Late ANC initiation and factors associated with sub-optimal uptake of sulphadoxine-pyrimethamine in pregnancy: a preliminary study in Cape Coast Metropolis, Ghana
| Autor: | Francis Anto, Benjamin Kwasi Amoako |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Adult
medicine.medical_specialty Adolescent 030231 tropical medicine Reproductive medicine Antenatal care Logistic regression Ghana lcsh:Gynecology and obstetrics Antimalarials Young Adult 03 medical and health sciences 0302 clinical medicine Health facility Pregnancy Sulfadoxine Humans Medicine 030212 general & internal medicine reproductive and urinary physiology lcsh:RG1-991 business.industry Public health Obstetrics and Gynecology Prenatal Care Pregnant woman Patient Acceptance of Health Care medicine.disease IPTp-SP Malaria Drug Combinations Cross-Sectional Studies Pyrimethamine Health promotion Pregnancy Complications Parasitic Sulphadoxine-Pyrimethamine Gestation Female business Research Article Demography |
| Zdroj: | BMC Pregnancy and Childbirth, Vol 21, Iss 1, Pp 1-10 (2021) BMC Pregnancy and Childbirth |
| ISSN: | 1471-2393 |
| DOI: | 10.1186/s12884-021-03582-2 |
| Popis: | Background Malaria infection during pregnancy is of public health importance as it poses risk to the pregnant woman, her foetus and the newborn child. Intermittent preventive treatment during pregnancy using sulphadoxine-pyrimethamine is one way of reducing the effect of the disease on pregnancy outcomes. The study determined factors associated with uptake of sulphadoxine-pyrimethamine during pregnancy in the Cape Coast Metropolis of Ghana. Methods A health facility-based cross-sectional study involving pregnant women of ≥36 weeks gestation visiting antenatal clinics in three selected health facilities in the Cape Coast Metropolis was conducted. Participants were consecutively recruited using a structured questionnaire over a 6-week period from May to June, 2018. Descriptive statistics was used to summarize the data whilst Pearson’s chi-square/Fisher exact test was performed to determine associations and logistic regression done to determine the strength of the associations. Results A total of 212 pregnant women participated in the study. Formal education, initiating ANC early, taking first dose of SP during second trimester, not experiencing side effects of SP, having knowledge about schedule for taking SP and making ≥4 ANC visits were factors associated with uptake of ≥3 doses of IPTp-SP. Logistic regression analysis revealed that, mothers who made ≥4 ANC visits were 53.77 times more likely to take ≥3 doses of SP compared with those who made p p = 0.022). Making ≥8 ANC visits did not increase the chances of taking ≥5 doses of SP. Conclusion Health promotion programmes targeting mothers with no formal education could increase their awareness about the importance of ANC services including uptake of IPTp-SP. |
| Databáze: | OpenAIRE |
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