Facteurs associés à la faible couverture du Traitement Préventif Intermittent chez les femmes enceintes de la zone sanitaire béninoise de Pobè-Adja-Ouèrè-Kétou

Abstract

World Health Organization estimates indicate 216 million malaria episodes in 2010, including 81% in the African region. One of the recommended means of prevention in pregnant women is intermittent preventive treatment, until 2012, two doses of sulfadoxine/pyrimethamine or three doesfor a woman living with HIV In the Pobè-Adja-Ouèrè-Kétou health zone of Benin, coverage ofintermittent preventive treatment remains low (49% against a forecast of 80%) several years after implementation of this strategy. We conducted a cross-sectional study in June and July 2012 to identify factors associated with low intermittent preventive treatment coverage in this area. A total of 339 women were interviewed and 48% ofthem received less than two doses of sulfadoxine pyrimethamine during their prenatal consultations. The variables associated with low intermittent preventive treatment coverage were low antenatal care coverage (p < 0.001) and a prenatal consultation in the private sector (p = 0.039). In the light of our results, actions must be taken by this health zone to encourage women to complete the four visits during pregnancy.

The Provider's Checklist to Improve Pregnant Women Coverage by Intermittent Preventive Malaria Treatment in Mali. A Pilot Implementation Study

“…For instance, the contradictory message that asks pregnant women to take the SP drug at home after a meal to minimise side effects was also found in another study in Mali [14]. These communities should understand that Malaria has harmful consequences for the mother and her future born child and that administering DOT SP at speci c times of pregnancy is one of the most effective ways in addition to other preventive measures to be protected [26]. The need for effective communication and understanding between health workers in one hand, and between health workers and their patients and communities in the other hand are essential for increasing acceptability and adoption of the IPT-SP [27].…”

The provider’s checklist to improve pregnant women coverage by intermittent preventive malaria treatment in Mali: a pilot implementation study

“…For instance, the contradictory message that suggested pregnant women take SP at home after a meal to minimize side effects was found in another study in Mali [ 14 ]. These communities should understand that malaria has harmful consequences for mother and her child and that administering DOT SP at specific times of pregnancy is one of the most effective ways, in addition to other preventive measures, to be protected [ 26 ]. The need for effective communication and understanding between health workers on the one hand and between health workers and their patients and communities on the other hand, are essential for increasing acceptability and adoption of the IPTp-SP [ 27 ].…”

Determinants of bed net policy implementation: A case study of Southern Benin

“…In Benin's rural communities that comprise 57% of the population (INSAE 2013), women's understanding of malaria prevention is affected by cultural representations. Malaria is considered an ordinary disease, and populations generate their own understanding and treatment strategies that are not necessarily evidence based . The impact of malaria prevention strategies thus relies on determinants beyond ownership such as the promotion of correct and consistent use of ITNs that take housing environment and women's knowledge of malaria into account.…”

“…Malaria is considered an ordinary disease, and populations generate their own understanding and treatment strategies that are not necessarily evidence based. 19,20 The impact of malaria prevention strategies thus relies on determinants beyond ownership such as the promotion of correct and consistent use of ITNs that take housing environment and women's knowledge of malaria into account. Indeed, it is known that the design of a health intervention must be culturally compelling, not merely culturally appropriate, to ensure community mobilization.…”