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Table 4 Multilevel logistic regression (Random effects, sub-level: DISTRICT) (coefficients)

From: Street-level workers’ inadequate knowledge and application of exemption policies in Burkina Faso jeopardize the achievement of universal health coverage: evidence from a cross-sectional survey

 

(1) Knowledge of indigent exemptions

(2) Application of indigent exemptions (recoded)

(3) Knowledge of delivery exemptions

(4) Application of delivery exemptions (recoded)

Sex female (base: male)

−0.048

(0.2897)

−0.096

(0.4238)

0.178

(0.1849)

0.342

(0.1927)

Education (base: Senior high school)

 No education or primary

−0.662

(0.7971)

−0.866

(1.1117)

0.258

(0.4038)

0.352

(0.4069)

 Junior high school

0.210

(0.2557)

0.056

(0.3718)

0.563***

(0.1648)

0.472**

(0.1710)

 Higher education

0.0795

(0.3801)

0.707

(0.4665)

−0.517

(0.3084)

−0.225

(0.3122)

Age (centred)

0.0063

(0.0212)

−0.016

(0.0298)

−0.026

(0.0146)

−0.026

(0.0152)

Type of health worker (base: Midwife (midwife/birth attendant/assistant midwife (AA, AB))

 Nurse (IDE, IB, nursing assistant) or medical doctor

0.030

(0.3423)

−0.187

(0.5488)

0.207

(0.2166)

0.316

(0.2283)

 Mobile health worker (AIS)

0.436

(0.3535)

1.181*

(0.5422)

0.372

(0.2137)

0.564*

(0.2215)

Head of health facility

0.922**

(0.3271)

2.031***

(0.5065)

0.076

(0.2203)

0.180

(0.2293)

Years worked at facility (centred)

−0.010

(0.0452)

0.003

(0.0685)

−0.018

(0.0314)

−0.030

(0.0334)

Absence in past 30 days (centred)

0.008

(0.0178)

0.039

(0.0217)

−0.024

(0.0141)

−0.022

(0.0146)

Performance feedback received during past 12 months

0.262

(0.2441)

0.194

(0.3623)

−0.039

(0.1593)

−0.121

(0.1663)

Training – emergency obstetric and neonatal care

0.026

(0.5235)

−0.991

(1.0983)

−0.050

(0.3274)

−0.417

(0.3655)

Training – facility (financial) management

0.122

(0.6932)

−0.624

(1.1343)

−0.409

(0.5998)

−0.554

(0.6689)

Influence on decisions

−0.059

(0.0378)

−0.057

(0.0551)

0.012

(0.0260)

0.005

(0.0269)

Control over facility

0.100*

(0.0463)

−0.000

(0.0645)

0.118***

(0.0300)

0.098**

(0.0310)

Urban (base: Rural)

0.509

(0.3352)

0.403

(0.5115)

−0.027

(0.2365)

0.117

(0.2459)

Health facility level (base: Primary)

 Secondary

−0.398

(0.5728)

−0.471

(1.0077)

−0.640

(0.3812)

−0.782

(0.4219)

 Private/other

0.299

(0.8557)

0.711

(1.1867)

1.040

(0.5336)

0.351

(0.6395)

# of clinical staff

−0.056

(0.0767)

−0.158

(0.1175)

−0.001

(0.0516)

−0.061

(0.0558)

Share of indigents (aggr. by district)

−3.335

(3.1934)

−5.359

(5.6452)

5.954**

(1.8221)

4.921*

(2.0305)

Constant

−2.993***

(0.8719)

−3.459*

(1.3780)

−3.416***

(0.5658)

−3.113***

(0.6109)

lnsig2u

0.142

(0.4145)

1.032*

(0.5047)

−0.642

(0.4059)

−0.378

(0.3955)

sigma_u

1.074

(0.2225)

1.675

(0.4228)

0.726

(0.1472)

0.828

(0.1637)

rho

0.259

(0.0797)

0.460

(0.1254)

0.138

(0.0483)

0.172

(0.0564)

Observations

1345

 

1314

 

1345

 

1343

 

Wald chi2(20)

31.64*

 

43.58**

 

79.55***

 

69.38***

 

LR ratio test of rho, chibar2(01)

72.53***

 

67.76***

 

56.43***

 

68.18***

 
  1. Standard errors in parentheses. Significance levels: * p < 0.05, ** p < 0.01, *** p < 0.001