Uptake of intermittent preventive treatment in pregnancy for malaria: further analysis of the 2016 Ghana Malaria Indicator Survey

Darteh, Eugene Kofuor Maafo; Buabeng, Isaac; Akuamoah-Boateng, Clara

doi:10.1007/s10389-020-01206-1

Cited by 11 publications

(19 citation statements)

References 45 publications

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“…The financial barrier to accessing health services is removed and pregnant women can have the needed care, including IPTp services. Although this fact has been established in earlier studies [24,31], this study could not confirm that. It will be useful if future studies can examine this finding to understand why and or validate it.…”

Section: Implications For Obstetric Care and Policycontrasting

confidence: 92%

“…Evidence exists that when women are well informed about the IPTp service at the onset of ANC and when they are due for the doses, they will demand for it appropriately [23]. Having such high level of ANC attendance of over 98.0% in Ghana [31], with over 87.0% attending at least four times, health providers need to work with clients to optimize the benefits of frequent ANC attendance and avoid missed opportunities for IPTp services. Whereas being married was not significantly associated with IPTp coverage, living together with one's partner showed a significant negative relationship with adequate IPTp coverage.…”

Section: Implications For Obstetric Care and Policymentioning

confidence: 99%

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Coverage of intermittent preventive treatment of malaria in pregnancy (IPTp) influences delivery outcomes among women with obstetric referrals at the district level in Ghana

Amoakoh-Coleman

Arhinful

Klipstein‐Grobusch

et al. 2020

Malar J

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Background: The aim of the study was to determine the coverage of intermittent preventive treatment of malaria in pregnancy (IPTp) and its relationship with delivery outcomes among obstetric referral cases at the district level of healthcare. Methods: An implementation research within three districts of the Greater Accra region was conducted from May 2017 to February 2018, to assess the role of an enhanced inter-facility communication system on processes and outcomes of obstetric referrals. A cross-sectional analysis of the data on IPTp coverage as well as delivery outcomes for the period of study was conducted, for all the referrals ending up in deliveries. Primary outcomes were maternal and neonatal complications at delivery. IPTp coverage was determined as percentages and classified as adequate or inadequate. Associated factors were determined using Chi square. Odds ratios (OR, 95% CI) were estimated for predictors of adequate IPTp dose coverage for associations with delivery outcomes, with statistical significance set at p = 0.05. Results: From a total of 460 obstetric referrals from 16 lower level facilities who delivered at the three district hospitals, only 223 (48.5%) received adequate (at least 3) doses of IPTp. The district, type of facility where ANC is attended, insurance status, marital status and number of antenatal clinic visits significantly affected IPTp doses received. Adjusted ORs show that adequate IPTp coverage was significantly associated with newborn complication [0.80 (0.65-0.98); p = 0.03], low birth weight [0.51 (0.38-0.68); p < 0.01], preterm delivery [0.71 (0.55-0.90); p = 0.01] and malaria as indication for referral [0.70 (0.56-0.87); p < 0.01]. Positive association with maternal complication at delivery was seen but was not significant. Conclusion: IPTp coverage remains low in the study setting and is affected by type of health facility that ANC is received at, access to health insurance and number of times a woman attends ANC during pregnancy. This study also confirmed earlier findings that, as an intervention IPTp prevents bad outcomes of pregnancy, even among women

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Section: Implications For Obstetric Care and Policycontrasting

confidence: 92%

Section: Implications For Obstetric Care and Policymentioning

confidence: 99%

Coverage of intermittent preventive treatment of malaria in pregnancy (IPTp) influences delivery outcomes among women with obstetric referrals at the district level in Ghana

Amoakoh-Coleman

Arhinful

Klipstein‐Grobusch

et al. 2020

Malar J

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“…IPTp-SP administration is considered to be one of the three main strategies recommended by the WHO for the management of malaria in pregnancy in secure areas of transmission of malaria during antenatal visits [ 16 ]. As the WHO recommends at least three doses of SP, we used the guideline of three doses for the current study to classify the variable into two; incomplete (0–2 doses) and complete (3 or more doses) [ 11 , 12 , 16 ].…”

Section: Methodsmentioning

confidence: 99%

“…Other countries such as Angola, DR Congo, Guinea, Malawi, and Senegal revised their policy in 2013, and most countries adopted the three doses of IPTp-SP policy in 2014 [ 7 ]. However, progress towards improving the three doses IPTp-SP uptake among pregnant women has been inadequate [ 8 – 10 ] and country and regional variations have been recorded as well [ 9 – 11 ]. Andrews et al [ 9 ] for instance recommended further research into the factors responsible for such discrepancies in IPTp-SP uptake across countries.…”

Section: Introductionmentioning

confidence: 99%

“…For instance, the odds of IPTp-SP uptake are likely to be higher among women who utilize ANC services [ 9 , 13 ]. Other factors that influence the uptake of IPTp-SP include education, occupation, marital status, ethnicity, exposure to IPTp-SP messages, and parity [ 11 , 14 , 15 ]. Given the negative consequences of malaria in pregnancy [ 2 ], studies on IPTp-SP are important benchmarks for understanding the extent of malaria control and prevention during pregnancy.…”

Section: Introductionmentioning

confidence: 99%

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Factors influencing the uptake of intermittent preventive treatment among pregnant women in sub-Saharan Africa: a multilevel analysis

et al. 2021

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Background Intermittent Preventive Treatment (IPT) of malaria in pregnancy is a full therapeutic course of antimalarial sulfadoxine-pyrimethamine (SP) medicine given to pregnant women in their second trimester at routine antenatal care visits, regardless of whether the recipient is infected with malaria. Given the negative consequences of malaria in pregnancy, studies on Intermittent Preventive Therapy with Sulfadoxine-Pyrimethamine (IPTp-SP) are important benchmarks for understanding the extent of malaria control and prevention during pregnancy. We, therefore, examined the factors associated with the uptake of IPTp-SP among pregnant women in sub-Saharan Africa. Methods We used data from the current versions of the Malaria Indicators Survey of 12 countries in sub-Saharan Africa. Women aged 15–49 years participated in the surveys. The analyses were carried out using Stata version 14.2. Descriptive (frequencies and percentages) and multilevel regression analyses were carried out. The results of the multilevel regression analysis were presented as adjusted odds ratios (aOR) with 95% confidence intervals (CIs). Results The average prevalence of uptake of IPTp-SP among pregnant women in the studied sub-Saharan African countries was 30.69%, with the highest and lowest prevalences in Ghana (59.64%) and Madagascar (10.08%), respectively. Women aged 40–44 compared to those aged 15–19 (aOR = 1.147, 95%CI = [1.02,1.30) had higher odds of receiving 3 or more doses of IPTp-SP. Women with a secondary/higher level of education compared to those with no formal education (aOR = 1.12, 95%CI = 1.04,1.20] also had higher odds of receiving 3 or more doses of IPTp-SP. Women who were exposed to malaria messages on the radio (aOR = 1.07, 95%CI = 1.02,1.12] and television (aOR = 1.13,95%CI = [1.05,1.21]) had higher odds of receiving 3 or more doses of IPTp-SP compared to those who were not exposed. Conclusion Our study indicates that the uptake of IPTp-SP is relatively low among the countries included in this study, with significant inter-country variations. Higher educational level, exposure to media, low parity, and higher age group were associated with higher odds of optimal IPTp-SP uptake. National policies, programs, guidance services such as information service and counselling and other interventions aimed at improving the coverage and uptake of IPTp-SP must be targeted at women with low level of education, non-exposure to media, high parity, and younger age group to attain the desired outcome.

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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 of intermittent preventive treatment in pregnancy for malaria: further analysis of the 2016 Ghana Malaria Indicator Survey

Cited by 11 publications

References 45 publications

Coverage of intermittent preventive treatment of malaria in pregnancy (IPTp) influences delivery outcomes among women with obstetric referrals at the district level in Ghana

Coverage of intermittent preventive treatment of malaria in pregnancy (IPTp) influences delivery outcomes among women with obstetric referrals at the district level in Ghana

Factors influencing the uptake of intermittent preventive treatment among pregnant women in sub-Saharan Africa: a multilevel analysis

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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