Factors Associated with Malaria Preventive Measures among Pregnant Women in Guinea.

Autor: Diallo A; Centre Hospitalo-Universitaire Ignace Deen, Service de Gynécologie, Conakry, Guinea., Touré AA; Centre National de Formation et de Recherche en Santé Rurale de Mafèrinyah, Forécariah, Guinea., Doumbouya A; Centre National de Formation et de Recherche en Santé Rurale de Mafèrinyah, Forécariah, Guinea., Magassouba AS; Department of Public Health, Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University, Conakry, Guinea., Traoré F; Departement des Sciences Pharmaceutiques et Biologiques, Faculté des Sciences et Techniques de la Santé, Université Gamal Abdel Nasser de Conakry, Guinea., Cissé M; Direction Nationale Des Grandes Endemies et de la Lutte Contre la Maladie, Ministère de la santé, Conakry, Guinea., Barry I; Centre National de Formation et de Recherche en Santé Rurale de Mafèrinyah, Forécariah, Guinea., Conté I; Centre Hospitalo-Universitaire Ignace Deen, Service de Gynécologie, Conakry, Guinea., Cissé D; Department of Public Health, Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University, Conakry, Guinea., Cissé A; Sightsavers, Conakry, Guinea., Camara G; Department of Public Health, Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University, Conakry, Guinea., Bérété AO; Centre National de Formation et de Recherche en Santé Rurale de Mafèrinyah, Forécariah, Guinea., Camara AY; Centre National de Formation et de Recherche en Santé Rurale de Mafèrinyah, Forécariah, Guinea., Conté NY; Centre National de Formation et de Recherche en Santé Rurale de Mafèrinyah, Forécariah, Guinea., Beavogui AH; Centre Hospitalo-Universitaire Ignace Deen, Service de Gynécologie, Conakry, Guinea.
Jazyk: angličtina
Zdroj: Infectious diseases in obstetrics and gynecology [Infect Dis Obstet Gynecol] 2021 Jul 01; Vol. 2021, pp. 9914424. Date of Electronic Publication: 2021 Jul 01 (Print Publication: 2021).
DOI: 10.1155/2021/9914424
Abstrakt: Background: Malaria control interventions have been scaled up, particularly those in pregnant women in Guinea. Despite that, coverage of key malaria preventive measure (MPM) indicators remains low. Therefore, it is vital to understand the reasons behind that, especially for the low coverage of sulfadoxine-pyrimethamine (SP) and long-lasting insecticide-treated bed nets (LLIN).
Methods: We conducted a cross-sectional survey in nine district hospitals in Guinea. Pregnant women received for delivery were interviewed to collect sociodemographic and obstetrical parameters. Associated factors with MPMs were investigated through univariate analysis and classification and regression tree (CART).
Results: A total of 2248 parturients participated in this study. Among pregnant women using mosquito nets (63.5% (61.4%, 65.5%)), only 41.2% (39.1%, 43.3%) had used it regularly during the last two weeks preceding delivery. Similarly, most pregnant women (57.9% (55.8%, 59.9%)) had received less than three doses of SP, and only a few pregnant women (23.9% (22.1%, 25.7%)) have benefited from full MPMs. Parturient's age, marital status, time spent in residence, place of residence, level of education, distance from home to the health centre, health conditions, occupation, head of the household's occupation, the presence of garbage and stagnant water in the neighbourhood, source of running water, and the number of pregnancies were significantly statistically associated with MPMs in pregnant women. However, the number of antenatal care visits (ANC), means of transportation used by the pregnant woman to accomplish ANCs, and stagnant water in the neighbourhood were the three preponderant factors.
Conclusion: The low coverage of SP and LLINs among pregnant women requires revitalising some strategies, especially improving ANC coverage and more efforts to reduce inequalities in access to those services due to sociodemographic status. Education on the benefits of these MPMs should also be emphasised.
Competing Interests: The authors state that there are no conflicts between the parties cited in this study.
(Copyright © 2021 Abdourahamane Diallo et al.)
Databáze: MEDLINE
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