Perceptions on use of sulfadoxine–pyrimethamine in pregnancy and the policy implications for malaria control in Uganda

Mbonye, Anthony K.; Neema, Stella; Magnussen, Pascal

doi:10.1016/j.healthpol.2005.07.020

Cited by 39 publications

(61 citation statements)

References 32 publications

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“…Although the majority of women considered antimalarials to be less harmful than effects of malaria itself on pregnancy, they did not realize the role of malaria chemoprophylaxis during pregnancy. Previously, a negative perception towards SP usage during pregnancy was reported and SP has been believed to be a strong drug and might lead to abortion and congenital malformations (Mbonye et al 2006c). …”

Section: Discussionmentioning

confidence: 99%

Perceptions of the causes of malaria and of its complications, treatment and prevention among midwives and pregnant women of Eastern Sudan

Adam

Omer²,

Salih

et al. 2007

J Public Health

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Background Malaria infection during pregnancy is a big burden in Sudan and has many adverse effects on both mother and fetus. There are no data concerning the local socio-cultural knowledge of malaria, its complications and prevention during pregnancy. Aim This study was conducted to assess the perceptions of the causes of malaria, its complications, treatment and prevention among midwives and pregnant women of Eastern Sudan so as to provide policy makers and malaria programme managers with information needed to improve the design of malaria control. Subject and methods Interviews were conducted with 87 midwives and 168 pregnant women. ResultsMore than three-quarters (78.2%) of the midwives and (82.7%) pregnant women perceived that mosquitoes were the transmitters of malaria. The coverage of insecticidetreated bed nets (ITNs) was 65.5% among the interviewed pregnant women. There was poor knowledge about the complications of malaria during pregnancy and the effect of malaria treatment on the fetus among the interviewed midwives and pregnant women. More than 60% of the midwives (n=59, 67.8%) and almost all of the pregnant women (n=162, 96.4%) had no knowledge about intermittent preventive treatment (IPT). Conclusion Thus, in spite of good knowledge about symptoms of malaria during pregnancy, there was a lack of perception of prevention and the safety of IPT.

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Section: Discussionmentioning

confidence: 99%

Perceptions of the causes of malaria and of its complications, treatment and prevention among midwives and pregnant women of Eastern Sudan

Adam

Omer²,

Salih

et al. 2007

J Public Health

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“…Pregnancies in women residing in malaria rife regions are associated with a high frequency of patent parasitemia and clinical malaria [2]. In Ghana, it is reported that the prevalence of the malaria parasite is between 60% and 72% among pregnant women [3].…”

Section: Background Information Of the Studymentioning

confidence: 99%

“…Few women also gave reasons such as wanting the pregnancy to show first, not being able to leave farm work, attending an herbalist or a spiritualist clinic or being seen by a TBA. Similarly, an exploratory study in Mukono district, Uganda by Mbonye, Neema and Magnussen [2] found that an initial step towards a review of the policy aimed at improving access and use of SP in pregnancy is currently low. The results showed that SP is perceived to be an effective drug that cures malaria quickly.…”

Section: Anc Accessibility and Practice Of Ipt By Pregnant Womenmentioning

confidence: 99%

Knowledge and Utilization of Intermittent Preventive Treatment (IPT) for Malaria Control Among Pregnant Women Attending Antenatal Clinics in the Sunyani West District of Ghana

Ayiisi¹

2017

SJPH

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For this study, the knowledge and utilization of Intermittent Preventive Treatment (IPT) for malaria control among pregnant women attending antenatal clinics in the Primary Health Care Centers in the Sunyani West District of Ghana was assessed. A cross-sectional descriptive survey was conducted to assess antenatal accessibility and practices of IPT, knowledge of pregnant women on IPT use, and the effectiveness of IPT towards the reduction of malaria in pregnancy. The researcher used both secondary and primary data to elicit information for the study. The tools for the primary data collection were structured questionnaire and focused group discussion. Data was collected in two health facilities in the Sunyani West. Data was analyzed using Statistical Package for Social Science (SPSS) version 20.0 and the results were presented using frequencies, graph, cross tabulation and level of association using Chi-square. The study shows that the knowledge and utilization of IPT among pregnant women in Sunyani West District were very low. Majority of the respondents (68.2%) did not have knowledge on ITP use. Thus at 95% confidence level, the proportion of those who did not have knowledge on IPT use and those who had was highly significant (p1≠P2). The major challenges that were identified to suppress the effectiveness of IPT utilization from the health care provider point of view included inadequate Antenatal Clinic trained staff, low facility coverage and late ANC reporting of pregnant women. This study, therefore, recommends that healthcare providers in the district should intensify education on the use of Intermittent Preventive Treatment of malaria in pregnant women through community durbars, and radio and Television programs.

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“…In Uganda, low utilisation of health services has likewise been attributed to deficiencies in the health system, high cost of services and long distances to health units [2,4,16]. Nevertheless, women in Uganda and elsewhere recognise malaria in pregnancy as a serious problem [4,36,38]. In Uganda, it has been shown that when pregnant women get malaria, care seeking includes self-medication with anti-malarial drugs from drug-shops, or use of herbs whilst visiting a health unit may be a last resort if the illness does not improve [4,36,38].…”

Section: Introductionmentioning

confidence: 99%

Intermittent preventive treatment of malaria in pregnancy: Evaluation of a new delivery approach and the policy implications for malaria control in Uganda

Mbonye

Bygbjerg

Magnussen³

2007

Health Policy

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Perceptions on use of sulfadoxine–pyrimethamine in pregnancy and the policy implications for malaria control in Uganda

Cited by 39 publications

References 32 publications

Perceptions of the causes of malaria and of its complications, treatment and prevention among midwives and pregnant women of Eastern Sudan

Perceptions of the causes of malaria and of its complications, treatment and prevention among midwives and pregnant women of Eastern Sudan

Knowledge and Utilization of Intermittent Preventive Treatment (IPT) for Malaria Control Among Pregnant Women Attending Antenatal Clinics in the Sunyani West District of Ghana

Intermittent preventive treatment of malaria in pregnancy: Evaluation of a new delivery approach and the policy implications for malaria control in Uganda

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