Womens Sociodemographic and Gyneco-Obstetrical Factors Related to IPTp Observance in Ouidah-Kpomasse-Tori Bossito, Benin

Abstract

Background: In Benin, adherence to intermittent preventive treatment against malaria in pregnant women is below national indicators. This study aimed to determine the rate of IPT1, IPT2, and IPT3 and to investigate the sociodemographic and gyneco-obstetrical factors associated with IPTp's intake. Methods: During a cross-sectional study conducted from October 2017 to February 2018 in southern Benin, 422 women, pregnant in the last trimester or who gave birth less than a month ago were included. Sociodemographic, gynecological and obstetric factors were collected. Logistic regression model was fitted to search for factors associated with IPT's use. Results: The rates of IPT1, IPT2 and IPT3 were 36.49%, 26.78% and 11.14% respectively. Primiparous mothers (OR=1.31 [1.11-1.92]), women who had attended at least 4 antenatal care visits (ACV) (OR=12. 93 [6.27-26.64]) and those who received IPT counseling during their ACV (OR=5.27 [3.02-9.17]) were more likely to take IPT. Conversely, the increase in women's age was associated with a lower probability of taking IPT (OR=0.56 [0.51-0.92]). No significant association was found with marital status (p=0.37) and schooling level (p=0.38). Conclusion: This study confirmed the low use of IPTp for all doses. Our findings suggest strengthening public health interventions to increase women's participation in prenatal consultations by targeting older and multiparous women. Intervention such as organizing intra-community prenatal consultations in addition to those organized at the health center would be useful to improve the national coverage of the IPTp.