Missed opportunities for Intermittent Preventive Treatment of Malaria among pregnant women with the recommended number of antenatal care visits in Nigeria: Secondary Analysis of Malaria Indicator Survey 2021.

Autor:	Ahmad IA; Department of Community Medicine, College of Medicine, Kaduna State University, Kaduna, Nigeria. E-mail: Ibrahim.ahmad@kasu.edu.ng Tel: +2348036923937, Ibrahim JM; Department of Community Medicine, College of Medicine, Kaduna State University, Kaduna, Nigeria. E-mail: Ibrahim.ahmad@kasu.edu.ng Tel: +2348036923937, Idris SH; Department of Community Medicine, College of Medicine, Ahmadu Bello University, Zaria, Nigeria., Nmadu AG; Department of Community Medicine, College of Medicine, Kaduna State University, Kaduna, Nigeria. E-mail: Ibrahim.ahmad@kasu.edu.ng Tel: +2348036923937, Sambo MN; Department of Community Medicine, College of Medicine, Ahmadu Bello University, Zaria, Nigeria.
Jazyk:	angličtina
Zdroj:	West African journal of medicine [West Afr J Med] 2023 Oct 31; Vol. 40 (10), pp. 1021-1028.
Abstrakt:	Background and Objectives: Missed opportunity (MO) for IPTp SP remains high in Nigeria even among pregnant women with four or more ANC visits. We assessed the current MO rate and its predictors, using data from the 2021 MIS. Methods: We carried out a secondary analysis of data of women who had at least one live birth and at least 4 ANC visits. Bivariate analyses assessed the relationship between socio-demographic characteristics, type of ANC facility, type of ANC provider, knowledge of malaria prevention, awareness about IPT, and missed opportunity using the Chi-square test. Multivariate analyses were presented as odd ratios at 95% CI, (P value <0.05). Results: Nearly half (47%) had only primary education or none at all. About 30% were poor. Most had their 1st visit ANC in the 2nd trimester (58%). The missed opportunity rate was 55%. Predictors included age 20 to 34 years [aOR 1.3(1.1-1.67)], being very poor [aOR 1.6(1.1-2.4)], late ANC (in 2nd or 3rd trimester) [aOR 0.57(0.4-0.89)], ignorance about malaria prevention [aOR 1.8(1.4-2.4)], ignorance about IPT [aOR 1.3(1.3-2.5)] and residence in the South South and North East [aOR 0.46(0.31-0.68)] regions. Conclusions: The missed opportunity was high. Place of residence, poor knowledge of malaria prevention and IPT use, late commencement of ANC, poverty, and young age (20 to 34 years) contributed to the burden. Recommendations include stressing the importance of IPT during health talks. Provision of cups and drinking water for the IPT DOT policy by the Government and partners. There is a need for further research to unravel the reasons for the higher MO rates in some regions. Competing Interests: The Authors declare that no competing interest exists. (Copyright © 2023 by West African Journal of Medicine.)
Databáze:	MEDLINE
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