Low Uptake of Intermittent Preventive Treatment in Ghana; An Examination of Health System Bottlenecks

Odjidja, Emmanuel Nene; Kwanin, Charles; Saha, Manika

doi:10.21767/2254-9137.100079

Cited by 18 publications

(25 citation statements)

References 13 publications

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“…We found an IPTp-SP3 + frequency of 63.7% among women who completed ANC3+, which is similar to the one that Muhumuza E. obtained in Uganda (29). This frequency was greater than 38.5% of Odjidja (48), but less than 71% of Ibrahim and al. (49) both in Ghana in 2017.…”

Section: Frequency Of Anc3 + and Iptp-sp3+supporting

confidence: 86%

Determinants of Intermittent Preventive Treatment with Sulfadoxine-Pyrimethamine in Pregnant Women (IPTp-SP) in Mali, a household survey.

Sangho

Tounkara

Whiting-Collins

et al. 2020

Preprint

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Background: In malaria endemic regions, Intermittent Preventive Treatment with Sulfadoxine-Pyrimethamine (IPTp-SP) is recommended for all pregnant women during prenatal consultation from the fourth to the ninth month of pregnancy, up to the time of delivery. The Government of Mali is aiming for universal coverage of IPTp-SP. However, coverage is still low, estimated to be 18% for completion of three doses (IPTp-SP3). The objective of this study was to identify the factors that influence IPTp-SP in the Health District of Sélingué, Mali.Methods: We performed a cross-sectional survey with 30 clusters, proportional to village size with two stages of sampling. We collected data electronically with Magpi software during face-to-face interviews/surveys. The data were analyzed with SPSS version 20. We performed a descriptive analysis, and bivariate and multivariate logistic regression. An equity analysis examined the effect of distance from health care facility on completion of three or more antenatal visits (ANC3+) and three or more doses of Intermittent Preventive Treatment (IPTp-SP3+).Results: Of the 1,021 women surveyed, 87.8% (n = 896) attended at least one ANC visit. Of these, 86.3% (n = 773) received at least 1 dose of IPTp-SP. The frequency of three or more ANC visits was 90.8%. Compliance with three or more malaria treatments was 63.7%. The determinants statistically related to ANC3+ were the early initiation of ANC (OR = 3.22 [1.22, 10.78]), the number of payments made for the malaria treatment (OR = 21.5 [2.64; 09], OR = 11.24 [2.5, 50.46]) and the presence of a Community Health Center (CHC) in the village (OR = 9.69 [1.09, 86.21]). The ability to read (OR = 1.60 [1.01, 2.55]), the early initiation of ANC (OR = 1.46 [1.06, 2.00], knowledge of the utility of the drug (OR = 2.38 [1.24, 4.57]), and knowledge of the recommended dose of the drug (OR = 6.11 [3.98, 9.39]) were related to completion of three or more treatments (IPTp-SP3+).Conclusion: The early initiation of ANC was a good determinant of the completeness of ANC3+ and IPTp-SP3+. Coverage was fair, but still far from universal. Alternative strategies are needed to further increase coverage.

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Section: Frequency Of Anc3 + and Iptp-sp3+supporting

confidence: 86%

Determinants of Intermittent Preventive Treatment with Sulfadoxine-Pyrimethamine in Pregnant Women (IPTp-SP) in Mali, a household survey.

Sangho

Tounkara

Whiting-Collins

et al. 2020

Preprint

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Section: Introductionmentioning

confidence: 99%

“…Prior studies have shown that preventive care service utilization reduces premature mortality and improves quality of life [2,4]. Underutilization of preventive care services may result in failures to identify treatable healthcare problems and prevent potentially lifethreatening diseases [4]. According to estimates made by the World Health Organization (WHO), about 55 million people died worldwide in 2011, with two thirds of this group dying from non-communicable diseases and 60% of these deaths were attributed to preventable disease.…”

Section: Introductionmentioning

confidence: 99%

Preventive healthcare uptake in private hospitals in Nigeria: a cross-sectional survey (Nisa premier hospital)

Ofoli

Ashau-Oladipo

Hati

et al. 2020

BMC Health Serv Res

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Background: Understanding the features of preventive care uptake is critical for assessing the performance and viability of primary care in any healthcare system. There are gaps in previous studies that focused on primary healthcare features, challenges and way forward in Nigeria but were mainly public sector focused and do not characterize the features of preventive care. Since private healthcare sector remains the most accessed and utilized in Nigeria, this study sought to characterize the features of uptake of preventive care to better understand the current preventive healthcare landscape. Method: A descriptive cross-sectional study, using survey questionnaire were randomly administered to adult patients attending the Family Medicine Out-Patient Department (OPD) at Nisa Premier Hospital, Jabi Abuja. The study was conducted over a three-month period. (January to June 2017). Data collected were analyzed using SPSS version 23 (IBM SPSS, Chicago, IL, USA). Descriptive statistics in the form of frequency and percentage were used to report the results. Results: A total of 381 participants completed the survey. The results revealed that while an over overwhelming majority (> 90%) of participants indicated knowledge of benefits of preventive care, and preferred interventions aimed at preventing a disease before they occur, 48% preferred interventions aimed at reducing disease or injury impact or interventions aimed at ameliorating the impact of ongoing disease or injury with long lasting effect (43%). Unfortunately, less than 40% of respondents would visit the hospital when their health condition is not serious. Important barriers to uptake of preventive care were revealed as cost (45%), distance to the healthcare provider (36%) and lack of health insurance (33%), whereas poor education (19%), social norms (13%) as well as cultural and religious beliefs (10%) towards accessing certain health services appeared to be lesser barriers.Conclusion: Although people are aware of the benefits of preventive care, its uptake will greatly be enhanced through improved health insurance coverage, refocusing primary healthcare functions on preventive rather than curative care and instituting policies that mandatorily prescribe uptake for the insured, both at the individual and the insurer's level.

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“…In Ghana, malaria among pregnant women accounts for about 14% of Out Patient Department (OPD) attendance, 11% of admissions, and 9% of deaths (Odjidja et al 2017).…”

mentioning

confidence: 99%

“…Pell et al (2011) revealed understandings of ANC, health worker-client interactions, household decision-making, gender relations, cost, and distance to health facilities affect pregnant women's access to malaria in pregnancy interventions, and lack of healthcare infrastructure limits the uptake of IPTp-SP. The number of visits to antenatal clinics, governance, finance, product and technology, health workforce, health information, and service delivery were underlying factors identified as affecting optimal uptake of IPTp-SP in Ghana (Odjidja et al 2017).…”

mentioning

confidence: 99%

Drivers of intermittent preventive treatment of malaria during pregnancy in Ghana: a generalized linear model with negative binomial approach

et al. 2018

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Malaria is one of the leading causes of death in many developing nations throughout Africa, South America, and Asia. African countries are most prone to the deadly disease malaria and rising temperatures aid the spread of the disease (WHO 2012). More than 30 million women in Africa become pregnant in malaria endemic areas and are at risk of Plasmodium falciparum malaria infection compared with non-pregnant women. Malaria during pregnancy-related morbidity and mortality is most pronounced in sub-Saharan Africa, yet only a fraction of these women have access to effective anti-malaria interventions (Braun et al. 2015; Gutman and Slutsker 2017).

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Low Uptake of Intermittent Preventive Treatment in Ghana; An Examination of Health System Bottlenecks

Cited by 18 publications

References 13 publications

Determinants of Intermittent Preventive Treatment with Sulfadoxine-Pyrimethamine in Pregnant Women (IPTp-SP) in Mali, a household survey.

Determinants of Intermittent Preventive Treatment with Sulfadoxine-Pyrimethamine in Pregnant Women (IPTp-SP) in Mali, a household survey.

Preventive healthcare uptake in private hospitals in Nigeria: a cross-sectional survey (Nisa premier hospital)

Drivers of intermittent preventive treatment of malaria during pregnancy in Ghana: a generalized linear model with negative binomial approach

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