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Table 6 Health system factors associated with uptake of Hepatitis B vaccination services among female sex workers in Kampala, Uganda

From: Uptake of the hepatitis B vaccine among brothel-based female sex workers in Kampala, Uganda

Variable

Attribute

Uptake of hepatitis B vaccination

Crude prevalence ratio (CI = 95%)

Adjusted prevalence ratio (CI = 95%

P-value

No (n = 334) (%)

Yes (n = 66) (%)

Age category (Years)

18–24 years

75 (84.3)

14 (15.7)

1

1

Ìý

25–35 years

168 (83.6)

33 (16.4)

1.00 (0.92–1.08)

0.99 (0.93–1.06)

0.893

35 and above

91 (82.7)

19 (17.3)

1.01 (0.92–1.10)

0.98 (0.91–1.06)

0.719

Highest level of education completed

No formal education

93 (84.5)

17 (15.5)

1

1

Ìý

Primary

157 (85.8)

26 (14.2)

0.98 (0.91–1.06)

0.97 (0.91–1.03)

0.438

Secondary

84 (78.5)

23 (21.5)

1.05 (0.96–1.14)

1.02 (0.94–1.10)

0.526

Ownership of healthcare facility visited for services, including vaccinations.

Private-for-profit

63 (80.8)

15 (19.2)

1

ÌýÌý

Private-not-for-profit

22 (73.3)

8 (26.7)

1.06 (0.91–1.22)

ÌýÌý

Public

249 (85.3)

43 (14.7)

0.96 (0.88–1.04)

ÌýÌý

Health worker approachability/friendliness

Friendly

202 (82.1)

44 (17.9)

1

ÌýÌý

Neutral

31 (83.8)

6 (16.2)

0.98 (0.88–1.10)

ÌýÌý

Not friendly at all/rude

19 (86.4)

3 (13.6)

0.96 (0.84–1.10)

ÌýÌý

Very friendly

82 (86.3)

13 (13.7)

0.96 (0.89–1.03)

ÌýÌý

Satisfaction with healthcare services received

Dissatisfied

21 (80.8)

5 (19.2)

1

ÌýÌý

Neutral

30 (83.3)

6 (16.7)

0.97 (0.82–1.15)

ÌýÌý

Satisfied

204 (84.0)

39 (16.0)

0.97 (0.85–1.11)

ÌýÌý

Very dissatisfied

8 (80.0)

2 (20.0)

1.00 (0.78–1.28)

ÌýÌý

Very satisfied

71 (83.5)

14 (16.5)

0.97 (0.84–1.12)

ÌýÌý

Health facility provides education on health conditions, including hepatitis B

Don’t know

52 (92.9)

4 (7.1)

1

1

Ìý

No

147 (91.3)

14 (8.7)

1.01 (0.94–1.09)

1.03 (0.96–1.10)

0.526

Yes

135 (73.8)

48 (26.2)

1.17 (1.08–1.27)

1.06 (0.98–1.16)

0.119

Acceptability of waiting time at the health facility

Acceptable

263 (83.8)

51 (16.2)

1

1

Ìý

Not acceptable at all

45 (88.2)

6 (11.8)

0.96 (0.88–1.04)

0.97 (0.89–1.06)

0.637

Very acceptable

26 (74.3)

9 (25.7)

1.08 (0.95–1.22)

1.07 (0.96–1.18)

0.194

Presence of hepatitis B outreach programs in the area

No

306 (89.2)

37 (10.8)

1

1

Ìý

Yes

28 (49.1)

29 (50.9)

1.36 (1.24–1.49)

1.17 (1.03–1.33)

0.010

Travels long distance to access healthcare services

No

254 (83.8)

49 (16.2)

1

ÌýÌý

Yes

80 (82.5)

17 (17.5)

1.01 (0.93–1.08)

ÌýÌý

Mode of transportation to healthcare facility

By Walking

175 (83.3)

35 (16.7)

1

ÌýÌý

Using a Car

57 (86.4)

9 (13.6)

0.97 (0.89–1.06)

ÌýÌý

Using a Motorcycle

102 (82.3)

22 (17.7)

1.00 (0.93–1.08)

ÌýÌý

Healthcare workers provide sufficient time for questions

No

39 (86.7)

6 (13.3)

1

ÌýÌý

Yes

295 (83.1)

60 (16.9)

1.03 (0.93–1.13)

ÌýÌý

Received hepatitis B-related information from peers

No

302 (89.3)

36 (10.7)

1

1

Ìý

Yes

32 (51.6)

30 (48.4)

1.34 (1.22–1.46)

1.17 (1.05–1.31)

0.004

Facility has IEC materials on hepatitis B

No

277 (90.5)

29 (9.5)

1

1

Ìý

Yes

57 (60.6)

37 (39.4)

1.27 (1.17–1.37)

1.07 (0.96–1.19)

0.173