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Table 3 Therapeutic itinerary in case of fever persistence according to selected determinants on the Thai-Myanmar border

From: Fever and health-seeking behaviour among migrants living along the Thai-Myanmar border: a mixed-methods study

Variable (n = distribution in the study population)

Outcomes: type of healthcare facility attended

Health post

Private clinic

Primary care unit

Cost-free clinic

Hospital

n (%)

aORa (95%CI)

p

n (%)

aORa (95%CI)

p

n (%)

aORa (95%CI)

p

n (%)

aORa (95%CI)

p

n (%)

aORa (95%CI)

p

Country

- Thailand (n = 97)

20 (20.6)

1

 < 0.001

51 (52.6)

1

0.008

15 (15.5)

1

0.858

47 (48.5)

1

0.416

26 (26.8)

1

0.071

- Myanmar (n = 103)

53 (51.5)

2.05 (0.92–4.55)

 

35 (34.0)

0.69 (0.33–1.42)

 

15 (14.6)

0.96 (0.35–2.62)

 

44 (42.7)

1.76 (0.81–3.84)

 

40 (38.8)

1.41 (0.61–3.21)

 

Cost-free clinic presence in the nearest townb

- No (n = 76)

42 (55.3)

1

 < 0.001

26 (34.2)

1

0.127

14 (18.4)

1

0.337

23 (30.3)

1

p < 0.001

38 (50.0)

1

p < 0.001

- Yes (n = 119)

28 (23.5)

0.40 (0.19–0.86)

 

57 (47.9)

1.53 (0.74–3.17)

 

16 (13.5)

0.68 (0.25–1.84)

 

68 (57.1)

2.72 (1.28–5.77)

 

26 (21.9)

0.31 (0.14–0.67)

 

Distance to nearest town (per + 1 km)

 

1.05 (1.00–1.10)

 < 0.001

 

0.97 (0.92–1.01)

0.043

 

0.94 (0.87–1.02)

0.195

 

0.96 (0.91–1.00)

0.005

 

0.99 (0.95–1.04)

0.001

Legal statusc

 - None (n = 41)

14 (34.2)

1

0.559

12 (29.3)

1

0.090

5 (12.2)

1

0.572

25 (61.0)

1

0.017

8 (19.5)

1

0.004

 - Unstable (n = 115)

45 (39.1)

1.37 (0.57–3.28)

 

51 (44.4)

1.84 (0.82–4.15)

 

16 (13.9)

1.03 (0.34–3.19)

 

53 (46.1)

0.46 (0.20–1.05)

 

36 (31.3)

1.70 (0.66–4.35)

 

 - Stable (n = 46)

14 (30.4)

0.94 (0.33–2.64)

 

24 (52.2)

2.56 (1.00–6.54)

 

9 (19.6)

1.41 (0.40–4.92)

 

14 (30.4)

0.27 (0.10–0.71)

 

24 (52.2)

5.15 (1.80 14.71)

 

Monthly income (in USD)

 - Under 90 (n = 109)

52 (47.7)

1

0.001

45 (41.3)

1

0.820

16 (14.7)

1

0.950

44 (40.4)

1

0.107

40 (36.7)

1

0.613

 - Between 90–180 (n = 70)

17 (24.3)

0.56 (0.26–1.20)

 

31 (44.3)

0.84 (0.42–1.68)

 

11 (15.7)

1.03 (0.40–2.69)

 

39 (55.7)

1.53 (0.75–3.10)

 

21 (30.0)

0.99 (0.45–2.16)

 

 - Over 180 (n = 23)

4 (17.4)

0.24 (0.06–0.96)

 

11 (47.8)

0.76 (0.28–2.08)

 

3 (13.0)

1.21 (0.28–5.19)

 

9 (39.1)

0.94 (0.32–2.75)

 

7 (30.4)

1.10 (0.36–3.33)

 
  1. In the first column we presented the distribution of categories for the general population, for each outcome, we present the proportion accessing healthcare at the given health structure
  2. aaOR were adjusted by the country of residence, presence of cost-free clinic nearest to participant’s household, legal status and monthly income
  3. bPresence of cost-free clinic in the nearest town to the participant’s household included Shoklo Malaria Research Unit (SMRU) clinics and Mae Tao Clinic (MTC)
  4. cLegal status was classified as “unstable” for participants owning documents preventing them from healthcare entitlement and freedom of movement. These documents included Myanmar identification card, or a community card, or a hospital card or commuting card. Legal status was classified as “stable” for participants owning documents allowing them to healthcare entitlement and freedom of movement. These documents included work permit, certificate of identity (CI) card, ten-year resident card, Thai identification card, and birth certificate