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Utilization Drop-Out of Intermittent Preventive Treatment with Sulfadoxine-Pyrimethamine among Pregnant Women in North Western Ghana
Science Journal of Public Health
Volume 2, Issue 3, May 2014, Pages: 156-164
Received: Mar. 6, 2014; Accepted: Apr. 16, 2014; Published: Apr. 20, 2014
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Anthony Chiaraah, Department of Economics and Entrepreneurship Development, University for Development Studies, Wa, Ghana
Ebenezer Owusu-Sekyere, Department of Development Studies, University for Development Studies, Wa, Ghana
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Although studies have shown the efficacy of Intermittent Preventive Treatment (IPT) with Sulfadoxine-pyrimethamine (SP) as a chemo ‘prophylaxis’ for malaria during pregnancy, the dose completion rate is still low in many communities in Ghana. Since the implementation of the IPT with SP policy on pilot basis in some districts and the scaling-up of the policy in other districts of the Upper West Region (UWR), available statistics reveal a high drop-out rate in the second dose. This study assessed various factors that contribute to the low utilization and completion rate of SP, and elicit suggestion for the improvement of the implementation of the policy. This anthropological study was conducted in the Wa municipality of Ghana. A total of six FGDs were held, 4 with pregnant women and 2 with post natal mothers using a semi structured questionnaire. In addition 17 key informant interviews of health service providers of different categories were conducted and additional information on records also reviewed. The results revealed that there was high level of awareness and knowledge of SP as an intervention for malaria prevention during pregnancy. However, negative factors like staff attitude towards clients, mix understanding of correct doses and interval, poor quality of services, and distance to health facilities, lack of proper education as well as culture hindered pregnant women from taking the drug leading to high dropout rate. The study posits that the trend is likely to continue unless a clear policy governing the IPT is efficiently implemented.
Intermittent Preventive Treatment, Sulfadoxin- Pyrimethamine, Pregnancy, Malaria, Scaling up
To cite this article
Anthony Chiaraah, Ebenezer Owusu-Sekyere, Utilization Drop-Out of Intermittent Preventive Treatment with Sulfadoxine-Pyrimethamine among Pregnant Women in North Western Ghana, Science Journal of Public Health. Vol. 2, No. 3, 2014, pp. 156-164. doi: 10.11648/j.sjph.20140203.13
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