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Objective: To determine facility-level and service-related factors affecting the prescription of sulfadoxine-pyrimethamine (SP) for intermittent preventive treatment for malaria during antenatal clinic visits in Kenya. Methods: Using data from the 2010 Kenya Service Provision Assessment, data analysis was performed on 1,183 client antenatal visits. Logistic regression was used to analyze the effects of facility and service-related factors on sulfadoxine-pyrimethamine prescription. Results: Facility managing authority, drug availability, and number of previous SP doses were significantly associated with prescription. No statistically significant relationships were found between IPTp guideline availability, supervision, quality assurance, or water and SP prescription. Conclusion: Among health facilities in Kenya, facility and service-delivery factors impact effectiveness of national malaria policy. This study identifies opportunities to improve SP/IPTp coverage by focusing on supply-side mechanisms. |
