Table 3

Relationships between responsiveness index quintiles and quality outcomes estimated using Poisson regression

Responsiveness index quintile
Q1Q2Q3Q4Q5P for trend
PR (95% CI)PR (95% CI)PR (95% CI)PR (95% CI)PR (95% CI)
Excellent at meeting health needs
Unadjusted model 1REF1.1 (0.5 to 2.4)3.4 (1.8 to 6.7)4.0 (2.0 to 8.1)16.4 (8.9 to 30.2)<0.001
Adjusted model 2REF1.0 (0.5 to 2.2)3.0 (1.6 to 5.5)3.3 (1.7 to 6.5)12.7 (7.0 to 22.9)<0.001
Adjusted model 3REF1.0 (0.4 to 2.2)2.9 (1.5 to 5.4)3.1 (1.6 to 6.2)13.0 (7.1 to 23.7)<0.001
Excellent quality of care at this facility
Unadjusted model 1REF2.1 (0.8 to 5.3)5.3 (2.5 to 11.4)6.6 (2.9 to 15.1)29.9 (13.9 to 64.2)<0.001
Adjusted model 2REF1.9 (0.8 to 4.8)4.6 (2.2 to 9.8)5.3 (2.3 to 12.3)21.0 (9.9 to 44.6)<0.001
Adjusted model 3REF1.9 (0.8 to 4.8)4.6 (2.2 to 9.8)5.0 (2.1 to 11.8)20.8 (10.0 to 43.3)<0.001
‘Very likely’ to recommend this facility to others
Unadjusted model 1REF1.3 (1.1 to 1.5)1.3 (1.1 to 1.5)1.4 (1.1 to 1.7)1.6 (1.4 to 1.9)<0.001
Adjusted model 2REF1.2 (1.1 to 1.4)1.2 (1.1 to 1.4)1.3 (1.1 to 1.5)1.4 (1.3 to 1.6)<0.001
Adjusted model 3REF1.2 (1.1 to 1.3)1.2 (1.1 to 1.4)1.3 (1.1 to 1.5)1.4 (1.2 to 1.6)<0.001
Excellent self-rated health
Unadjusted model 1REF1.0 (0.6 to 1.7)2.0 (1.2 to 3.2)3.4 (2.1 to 5.6)4.2 (2.6 to 6.8)<0.001
Adjusted model 2REF1.0 (0.6 to 1.7)2.0 (1.2 to 3.3)3.2 (2.0 to 5.2)4.1 (2.3 to 7.1)<0.001
Adjusted model 3REF1.0 (0.6 to 1.8)2.0 (1.2 to 3.3)3.1 (2.0 to 5.0)4.0 (2.3 to 7.0)<0.001
Excellent self-rated mental health
Unadjusted model 1REF1.1 (0.6 to 2.2)2.7 (1.3 to 5.4)3.8 (1.9 to 7.8)6.1 (3.0 to 12.1)<0.001
Adjusted model 2REF1.1 (0.6 to 2.1)2.6 (1.2 to 5.3)3.2 (1.6 to 6.4)5.1 (2.5 to 10.2)<0.001
Adjusted model 3REF1.1 (0.6 to 2.1)2.7 (1.3 to 5.5)3.1 (1.6 to 6.2)5.1 (2.6 to 9.9)<0.001
Unmet need for family planning
Unadjusted model 1REF1.2 (0.9 to 1.7)0.9 (0.7 to 1.2)1.1 (0.8 to 1.5)1.1 (0.8 to 1.5)0.845
Adjusted model 2REF1.2 (0.8 to 1.6)0.9 (0.6 to 1.2)1.0 (0.7 to 1.5)1.0 (0.7 to 1.4)0.697
Adjusted model 3REF1.2 (0.8 to 1.6)0.9 (0.6 to 1.2)1.0 (0.7 to 1.5)1.0 (0.7 to 1.4)0.676
  • Model 2 adjusted for age, wealth, education, urban/rural, ease of getting care tomorrow, same provider at each visit and region.

  • Model 3 adjusted for items in model 2, plus reason for seeking care, care for self or others, and facility type.

  • All models weighted to account for survey sampling design (unweighted n=2018).

  • Q1: lowest responsiveness quintile; Q5: highest responsiveness quintile.

  • PR, prevalence ratio; REF, Reference.