Barriers to and determinants of the use of intermittent preventive treatment of malaria in pregnancy in Cross River State, Nigeria: a cross-sectional study

BMC Pregnancy and Childbirth

Research Article

Caroline W. Kabiru¹  Nnette Ekpenyong²  Obaji E. O. Akpet²  Okokon Enembe²  Angela Oyo-Ita²  Aniekan Etokidem²  Soter Ameh³  Eme Owoaje⁴ 

[1] African Population and Health Research Center, Nairobi, Kenya;Department of Community Medicine, College of Medical Sciences, University of Calabar, Calabar, Cross River State, Nigeria;Department of Community Medicine, College of Medical Sciences, University of Calabar, Calabar, Cross River State, Nigeria;Medical Research Council/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa;Department of Community Medicine, College of Medicine, University of Ibadan, Ibadan, Oyo State, Nigeria;

关键词: Determinants;    Barriers;    Use;    Sulfadoxine-pyrimethamine;    Intermittent preventive treatment of malaria in pregnancy;    Cross River State;    Nigeria;   

DOI  :  10.1186/s12884-016-0883-2

 received in 2014-12-18, accepted in 2016-04-20,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundMalaria in pregnancy (MIP) has serious consequences for the woman, unborn child and newborn. The use of sulfadoxine-pyrimethamine for the intermittent preventive treatment of malaria in pregnancy (SP-IPTp) is low in malaria endemic areas, including some regions of Nigeria. However, little is known about pregnant women’s compliance with the SP-IPTp national guidelines in primary health care (PHC) facilities in the south-south region of Nigeria. The aim of this study was to identify the barriers to and determinants of the use of SP-IPTp among pregnant women attending ANC in PHC facilities in Cross River State, south-south region of Nigeria.MethodsA cross-sectional survey was conducted in 2011 among 400 ANC attendees aged 15–49 years recruited through multistage sampling. Binary logistic regression was used to determine the factors associated with the use of SP-IPTp in the study population.ResultsUse of SP-IPTp was self-reported by 41 % of the total respondents. Lack of autonomy in the households to receive sulfadoxine-pyrimethamine (SP) during ANC was the main barrier to use of IPTp (83 %). Other barriers were stock-outs of free SP (33 %) and poor supervision of SP ingestion by directly observed treatment among those who obtained SP from ANC clinics (36/110 = 33 %). In the multivariate logistic regression, the odds of using SP-IPTp was increased by the knowledge of the use of insecticide treated nets (ITNs) (OR = 2.13, 95 % CI: 1.70–3.73) and SP (OR = 22.13, 95 % CI: 8.10–43.20) for the prevention of MIP. Use of ITNs also increased the odds of using SP-IPTp (OR = 2.38, 95 % CI: 1.24–12.31).ConclusionsUse of SP-IPTp was low and was associated with knowledge of the use of ITNs and SP as well as the use of ITNs for the prevention of MIP. There is a need to strengthen PHC systems and address barriers to the usage of SP-IPTp in order to reduce the burden of MIP.

【 授权许可】

CC BY   
© Ameh et al. 2016