Evaluation of the effectiveness and compliance of intermittent preventive treatment (IPT) in the control of malaria in pregnant women in south eastern Nigeria

Nduka, Florence O.; Nwosu, E. C.; Oguariri, Raphael M.

doi:10.1179/2047773211y.0000000015

Cited by 12 publications

(13 citation statements)

References 14 publications

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“…This situation is aggravated by low ITN use, as observed in other centers. 19 Akinleye et al 18 reported increasing uptake of IPTp with increasing parity (up to the third pregnancy), but no association between IPTp uptake and respondent age. In this study, however, we found that older maternal age ( §20 years), multiparity, secondary school or higher level of education, and ITN use were associated with greater adherence to IPTp.…”

Section: Discussionmentioning

confidence: 99%

“…18,19 Facilitybased studies in other African countries reported adherence rates of 52.3 and 32% in Uganda and the Gambia, respectively. 27,28 Compared to roll back malaria coverage target of 80% for 2010, countrywide surveys in Africa have shown IPTp two dose coverage ranging from as low as 1% in Benin republic to 70% in Zambia.…”

Section: Discussionmentioning

confidence: 99%

“…17 This figure is consistent with at least two reports from southwest and southeast Nigeria. 18,19 However, northern Nigeria has unique cultural characteristics which could affect the uptake of IPTp. For instance, the practice of seclusion of women (Purdah) restricts the utilization of clinic-based maternal health services, especially for delivery.…”

Section: Introductionmentioning

confidence: 99%

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Adherence to intermittent preventive treatment for malaria in pregnancy in urban Kano, northern Nigeria

Iliyasu¹,

Gajida²,

Galadanci

et al. 2012

Pathogens and Global Health

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Malaria in pregnancy is associated with substantial risk of maternal and fetal morbidity and mortality. The uptake of preventive antimalarials is low in malaria endemic countries, including Nigeria. Using a crosssectional study design, we assessed factors associated with uptake and adherence to intermittent preventive treatment for malaria in pregnancy (IPTp) among antenatal attendees in primary health centers in Kano, northern Nigeria (n5239). A total of 137 respondents (57.3%) reported receiving preventive antimalarials, but only 88 respondents (36.8%) [95% confidence interval (CI): 30.7–43.3%] reported ingesting pills in the clinic under supervision. Factors associated with adherence to IPTp after adjustment for potential confounding included: advanced maternal age [adjusted odds ratio (AOR) (95%CI)52.1 (1.3–6.37)], higher educational attainment [AOR (95%CI)53.2 (1.32–6.72)], higher parity [AOR (95%CI)51.6 (1.07–3.94)], lower gestational age at booking [AOR (95% CI)51.72 (1.24–3.91)], and use of insecticidetreated nets [AOR (95%CI)52.03 (1.13–3.26)]. There is a need for strengthening health systems and addressing cultural factors that impede efforts at expanding coverage of malaria prevention strategies in Nigeria.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Adherence to intermittent preventive treatment for malaria in pregnancy in urban Kano, northern Nigeria

Iliyasu¹,

Gajida²,

Galadanci

et al. 2012

Pathogens and Global Health

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“…16,17 In this study, between 25% to 41% of pregnant women received two doses of IPTp with SP. Similar studies conducted in South East 42 , South West [43][44][45] , North East 46 and at the national level in Nigeria 47 showed that about 37% of pregnant women received two doses of IPTp less than the target of RBM program indicating low adherence and uptake of IPTp for patients who sought care at health facilities. A study conducted in Uganda also show that only about a quarter of pregnant women receive two doses of IPTp with SP.…”

Section: Discussionmentioning

confidence: 65%

Impact of health facilities on malaria control interventions among children under five years of age and pregnant women in Nigeria

Aregbeshola

Khan

2017

SE Asia J. Pub. Health

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Malaria is still one of the biggest public health problems in Nigeria in spite of numerous control interventions against the disease as well as access to and availability of medicines to address it. The children under five years of age and pregnant women are household members that are most at risk of this disease. The study aims to examine the impact of health facilities on malaria control interventions. Secondary data from Nigeria Demographic and Health Survey 2013 was utilized to investigate the impact of type of health facility visited on malaria control interventions. Variables on malaria control interventions such as malaria prevention in pregnancy, antimalarial drugs and rapid diagnostic testing were analysed. Chi square analysis was used to test for association between variables at 0.05 level of significance. The number of dose of Intermittent Preventive Treatment in Pregnancy (IPTp) taken during pregnancy was associated with private hospital/clinic, government health post and government hospital. The type of antimalarial drug used was associated with the type of health facility visited by children under 5 years. Rapid diagnostic tests (RDTs) for children under 5 years of age was associated with government hospital, government health centre, private hospital/clinic, chemist/patent medicine store and other private medical sector. Our study concludes that the type of health facility visited has an impact on malaria control interventions in Nigeria. There is a need for political actors and policy makers to improve the standard of health care facilities across the country in order to engender the provision of adequate health service delivery to the children under 5 years of age and pregnant women.South East Asia Journal of Public Health Vol.7(1) 2017: 35-41

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“…Age below 20 years, lack of formal education, rural life and parity superior to one were also identified as negative influences on IPTp-SP adherence. On the other hand, a study carried out in Nigeria in 2010 showed that the primiparae adhered better to the IPTp-SP compared to the secondipares and the multipares [14]. In Uganda between 2008 and 2009, a cross-sectional study on 500 women who were pregnant the previous year revealed that women were more likely to observe IPTp-SP if administered during the prenatal consultation [26].…”

Section: Discussionmentioning

confidence: 99%

Adherence to Intermittent Preventive Treatment of Malaria in Pregnancy with Sulfadoxine–Pyrimethamine and Associated Factors: A Cross-Sectional Survey in Benin’s Public Hospitals.

Aguemon¹,

Georgia²,

Roméo³

et al. 2018

TOPHJ

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Background: Gestational malaria is a public health problem, thus responsible for morbidity and mortality risk to both the foetus and the mother. The intermittent preventive treatment with sulfadoxine-pyrimethamine during pregnancy (IPTp-SP) is one of the strategies recommended by the WHO to prevent this pathology and its consequences during pregnancy. In Benin, the adherence rate remains below the programmatic targets. This study aimed to identify the factors associated to the adherence to at least two IPTp-SP doses for postpartum women of the University Hospital HKM of Cotonou (CNHU-HKM) and the University Hospital for Mother and Child (CHU-MEL) of Cotonou. Methods: A cross-sectional hospital-based study was conducted over a 3-month-period, from July to September 2015 in the field of gynaecology and obstetrics departments of the two hospitals. All the mothers who had delivered and were still hospitalized at the time of the study were enrolled. Results: During their last pregnancy, 63.11% of women had taken at least two doses of IPTp-SP. Four determinants of adherence to the two IPTp-SP doses were associated to the adherence to two doses of IPTp-SP: i) adequate knowledge of the number of doses of SP to be taken during the pregnancy (p-value<0.0001), ii) participation in communication for social and behavioural change on IPTp-SP (p-value<0.0001), iii) adequate knowledge of the number of tablets per dose of SP (p-value=0.0100), and iv) comprehensive knowledge of malaria prevention measures during pregnancy (p-value=0.0200). Conclusion: Raising and improving women's knowledge on malaria are necessary to achieve ITPp-SP adherence. Particular emphasis should therefore be placed on communication for social and behavioural change for pregnant women, family decision-makers, community leaders and healthcare workers.

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Evaluation of the effectiveness and compliance of intermittent preventive treatment (IPT) in the control of malaria in pregnant women in south eastern Nigeria

Cited by 12 publications

References 14 publications

Adherence to intermittent preventive treatment for malaria in pregnancy in urban Kano, northern Nigeria

Adherence to intermittent preventive treatment for malaria in pregnancy in urban Kano, northern Nigeria

Impact of health facilities on malaria control interventions among children under five years of age and pregnant women in Nigeria

Adherence to Intermittent Preventive Treatment of Malaria in Pregnancy with Sulfadoxine–Pyrimethamine and Associated Factors: A Cross-Sectional Survey in Benin’s Public Hospitals.

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