Factors influencing the use of malaria prevention strategies by women in Senegal: a cross-sectional study

Malaria Journal

Research

Aminata Mboup¹  Amy K. Bei²  Mouhamed Abdou Salam Mbengue³  Souleymane Mboup⁴  Ambroise Ahouidi⁴  Oumar Gaye⁵  Moussa Sarr⁶ 

[1] Department of Epidemiology and Preventive Medicine, University of Laval, Quebec City, Canada;Department of Immunology & Infectious Diseases, Harvard TH Chan School of Public Health, Boston, MA, USA;Laboratory of Parasitology and Mycology-Le Dantec Hospital, Faculty of Medicine and Pharmacy, Cheikh Anta Diop University, Dakar, Senegal;Institut de Recherche en Santé, de Surveillance Epidémiologique et de Formations (IRESSEF), BP 7325, Arrondissement 4, Rue 2D1, Pôle Urbain de Diamniadio, Dakar, Senegal;Faculty of Health Sciences, School of Public Health, University of the Witwatersrand, Johannesburg, South Africa;West Africa Global Health Alliance (WAGHA), Dakar, Senegal;Institut de Recherche en Santé, de Surveillance Epidémiologique et de Formations (IRESSEF), BP 7325, Arrondissement 4, Rue 2D1, Pôle Urbain de Diamniadio, Dakar, Senegal;West Africa Global Health Alliance (WAGHA), Dakar, Senegal;West Africa Global Health Alliance (WAGHA), Dakar, Senegal;Laboratory of Parasitology and Mycology-Le Dantec Hospital, Faculty of Medicine and Pharmacy, Cheikh Anta Diop University, Dakar, Senegal;Westat, Rockville, MD, USA;

关键词: Intermittent preventive treatment in pregnancy (IPTp);    Insecticide-treated nets (ITNs);    Pregnancy;    Malaria;    Prevention;    Senegal;   

DOI  :  10.1186/s12936-017-2095-2

 received in 2017-06-09, accepted in 2017-10-28,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundThe World Health Organization (WHO) recommends the use of insecticide-treated nets (ITNs) and intermittent preventive treatment in pregnancy (IPTp) as a cost-effective intervention for the prevention of malaria during pregnancy in endemic areas. This study was conducted to investigate: (1) the extent of use of both IPTp and ITNs, and (2) conduct multinomial regression to identify factors affecting the optimal usage of IPTp and ITNs among women with a recent pregnancy in Senegal.MethodsData was drawn from the 2013–2014 Demographic and Health Survey. A total of 4616 women aged 15–49 years old, who had a recent pregnancy were analyzed. Multinomial logistic regression model was used to assess factors associated with optimal uptake of malaria preventive strategies (both IPTp and ITN use).ResultsAmongst women who had a recent pregnancy, less than half of them used ITNs (46.84%) however, 80.35% reported taking IPTp during their last pregnancy. Overall, 37.51% reported using the optimal malaria preventive strategies. Women aged 35–49 years and living in the richer or middle wealth quintile were more likely to use optimal prevention methods. Pregnant women living in Diourbel, Saint-Louis, Thies, Louga, Fatick and Matam were more likely to use both IPTp-SP and ITNs compared to those living in Dakar. Additionally, women who initiated antenatal care in at least at 6 weeks of pregnancy or who attended four antenatal visits or more were more likely to use optimal malaria preventive methods during pregnancy.ConclusionsThis study has shown important factors that influence the uptake of malaria prevention methods during pregnancy in Senegal. These findings highlight the need for targeted preventive strategies when designing and implementing policies aimed at improving the uptake of these measures during pregnancy in Senegal.

【 授权许可】

CC BY   
© The Author(s) 2017