.39)** | 4.24 (2.58)** | 2.54 (3.75) | 0.77 (0.65) | 0.27 (0.48) | 0.12 (0.13)* | 0.03 (0.03)*** | 0.18 (0.13)** | 0.00 (0.00)*** | 0.00 (0.00)*** | 0.15 (0.14)** | 0.19 (0.13)** |
Pseudo R 2 | 0.15 | 0.07 | 0.15 | 0.10 | 0.24 | 0.18 | 0.16 | 0.15 | 0.46*** | 0.44*** | 0.13 | 0.11 |
Model χ 2 | 44.56*** | 21.42*** | 35.55** | 29.59*** | 42.99*** | 29.19*** | 53.16*** | 44.09*** | 77.28 | 47.64 | 47.41*** | 52.87*** |
Number observations (n) | 333 | 391 | 332 | 405 | 286 | 329 | 326 | 367 | 266 | 266 | 333 | 372 |