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Table 3 Factors associated with achieving a gold ranking in the health facilities, Uganda 2011–2016

From: The procurement and supply chain strengthening project: improving public health supply chains for better access to HIV medicines, Uganda 2011–2016

Variables

All

Gold

cHR

p-value

aHR (n = 190)

p-value

Total

216

83

    

Region (n = 216)

n (%)

n (%)

    

 Central

102 (47.2)

35 (42.2)

Reference

   

 Eastern

29 (13.4)

6 (7.2)

0.55

0.178

  

 Northern

31 (14.4)

7 (8.4)

0.52

0.12

  

 South Western

24 (11.1)

20 (24.1)

2.98

< 0.001

  

 Western

30 (13.9)

15 (18.1)

1.9

0.038

  

Distribution sector (n = 216)

 Sector 1

44 (20.4)

6 (7.2)

Reference

 

Reference

 

 Sector 2

17 (7.9)

7 (8.4)

3.38

0.029

4.36

0.012

 Sector 3

35 (16.2)

10 (12.1)

2.13

0.144

1.72

0.315

 Sector 4

83 (38.4)

47 (56.6)

5.72

 < 0.001

4.11

0.002

 Sector 5

37 (17.1)

13 (15.7)

3

0.026

3.69

0.014

HF level (n = 216)

 HC II

1 (0.5)

0 (0)

Reference

 

Reference

 

 HC III

136 (63)

43 (51.8)

0.83

0.533

2.03

0.152

 HC IV

11 (5.1)

7 (8.4)

1.67

0.266

4.70

0.01

 Hospital

37 (17.1)

19 (22.9)

1.26

0.507

1.60

0.217

 Special clinic

31 (14.4)

14 (16.9)

1.00

1.00

Patient load (n = 194)

 Low volume (< 100)

55 (25.5)

13 (15.7)

Reference

 

Reference

 

 Medium volume (100–999)

87 (40.3)

43 (51.8)

2.46

0.005

2.19

0.026

 High volume (≥ 1000)

52 (24.1)

27 (32.5)

2.46

0.008

2.97

0.034

 Missing

22 (10.2)

0 (0)

   

Support supervision visits (n = 198)

 ≤ 5

38 (17.6)

7 (8.4)

Reference

 

Reference

 

 6–10

113 (52.3)

44 (53)

1.5

0.319

3.33

0.024

 > 10

47 (21.8)

32 (38.6)

2.83

0.013

5.78

0.003

 Missing (no visits)

18 (8.3)

0 (0)

   

Status (n = 216)

 Active

205 (94.9)

80 (96.4)

Reference

   

 Closed

1 (0.5)

0 (0)

1.00

  

 Not active

10 (4.6)

3 (3.6)

1.77

0.335

  

HF category (n = 216)

 Accredited

194 (89.8)

83 (100)

Reference

   

 Accredited (closed)

1 (0.5)

0 (0)

1.00

  

 For accreditation

21 (9.7)

0 (0)

0

1

  

Start year (n = 198)

 2013

152 (70.4)

68 (81.9)

Reference

 

Reference

 

 2014

36 (16.7)

13 (15.7)

1.49

0.204

4.19

< 0.001

 2015

7 (3.2)

2 (2.4)

5.04

0.033

31.58

< 0.001

 2016

3 (1.4)

0 (0)

1.00

1.00

 Missing

18 (8.3)

0 (0)

   

Preliminary assessment score (n = 194)

 < 50

13 (6)

3 (3.6)

Reference

 

Reference

 

 50–69

44 (20.4)

18 (21.7)

1.62

0.44

2.36

0.186

 70–89

106 (49.1)

41 (49.4)

1.55

0.465

1.91

0.303

 ≥ 90

31 (14.3)

20 (24.1)

3.45

0.046

4.58

0.021

 Missing

22 (10.2)

1 (1.2)

   
  1. Factors associated with achieving a gold ranking in the health facilities evaluated on health system strengthening in the procurement and supply chain strengthening project (PSSP), Uganda 2011–2016