Multilevel analysis for association of social and economic position with health-seeking behaviour for under-5 children with diarrhoea in Myanmar
| Variable | Seeking treatment | Formal health provider | Public provider | Private provider | ||||||||
| AOR | 95% CI | P value | AOR | 95% CI | P value | AOR | 95% CI | P value | AOR | 95% CI | P value | |
| Social position* | 1.60 | 1.07 to 2.38 | <0.05 | 1.88 | 0.83 to 4.22 | 0.13 | 0.55 | 0.30 to 0.99 | <0.05 | 1.83 | 1.00 to 3.34 | <0.05 |
| Economic position* | 1.07 | 0.81 to 1.43 | 0.63 | 1.39 | 0.69 to 2.80 | 0.36 | 0.64 | 0.43 to 0.94 | <0.05 | 1.57 | 1.07 to 2.30 | <0.05 |
| Child age (months) | ||||||||||||
| 0–11 | 1.00 | 1.00 | 1.00 | 1.00 | ||||||||
| 12–59 | 0.94 | 0.51 to 1.74 | 0.86 | 0.42 | 0.10 to 1.75 | 0.23 | 0.79 | 0.28 to 2.19 | 0.65 | 1.80 | 0.13 to 23.94 | 0.66 |
| Number of under-5 children in household | ||||||||||||
| 1 | 1.00 | 1.00 | 1.00 | 1.00 | ||||||||
| ≥2 | 0.66 | 0.37 to 1.17 | 0.16 | 0.59 | 0.19 to 1.81 | 0.36 | 1.90 | 1.11 to 3.22 | <0.05 | 0.21 | 0.02 to 2.00 | 0.17 |
| Residence | ||||||||||||
| Urban | 1.00 | 1.00 | 1.00 | 1.00 | ||||||||
| Rural | 0.97 | 0.62 to 1.53 | 0.91 | 3.86 | 1.40 to 5.65 | <0.05 | 2.43 | 0.92 to 6.47 | 0.08 | 0.41 | 0.15 to 0.90 | <0.05 |
| Immunisation | ||||||||||||
| Incomplete | 1.00 | 1.00 | 1.00 | 1.00 | ||||||||
| Complete | 0.88 | 0.58 to 1.33 | 0.55 | 1.91 | 0.78 to 4.70 | 0.16 | 1.95 | 0.93 to 4.08 | 0.08 | 0.19 | 0.02 to 1.70 | 0.14 |
| Blood in stool | ||||||||||||
| No | 1.00 | 1.00 | 1.00 | 1.00 | ||||||||
| Yes | 3.23 | 1.09 to 5.14 | <0.05 | 1.62 | 1.26 to 4.38 | <0.05 | 0.38 | 0.08 to 1.73 | 0.21 | 2.63 | 1.58 to 6.98 | <0.05 |
| Fever in recall period | ||||||||||||
| No | 1.00 | 1.00 | 1.00 | 1.00 | ||||||||
| Yes | 1.65 | 1.04 to 2.25 | <0.05 | 1.42 | 1.07 to 2.73 | <0.05 | 0.84 | 0.51 to 1.36 | 0.48 | 1.24 | 1.03 to 2.94 | <0.05 |
| ARI in recall period | ||||||||||||
| No | 1.00 | 1.00 | 1.00 | 1.00 | ||||||||
| Yes | 1.03 | 0.48 | 0.93 | 0.37 | 0.07 to 1.83 | 0.22 | 0.77 | 0.39 to 1.50 | 0.44 | 1.06 | 0.18 to 6.06 | 0.95 |
*Per unit increase in standardised. Adjusted for child age, immunisation status and severity of illnesses such as blood in stool, fever and ARI in recall period at individual level, number of under-5 children in household at household level and residence and administrative regions at community level.
AOR, adjusted OR; ARI, acute respiratory infection; public provider, all public health clinics or any higher-level facility plus community health workers; private provider, private hospitals, private clinics and private doctors; immunisation according to national immunisation programme specific to child’s age.