Malaria intermittent preventive treatment in Nigeria: a qualitative study to explore barriers

Muhammad, Fatima; Sajadi, Haniye Sadat; Parsaeian, Mahboubeh; Assan, Abraham; Majdzadeh, Reza

doi:10.1186/s12879-021-06135-2

Cited by 11 publications

(10 citation statements)

References 20 publications

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“…Also, physiological changes due to pregnancy may create a general aversion to oral medications among women [29], which may subsequently challenge malaria prevention in unsupervised circumstances. As in our study (Table 2), others have also shown that some pregnant women receive their medication but do not ingest those [27,30].…”

Section: Discussionsupporting

confidence: 84%

Prevention of Malaria in Pregnancy: What Do the Pregnant Women of Nigeria Know and Do about It?

Kalu

Cleenewerck

Gulma

et al. 2022

Infectious Diseases in Obstetrics and Gynecology

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Objective. We assessed knowledge, attitude, and practice regarding two malaria prevention measures (long-lasting impregnated mosquito nets, LLINs, and intermittent preventative therapy with sulphadoxine-pyrimethamine (IPTp-SP)) among pregnant women in Nigeria. Methods. Pregnant women selected from among the four communities of Nnewi were interviewed by using a semistructured, interviewer-administered questionnaire on the respondents’ demography, knowledge of the cause, consequences, and malaria prevention methods. Also, a total of 48 focused group discussions, 24 key informant interviews, and 24 in-depth interviews were held among women leaders, village heads, pregnant women, community health workers, husbands of pregnant wives, and drug and insecticide-treated net sellers. Results. A total of 384 women (88.0% third trimester, 90.0% literate, and 41.1% primigravidae) participated. About 80.0% suffered from malaria during their current pregnancy. The majority was aware of the cause of malaria, local name of malaria, mode of transmission, risk of malaria among pregnant women, etc. However, their knowledge and attitude were inadequate regarding the symptomatology and complications of malaria in pregnancy, benefits of sleeping under the net or taking chemoprophylactic doses, or the concurrent use of both. About 80.0% had LLINs, yet only 41.5% slept under it the previous night. Only 31.0% had IPTp-SP doses under direct observation. Only 35.9% had a good understanding of IPTp-SP during pregnancy. Conclusion. Our work presents important practice gaps associated with the prevention of malaria during pregnancy. The pregnant women seemed to be aware of the basic concepts related to malaria but that does not translate into adequate attitude and practice necessary for malaria reduction.

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Section: Discussionsupporting

confidence: 84%

Prevention of Malaria in Pregnancy: What Do the Pregnant Women of Nigeria Know and Do about It?

Kalu

Cleenewerck

Gulma

et al. 2022

Infectious Diseases in Obstetrics and Gynecology

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“…Our nding thus suggests that not all con rm cases of malaria among pregnant women are receiving effective care particularly IPTp therapy. The reasons for low usage may probably be due to either poor knowledge of the IPTp by pregnant women [12] or the existence of some health system barriers such as stock out of IPTp and poor training of providers [25,17,10,24,15] which adversely affects utilisation. The Federal Ministry of Health may need to devise additional public health education programme that promote IPTp usage by pregnant women.…”

Section: Discussionmentioning

confidence: 99%

“…Evidence however shows that in Nigeria and many other sub-Sahara African countries, the uptake of optimal doses of IPTp (3 or more doses) by pregnant women remains low and below national targets [9][10][11][12][13][14][15]. For example, in the 2018 Nigeria Demographic and Health Survey (NDHS), the prevalence of IPTp optimal doses of SP/Fansidar was 17% among childbearing women who had deliveries in the two years preceding the survey.…”

Section: Introductionmentioning

confidence: 99%

Using Andersen’s Behavioural Model of Health Services use to Examine usage of Intermittent Preventive Treatment of Malaria in Pregnancy in Nigeria

Solanke¹,

Adebayo²,

Oyeleye³

et al. 2021

Preprint

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Background: Studies in Nigeria and elsewhere in sub-Saharan Africa have explored factors influencing usage of intermittent preventive treatment of malaria in pregnancy (IPTp). However, most of the studies are not model or theory-based, which provides less satisfactory guidance to malaria control programming. This study fills the knowledge gap by adapting the Andersen’s behavioural model of health services use to IPTp usage in Nigeria.Methods: This study adopted a cross-sectional design that utilised secondary data extracted from the 2018 Nigeria Demographic and Health Survey (NDHS). A weighted sample of 4,772 women who had deliveries in the past year preceding the survey was analysed. The outcome variable was usage of IPTp dichotomised into optimal or otherwise. The explanatory variables cut across individual and community levels, and were divided into predisposing, enabling and need factors in line with the theoretical constructs of the Andersen model. Two multilevel mixed-effects logistic regression models were fitted to identify the factors influencing optimal usage of IPTp. Analyses were performed using Stata 14. Statistical significance was set at 5%. Results: The realised level of optimal IPTp usage was 21.8%. The factors that either predispose or enables a pregnant woman to take optimal doses of IPTp are age, education, being employed, being autonomous on own healthcare, health insurance enrolment, partner education, receiving antenatal care in public health facility, rural residence, being resident in northern geo-political zones, community literacy level, and community perception of the consequences of malaria. Two significant need factors affecting optimal usage of IPTp are timing of first antenatal care contact and actual sleeping under mosquito bed net. Conclusion: Optimal usage of IPTp is low among pregnant women in Nigeria. There is need to devise additional public health education programme promoting IPTp usage through the formation of Advocacy, Communication and Social Mobilisation (ACSM) core group in every ward in all the local government areas in the country. In addition, health planners in the country should adopt the use of the Andersen model for assessing key determinants of IPTp usage among childbearing women in the country.

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“…(1) Malaria could be a major open wellbeing challenge in a few low-middle wage nations. (3) In 2020, about half of the world's populace was at chance of malaria. A few populace bunches are at significantly higher chance of contracting malaria and creating extreme illness: newborn children, children beneath the age of 5, expectant mothers and patients with HIV/AIDS (1).…”

Section: Introductionmentioning

confidence: 99%

“…Be that as it may, the great news is that malaria is preventable and reparable (3). Over the past two decades, almost 1.7 billion malaria cases and 10.6 million malaria-related deaths were avoided (10).…”

Section: Introductionmentioning

confidence: 99%

Determinates of Uptake of Intermittent Anti-Malaria Drugs Among Women Attending Ante-Natal Clinic at Chukwuemeka Odumegwu Ojukwu University Teaching Hospital, Awka, Anambra State

2022

JHMN

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Malaria is a major public health that passes a huge threat to the world at large. The general public is at risk of malaria infection; however, pregnant women are at greater risk than others. This is because malaria in pregnancy is a threat to both mother and child. Malaria in pregnancy accounts for high rate of mortality of both mothers and neonates. As such, there is need to curb, if possible, eliminate malaria in pregnancy. To this effect, intermittent preventive treatment was introduced in the healthcare system. This treatment regime involves pregnant women being treated for malaria with sulphadoxine-pyrimethamine, not minding if they have the ailment or not. The study's participants involved expectant mothers using the antenatal clinic at

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Malaria intermittent preventive treatment in Nigeria: a qualitative study to explore barriers

Cited by 11 publications

References 20 publications

Prevention of Malaria in Pregnancy: What Do the Pregnant Women of Nigeria Know and Do about It?

Prevention of Malaria in Pregnancy: What Do the Pregnant Women of Nigeria Know and Do about It?

Using Andersen’s Behavioural Model of Health Services use to Examine usage of Intermittent Preventive Treatment of Malaria in Pregnancy in Nigeria

Determinates of Uptake of Intermittent Anti-Malaria Drugs Among Women Attending Ante-Natal Clinic at Chukwuemeka Odumegwu Ojukwu University Teaching Hospital, Awka, Anambra State

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