From: Assessment of training and mentoring for DR-TB care decentralization in Tanzania
Initiating facility | Centralized—KIDH (N = 306) | Decentralized sites (N = 143) | Combined (N = 449) | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Variable | Crude OR | p-value | Adjusted OR | p-value | Crude OR | p-value | Adjusted OR | p-value | Crude OR | p value | aOR (95% CI) | p value |
(95% CI) | (95% CI) | (95% CI) | ||||||||||
Treatment cohort | ||||||||||||
2016 | 1 | 1 | 1 | 1 | ||||||||
2017 | 1.4 | 0.32 | 1.81 | 0.14 | 0.91 | 0.88 | 0.78 | 0.74 | 0.77 | 0.078 | 1.6 | 0.2 |
(0.7–2.7) | (0.8–3.9) | (0.22–3.1) | (0.18–3.3) | 0.58–1.02 | 0.75–3.4 | |||||||
Sex | ||||||||||||
Female | 1 | 1 | 1 | 1 | ||||||||
Male | 2.1 | 0.057 | 2.14 | 0.073 | 0.94 | 0.91 | 0.79 | 0.73 | 1.3 | 0.28 | 1.2 | 0.38 |
(0.9–4.9) | (0.92 -5) | (0.3–2.9) | (0.2–3.1) | 0.79–2.2 | 0.7–2.3 | |||||||
HIV | ||||||||||||
Positive | 1.2 | 0.52 | 1.07 | 0.87 | 4.7 | 0.007 | 4.2 | 0.02 | 1.6 | 0.03 | 1.5 | 0.12 |
(0.6–2.5) | (0.48–2.3) | (1.5–14.7) | (1.2–15) | 1.04–2.6 | 0.8–2.6 | |||||||
Negative | 1 | 1 | 1 | 1 | ||||||||
BMI | ||||||||||||
≥ 18.5 | 1 | 1 | 1 | 1 | ||||||||
< 18.5 | 3.2 | 0.002 | 3.1 | 0.005 | 0.99 | 0.988 | 0.97 | 0.97 | 2.3 | 0.002 | 2.2 | 0.004 |
(1.6–6.8) | (1.3- 7) | (0.3–2.89) | (0.28- 3.3) | 1.3–4 | 1.3–3.8 | |||||||
Residence | ||||||||||||
Urban | 1.2 | 0.47 | 1.63 | 0.23 | 1.5 | 0.54 | 2.1 | 0.175 | 0.99 | 0.98 | 1.3 | 0.3 |
(0.6–2.4) | (0.6–4.) | (0.4–5.6) | (0.39–11) | 0.6–1.5 | 0.7–2.6 | |||||||
Rural | 1 | 1 | 1 | 1 | ||||||||
Patient group | ||||||||||||
New | 1 | 1 | 1 | 1 | ||||||||
Retreatment (FLD) | 1.14 | 0.74 | 0.98 | 0.99 | 0.61 | 0.39 | 0.48 | 0.23 | 1.05 | 0.85 | 0.8 | 0.5 |
(0.5–2.1) | (0.4–2.43) | (0.2–1.8) | (0.14–1.6) | 0.6–1.7 | 0.4–1.4 | |||||||
Staff training | ||||||||||||
Yes | N/A | 1 | ||||||||||
No | 1.25 | 0.78 | 1.29 | 0.79 | 0.5 | 0.42 | 1.01 | 0.9 | ||||
(0.25–6.1) | (0.19–8.4) | 0.12–2.4 | 0.19–5.8 | |||||||||
Age categories | ||||||||||||
< 30 years | 1 | 1 | 1 | 1 | ||||||||
31–50 years | 3.09 | 0.02 | 3.05 | 0.03 | 4 | 0.08 | 3 | 0.2 | 1.9 | 0.02 | 2.2 | 0.02 |
(1.2–8) | (1.1–8.4) | (0.8–19) | (0.55–16) | 1.1–3.5 | 1.1–4.1 | |||||||
> 50 years | 2.3 | 0.145 | 3.1 | 0.08 | 3.6 | 0.178 | 4 | 0.18 | 2.3 | 0.016 | 2.6 | 0.02 |
(0.7–7.7) | (0.88–8.4) | (0.55–23) | (0.5–33) | 1.1–4.7 | 1.1–5.9 | |||||||
Treatment delivery | ||||||||||||
Centralized | N/A | N/A | 2.8 | 0.001 | 2.9 | 0.006 | ||||||
Decentralized | 1 | 1.5–5.1 | 1.3–6.2 |