Prevalence and determinants of malaria infection among pregnant women attending antenatal clinic in Ejisu government hospital in Ghana: A cross-sectional study

Dwumfour, Catherine Kroamah; Bam, Victoria Bubunyo; Owusu, Lydia Boampong; Poku, Collins Atta; Kpabitey, Rhoda Dewe; Aboagye, Priscilla; Ibrahim, Amshariatu Suntaa

doi:10.1371/journal.pone.0293420

Cited by 4 publications

(1 citation statement)

References 40 publications

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“…Additionally, the overall prevalence of MiP was found to be 20.4% among pregnant women in the middle belt of Ghana [9]. In Ghana, some regions reported MiP to be 14.1% from RDT tests and 13.4% using PCR in the northern region [10], 17.1% and 19.0% in the Ashanti region [11,12], 26.1% in the western region [13] and 20.9% in the central region [14].…”

Section: Introductionmentioning

confidence: 95%

Knowledge, Uptake and Therapeutic Effectiveness of Sulfadoxine-Pyrimethamine (IPTp-SP) among Pregnant Women Attending the Antenatal Clinic at Ayeduase Health Centre in Oforikrom Municipality in the Ashanti-Region, Ghana

Ansong,

Otoo,

Mensah

2023

Preprint

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Background Malaria is a life-threatening disease, and in pregnancy, it has been recognized to pose a substantial threat to mothers, fetuses and neonates and accounted for 15% of all maternal deaths globally in 2015. MiP poses a significant threat, and globally, it is associated with approximately 10,000 maternal deaths each year. In sub-Saharan Africa, it is projected that approximately 25 million pregnant women in this region are at risk of contracting P. falciparum malaria infection annually. In Ghana, the overall prevalence of MiP was 20.4% among pregnant women in the middle belt of Ghana. MiP causes maternal anaemia, spontaneous abortion, stillbirth, preterm delivery and low birth weight; however, it is preventable and curable. Despite the implementation of the IPTp-SP policy in Ghana, coverage remains low. This study assessed the knowledge, uptake and therapeutic effectiveness of IPTp-SP among pregnant women visiting the antenatal clinic at the Ayeduase Health Centre. Methodology The study employed an analytical cross-sectional design, and a total of 187 pregnant women attending ANC at the Ayeduase Health Centre were surveyed. The collected data were exported into the Stata Corp 17 version for data analysis. Descriptive statistics were performed, and logistic regression was used to test associations between the dependent and independent variables. A p value less than 0.05 was considered significant at a 95% confidence level. Results All pregnant women (100%) had ever heard of IPTp-SP, and 94.7% knew of its benefit in pregnancy. Notably, health providers were the major source of information for approximately 94% of pregnant women, and a higher level of knowledge on IPTp-SP was found among 92.0% of pregnant women. The prevalence of anaemia and MiP was found to be low (4.8% and 9.7%, respectively). Optimal uptake (≥ 3 doses) of IPTp-SP was high among (61.3%) pregnant women. Therapeutic effectiveness was high among (86.6%) pregnant women. Having 3-4 live births (AOR=4.4 95% Cl: [1.98-9.56], p<0.001), first ANC initiation in the 2nd trimester and 3rd trimester of their current pregnancy (AOR=0.4 95% Cl: [0.21-0.89], 0.022), IPTp-SP intake in their 3rd trimester (AOR =0.1 95% Cl: [0.03-0.37], <0.001) and therapeutic effectiveness (AOR=3.4 95% Cl: [1.08-11. ], p=0.037). were significantly associated with ≥3 doses of IPTp-SP. Conclusion The initiation of ANC and the uptake of optimal doses of IPTp-SP are crucial elements in ensuring a healthy pregnancy. Educating pregnant women on these aspects is imperative for enhancing their overall well-being and ensuring positive outcomes during pregnancy and childbirth.

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Section: Introductionmentioning

confidence: 95%

Knowledge, Uptake and Therapeutic Effectiveness of Sulfadoxine-Pyrimethamine (IPTp-SP) among Pregnant Women Attending the Antenatal Clinic at Ayeduase Health Centre in Oforikrom Municipality in the Ashanti-Region, Ghana

Ansong,

Otoo,

Mensah

2023

Preprint

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Exploring Information Sources on Malaria Prevention and Their Impact on Knowledge Among Pregnant Women in Urban Ghana

Yeboah,

Nsiah,

Obeng

et al. 2024

WJPH

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Background: Adequate knowledge of malaria prevention among pregnant women is crucial for mitigating the associated risks. This study aimed to explore the various information sources on malaria preventive measures and assess their impact on the knowledge of malaria prevention among pregnant women in an urban district of Ghana. Methods: A cross-sectional study involving 300 pregnant women was conducted to evaluate their knowledge of malaria prevention. Chi-square tests were utilized to assess the relationships between these educational sources and levels of knowledge. To quantify the influence of each educational source on knowledge, logistic regression models were employed, providing adjusted odds ratios (AORs) with 95% confidence intervals (CIs). All analyses were conducted using Statistical Package for the Social Sciences (SPSS) version 20 and Microsoft Excel version 2026. Results: Overall, 88.7% of participants demonstrated adequate knowledge of malaria prevention. Education at health posts by trained workers was linked to higher knowledge (AOR = 7.82, 95% CI [1.26, 48.35], p = 0.027). In contrast, education from family or friends was associated with lower knowledge levels (AOR = 0.34, 95% CI [0.15, 0.76], p = 0.008). Media and written materials did not significantly affect knowledge levels (χ² (1, N = 300) = 0.44, p = 0.51). Conclusion: The findings highlight the pivotal role of health posts and health workers in enhancing malaria prevention knowledge among pregnant women. Strategies aimed at strengthening health facility-based education could significantly improve maternal health outcomes in malaria-endemic regions. Further research is recommended to explore effective approaches for augmenting education from family networks and media to complement health facility-based efforts.

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Assessing the prevalence, risk factors, and socio-demographic predictors of malaria among pregnant women in the Bono East Region of Ghana: a multicentre hospital-based mixed-method cross-sectional study

Bardoe,

Bio,

Yar

et al. 2024

Malar J

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Background Malaria is one of the world’s most lethal vector-borne diseases, causing significant health burdens in endemic countries. Several studies on the prevalence of malaria among pregnant women in Ghana have been conducted in various parts of the country, yielding evidence pointing to intra- and inter-regional variations. The current study assessed the prevalence, risk factors, and sociodemographic predictors of malaria among pregnant women in the Bono East Region of Ghana. Methods This multicentre hospital-based study employed a mixed-method cross-sectional design. A multistage sampling technique was used to select seven health facilities and recruited 1452 pregnant women who attended ANC at seven selected health facilities. Haematological examination, a structured closed-ended questionnaire, in-depth interviews (IDIs), and focus group discussions (FGDs) were used to obtain relevant data. Quantitative data were analysed with STATA 14 (StataCorp, College Station, USA). Likewise, the four-step thematic analysis was used to analyse qualitative data. A significant level was set at (p < 0.05) at a 95% confidence interval (CI). Results The ages of the pregnant women at enrolment ranged between 17 and 40 years, with a mean (SD) of 28.8 ± 3.73 (95% C.I: 28.63–29.02). The overall prevalence of malaria infection among pregnant women was 10.8% (95% CI: 9.32–12.56). Presence of farm or domestic animals, living close to drainage tunnels, living near overgrown vegetation, not married, not having formal education, living in extended-type households, living in compound-type households, mud and thatch households, mud and iron sheet households, primigravidae, multiparity, first-time pregnant women, second-time, third-time, fourth-time, and fifth-time ANC visits, blood groups A, B, and AB were independent factors or predictors significantly associated with increased risk of malaria. Conclusion The current study revealed an approximately 10.8% prevalence of malaria among pregnant women. The prevalence revealed, was, however, higher than the national prevalence of 8.6%. The high prevalence of malaria, associated risk factors, and sociodemographic and maternal predictors highlight the need to strengthen screening for malaria, administer treatments, monitor maternal and foetal health, and provide education and counselling.

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Prevalence and determinants of malaria infection among pregnant women attending antenatal clinic in Ejisu government hospital in Ghana: A cross-sectional study

Cited by 4 publications

References 40 publications

Knowledge, Uptake and Therapeutic Effectiveness of Sulfadoxine-Pyrimethamine (IPTp-SP) among Pregnant Women Attending the Antenatal Clinic at Ayeduase Health Centre in Oforikrom Municipality in the Ashanti-Region, Ghana

Knowledge, Uptake and Therapeutic Effectiveness of Sulfadoxine-Pyrimethamine (IPTp-SP) among Pregnant Women Attending the Antenatal Clinic at Ayeduase Health Centre in Oforikrom Municipality in the Ashanti-Region, Ghana

Exploring Information Sources on Malaria Prevention and Their Impact on Knowledge Among Pregnant Women in Urban Ghana

Assessing the prevalence, risk factors, and socio-demographic predictors of malaria among pregnant women in the Bono East Region of Ghana: a multicentre hospital-based mixed-method cross-sectional study

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