Barriers to and determinants of the use of intermittent preventive treatment of malaria in pregnancy in Cross River State, Nigeria: a cross-sectional study

Autor: Caroline W. Kabiru, Okokon Enembe, Aniekan Etokidem, Obaji Etaba Akpet, Nnette Ekpenyong, Eme T. Owoaje, Angela Oyo-Ita, Soter Ameh
Rok vydání: 2014
Předmět:
Pediatrics
Cross-sectional study
medicine.medical_treatment
Health Services Accessibility
Cross River State
0302 clinical medicine
Pregnancy
Obstetrics and Gynaecology
030212 general & internal medicine
Determinants
education.field_of_study
Family Characteristics
Obstetrics and Gynecology
Prenatal Care
Middle Aged
Drug Combinations
Pyrimethamine
Sulfadoxine-pyrimethamine
Female
Barriers
Research Article
Adult
medicine.medical_specialty
Adolescent
Sulfadoxine
030231 tropical medicine
Population
Reproductive medicine
Developing country
Nigeria
Prenatal care
03 medical and health sciences
Antimalarials
Environmental health
parasitic diseases
medicine
Humans
Use
Insecticide-Treated Bednets
education
business.industry
medicine.disease
Malaria
Cross-Sectional Studies
Logistic Models
Pregnancy Complications
Parasitic
Intermittent preventive treatment of malaria in pregnancy
Patient Compliance
business
Zdroj: BMC Pregnancy and Childbirth
ISSN: 1471-2393
Popis: Background Malaria in pregnancy (MIP) has serious consequences for the woman, unborn child and newborn. The use of sulfadoxine-pyrimethamine for the intermittent preventive treatment of malaria in pregnancy (SP-IPTp) is low in malaria endemic areas, including some regions of Nigeria. However, little is known about pregnant women’s compliance with the SP-IPTp national guidelines in primary health care (PHC) facilities in the south-south region of Nigeria. The aim of this study was to identify the barriers to and determinants of the use of SP-IPTp among pregnant women attending ANC in PHC facilities in Cross River State, south-south region of Nigeria. Methods A cross-sectional survey was conducted in 2011 among 400 ANC attendees aged 15–49 years recruited through multistage sampling. Binary logistic regression was used to determine the factors associated with the use of SP-IPTp in the study population. Results Use of SP-IPTp was self-reported by 41 % of the total respondents. Lack of autonomy in the households to receive sulfadoxine-pyrimethamine (SP) during ANC was the main barrier to use of IPTp (83 %). Other barriers were stock-outs of free SP (33 %) and poor supervision of SP ingestion by directly observed treatment among those who obtained SP from ANC clinics (36/110 = 33 %). In the multivariate logistic regression, the odds of using SP-IPTp was increased by the knowledge of the use of insecticide treated nets (ITNs) (OR = 2.13, 95 % CI: 1.70–3.73) and SP (OR = 22.13, 95 % CI: 8.10–43.20) for the prevention of MIP. Use of ITNs also increased the odds of using SP-IPTp (OR = 2.38, 95 % CI: 1.24–12.31). Conclusions Use of SP-IPTp was low and was associated with knowledge of the use of ITNs and SP as well as the use of ITNs for the prevention of MIP. There is a need to strengthen PHC systems and address barriers to the usage of SP-IPTp in order to reduce the burden of MIP. Electronic supplementary material The online version of this article (doi:10.1186/s12884-016-0883-2) contains supplementary material, which is available to authorized users.
Databáze: OpenAIRE
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