Perceptions and experiences of intravenous iron treatment for anaemia in pregnancy in Malawi: a formative qualitative study.

Autor:	Manda-Taylor L; School of Global and Public Health, Kamuzu University of Health Sciencies, Private Bag 360, Blantyre, 3, Malawi., Kufankomwe M; School of Global and Public Health, Kamuzu University of Health Sciencies, Private Bag 360, Blantyre, 3, Malawi., Chatha G; School of Global and Public Health, Kamuzu University of Health Sciencies, Private Bag 360, Blantyre, 3, Malawi., Chipeta E; School of Global and Public Health, Kamuzu University of Health Sciencies, Private Bag 360, Blantyre, 3, Malawi., Mamani-Mategula E; School of Global and Public Health, Kamuzu University of Health Sciencies, Private Bag 360, Blantyre, 3, Malawi., Mwangi MN; School of Global and Public Health, Kamuzu University of Health Sciencies, Private Bag 360, Blantyre, 3, Malawi., Kelaher M; Centre for Health Policy, Melbourne School of Population and Global Health, The University of Melbourne,, Melbourne, Level 4, 207 Bouverie Street, Victoria 3010, Australia., Prang KH; Centre for Health Policy, Melbourne School of Population and Global Health, The University of Melbourne,, Melbourne, Level 4, 207 Bouverie Street, Victoria 3010, Australia., Ataíde R; Population Health and Immunity/Infection and Immunity Divisions, The Walter and Eliza Hall Institute of Medical, Research, 1G, Royal Parade, Parkville, Melbourne, VIC 3052, Australia., Pasricha SR; Population Health and Immunity/Infection and Immunity Divisions, The Walter and Eliza Hall Institute of Medical, Research, 1G, Royal Parade, Parkville, Melbourne, VIC 3052, Australia., Phiri KS; School of Global and Public Health, Kamuzu University of Health Sciencies, Private Bag 360, Blantyre, 3, Malawi.
Jazyk:	angličtina
Zdroj:	Gates open research [Gates Open Res] 2024 Mar 08; Vol. 6, pp. 66. Date of Electronic Publication: 2024 Mar 08 (Print Publication: 2022).
DOI:	10.12688/gatesopenres.13631.4
Abstrakt:	Background: The study objective was to explore opinions, identify experiences, and describe perspectives on the acceptability of intravenous (IV) iron to treat anaemia in pregnancy and identify potential barriers and facilitators of introducing IV iron in the Malawian healthcare system. Methods: We conducted 15 in-depth interviews and two focus group discussions with pregnant women, and seven in-depth interviews with health workers at a community-based health centre in Blantyre and a tertiary hospital in Zomba. Results: Most women who used IV iron treatment during the second trimester of pregnancy reported feeling better and stronger after receiving the intervention. Women perceived that IV iron treatment worked faster than oral iron tablets and increased their haemoglobin count. However, cultural beliefs that IV iron treatment will cause miscarriage and the perception that study procedures involved Satanism and vampirism practices were barriers to acceptability. Health workers found IV iron treatment easy to administer because it is a single-dose treatment, simultaneously reducing the burden for pregnant women taking daily oral iron tablets. However, health workers expressed concerns about the costs and the need to train health workers before the large-scale implementation and integration of IV iron treatment into Malawi's routine care. Conclusions: Despite the perceived concerns and challenges experienced in participating in the first IV iron infusion trial in Malawi, participants' reflections suggest that IV iron infusion is acceptable for treating iron-deficiency anaemia in pregnancy. Participant advocate groups can offer a peer-to-peer education approach to sensitize and engage community members on the benefits of treatment and dispel concerns when the country contemplates integrating IV iron infusion for treating anaemia in pregnancy in Malawi. Competing Interests: No competing interests were disclosed. (Copyright: © 2024 Manda-Taylor L et al.)
Databáze:	MEDLINE
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