Uptake challenges of intermittent preventive malaria therapy among pregnant women and their health care providers in the Upper West Region of Ghana: A mixed-methods study

Dun-Dery, Frederick; Meißner, Peter; Beiersmann, Claudia; Kuunibe, Naasegnibe; Winkler, Volker; Jahn, Albrecht; Müller, Olaf

doi:10.1016/j.parepi.2021.e00222

Cited by 13 publications

(19 citation statements)

References 33 publications

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“…With an α level of 5% (two-sided t-test) and a power of 80%, the total estimated sample size (N=n 1 +n 2 ) needed to detect any variations by comparing the two study districts was 710 (n 1 =355) third-trimester pregnant women, considering the proportions of ITN use in the rural and urban districts to be 70% and 60%, respectively, as described in similar populations. 16 , 17 …”

Section: Methodsmentioning

confidence: 99%

“…Prior to the random selection of the HFs, we adopted the simple majority rule of sampling 50%+1 of all eligible HFs in each subdistrict, as used elsewhere. 17 , 19 Thus we sampled at least 50% of the total eligible HFs in each subdistrict. The 50%+1 rule was used because it was not feasible, due to time and other resource requirements, to cover all HFs in all selected subdistricts.…”

Section: Methodsmentioning

confidence: 99%

“…The 50%+1 rule was used because it was not feasible, due to time and other resource requirements, to cover all HFs in all selected subdistricts. 17 Based on the total number of eligible HFs in each of the six subdistricts, the sum of 50%+1 of all eligible HFs added up to 20 and 17 HFs for the rural and urban districts, respectively (Table 6 , Appendix 1 ). 17 …”

Section: Methodsmentioning

confidence: 99%

“… 17 Based on the total number of eligible HFs in each of the six subdistricts, the sum of 50%+1 of all eligible HFs added up to 20 and 17 HFs for the rural and urban districts, respectively (Table 6 , Appendix 1 ). 17 …”

Section: Methodsmentioning

confidence: 99%

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Determinants of the use of insecticide-treated mosquito nets in pregnant women: a mixed-methods study in Ghana

Dun-Dery

Kuunibe²,

Meißner

et al. 2022

International Health

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Background Malaria in pregnancy remains a significant cause of morbidity and mortality, affecting the highly endemic countries of sub-Saharan Africa (SSA). Insecticide-treated nets (ITNs) are effective for malaria prevention. However, poor adherence in SSA remains a challenge. Methods We conducted a standard questionnaire survey among 710 pregnant women from 37 primary care clinics in the Upper West Region of Ghana from January through May 2019. Using a sequential explanatory design, we integrated the survey data from six focus group discussions with pregnant women. Results While 67% of women had some general knowledge about malaria prevention, only 19% knew the specific risks in pregnancy. Determinants of ITN use included ITN ownership (odds ratio [OR] 2.4 [95% confidence interval {CI} 1.3 to 4.4]), good maternal knowledge of the risks of malaria in pregnancy (OR 2.4 [95% CI 1.3 to 4.3]) and more antenatal care (ANC) contacts (OR 1.3 [95% CI 1.0 to 1.5)]. Focus group discussions showed that non-use of ITNs resulted from inappropriate hanging infrastructure, a preference for other malaria prevention alternatives, allergy and heat. Conclusions Specific maternal knowledge of malaria risks in pregnancy was low and influenced the regular use of ITNs. Community and ANC-based malaria interventions should prioritize increasing knowledge of the specific risks of malaria.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 2 more Smart Citations

Determinants of the use of insecticide-treated mosquito nets in pregnant women: a mixed-methods study in Ghana

Dun-Dery

Kuunibe²,

Meißner

et al. 2022

International Health

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“…Although there has been a considerable decline, there is still a significant number of infections in pregnant women each year [9]. With the IPTp-SP program still bedeviled by poor health system factors in the country, poor knowledge and poor perception of the IPTp-SP is aggravating the problem [10][11][12]. It is important to constantly assess the knowledge and perception of these women and how these affect their uptake of IPTp-SP.…”

Section: Introductionmentioning

confidence: 99%

Assessing nursing mothers’ knowledge, perceptions and uptake of Sulphadoxine Pyrimethamine (IPTp-SP) during pregnancy in the Ho Teaching Hospital of the Volta Region of Ghana

Orish

Puplampu²,

Lokpo³

et al. 2023

PLOS Glob Public Health

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Intermittent preventive therapy during pregnancy with Sulphadoxine Pyrimethamine (IPTp-SP) is one of the potent strategies for preventing malaria in pregnancy (MiP). Factors such as the pregnant woman’s knowledge and very importantly perception or belief about IPTp-SP remains key determinant of IPTp-SP uptake. This study assessed the knowledge and perception of nursing mothers and their uptake of IPTp-SP during pregnancy in the Ho Teaching Hospital. We administered a close-ended questionnaire to 303 nursing mothers and obtained their sociodemographic details as well as information on their knowledge and perception of IPTp-SP utilization. We also reviewed the nursing mothers’ antenatal care (ANC) booklets to ascertain the number of times IPTp-SP was taken during pregnancy. Pearson chi-square was used to determine the association between the sociodemographic variable and the categories of knowledge, perception, and uptake of IPTp-SP. Analysis, was done using SPSS, and the p-value of less than 5% was considered statistically significant. Of the 303 nursing mothers sampled in this study, 265(87.5%) had heard about IPTp-SP of which 138(52.1%) had average knowledge of IPTp-SP. A total of 168(63.4%) had poor perception, and 168(64.6%) had adequate uptake (3–4 doses) of IPTp. Education was significantly associated with perception and uptake, with the majority of women who demonstrated excellent perception were those who had tertiary education (7, 6.35%, p = 0.05), and the majority who demonstrated excellent uptake (5 completed doses) were women who had tertiary education (47, 37.9%, p = 0.01). While knowledge was average, perception of IPTp-SP was poor for the majority of the nursing mothers which might have hampered their uptake of IPTp-SP during pregnancy. It is important that continuous assessment of the individual factors affecting the uptake of IPTp-SP be done regularly to curb the negative influences on the uptake of IPTp-SP.

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Factors affecting the uptake of optimal doses of intermittent preventive treatment of malaria in pregnancy using sulfadoxine pyrimethamine in Ghana: new evidence from the 2019 malaria indicator survey

Klu

Owusu

2023

J Public Health (Berl.)

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Uptake challenges of intermittent preventive malaria therapy among pregnant women and their health care providers in the Upper West Region of Ghana: A mixed-methods study

Cited by 13 publications

References 33 publications

Determinants of the use of insecticide-treated mosquito nets in pregnant women: a mixed-methods study in Ghana

Determinants of the use of insecticide-treated mosquito nets in pregnant women: a mixed-methods study in Ghana

Assessing nursing mothers’ knowledge, perceptions and uptake of Sulphadoxine Pyrimethamine (IPTp-SP) during pregnancy in the Ho Teaching Hospital of the Volta Region of Ghana

Factors affecting the uptake of optimal doses of intermittent preventive treatment of malaria in pregnancy using sulfadoxine pyrimethamine in Ghana: new evidence from the 2019 malaria indicator survey

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