Compliance with Intermittent Preventive Treatment Against Malaria in Pregnancy: Role of Health Center Quality and Accessibility in a Beninese Semi Urban Area
European Journal of Preventive Medicine
Volume 9, Issue 1, January 2021, Pages: 8-13
Received: Dec. 1, 2020;
Accepted: Dec. 9, 2020;
Published: Jan. 12, 2021
Views 12 Downloads 4
Padonou Sètondji Géraud Roméo, Department of Public Health, Faculty of Health Sciences, University of Abomey-Calavi, Cotonou, Republic of Benin
Aguemon Badirou, Department of Public Health, Faculty of Health Sciences, University of Abomey-Calavi, Cotonou, Republic of Benin
Damien Georgia, Population and Health Department, Center for Training and Research in Population, University of Abomey-Calavi, Cotonou, Republic of Benin
Djossou Elisette, Department of Public Health, Faculty of Health Sciences, University of Abomey-Calavi, Cotonou, Republic of Benin
Codjia Estelle, Teaching and Research Unit in Community Health and Epidemiology, Faculty of Health Sciences, University of Abomey-Calavi, Cotonou, Republic of Benin
Hinson Antoine Vickey, Research and Teaching Unit in Occupational Health and Environment, Faculty of Health Sciences, University of Abomey-Calavi, Cotonou, Republic of Benin
Ayelo Paul, Research and Teaching Unit in Occupational Health and Environment, Faculty of Health Sciences, University of Abomey-Calavi, Cotonou, Republic of Benin
Background: In a context of low coverage (around 40%) of malarial intermittent preventive treatment in pregnant women in republic of Benin, we investigated the implication of health center quality and accessibility factors on the compliance with IPTp. Methods: In a cross-sectional study conducted from October 2017 to February 2018 in southern Benin, 422 women, pregnant in the last trimester or who gave birth less than a month ago were included. Conditions of access to the health center and factors related to the quality of services at the health center were collected. To search for associated factors, univariate analysis were performed using Chi2 (or Fisher’s) and Student’s test. Logistic regression model was fitted for multivariate analysis. Results: Rates of IPTp intake were 36.49%, 26.78% and 11.14% respectively for first, second and third doses. Two factors increased the probability of taking IPT: travel cost (OR=2.57 [1.36; 3.92]) and quality of reception at health center (OR=1.93 [1.27; 2.64]). Conversely, the increase in travel time from home to health center was associated with a lower probability of taking IPT (OR=0.91 [0.85; 0.98]). Conclusion: This study highlighted the need to take into account the improvement of the socioeconomic level of women and the improvement of the quality of services in health centers in order to achieve better coverage of IPT taking in pregnant women. Strengthening the health system in developing countries, in particular by recruiting health workers and training them, is beneficial.
Padonou Sètondji Géraud Roméo,
Hinson Antoine Vickey,
Compliance with Intermittent Preventive Treatment Against Malaria in Pregnancy: Role of Health Center Quality and Accessibility in a Beninese Semi Urban Area, European Journal of Preventive Medicine.
Vol. 9, No. 1,
2021, pp. 8-13.
WHO. World Malaria Report 2017.
WHO. World Malaria Report 2013.
WHO. World Malaria Report. 2011.
De Beaudrap, P., E. Turyakira, L. J. White, C. Nabasumba, B. Tumwebaze, A. Muehlenbachs, et al. Impact of malaria during pregnancy on pregnancy outcomes in a Ugandan prospective cohort with intensive malaria screening and prompt treatment. Malar J. 2013; 12: 139.
Sohail, M., S. Shakeel, S. Kumari, A. Bharti, F. Zahid, S. Anwar, et al. Prevalence of Malaria Infection and Risk Factors Associated with Anaemia among Pregnant Women in Semiurban Community of Hazaribag, Jharkhand, India. Biomed Res Int. 2015; 2015: 740512.
Takem, E. N. and U. D'Alessandro. Malaria in pregnancy. Mediterr J Hematol Infect Dis. 2013; 5 (1): e2013010.
Hill, J., J. Hoyt, A. M. van Eijk, L. D'Mello-Guyett, F. O. Ter Kuile, R. Steketee, et al. Factors affecting the delivery, access, and use of interventions to prevent malaria in pregnancy in sub-Saharan Africa: a systematic review and meta-analysis. PLoS Med. 2013; 10 (7): e1001488.
Bouyou-Akotet, M. K., D. P. Mawili Mboumba, E. Kendjo, F. Mbadinga, N. Obiang-Bekale, P. Mouidi, et al. Anaemia and severe malarial anaemia burden in febrile Gabonese children: a nine-year health facility based survey. J Infect Dev Ctries. 2013; 7 (12): 983-9.
Kendjo, E., T. Agbenyega, K. Bojang, C. R. Newton, M. Bouyou-Akotet, F. Pedross, et al. Mortality patterns and site heterogeneity of severe malaria in African children. PLoS One. 2013; 8 (3): e58686.
Desai, M., F. O. ter Kuile, F. Nosten, R. McGready, K. Asamoa, B. Brabin, et al. Epidemiology and burden of malaria in pregnancy. Lancet Infect Dis. 2007; 7 (2): 93-104.
Eisele, T. P., D. A. Larsen, P. A. Anglewicz, J. Keating, J. Yukich, A. Bennett, et al. Malaria prevention in pregnancy, birthweight, and neonatal mortality: a meta-analysis of 32 national cross-sectional datasets in Africa. Lancet Infect Dis. 2012; 12 (12): 942-9.
WHO. Updated WHO Policy Recommendation. 2012. Oct, Intermittent Preventive Treatment of malaria in pregnancy using Sulfadoxine Pyrimethamine (IPTp SP). 2012.
WHO. Policy brief for the implementation of intermittent preventive treatment of malaria in pregnancy. World Health Organization. 2014; (1: 12).
Corbel, V., R. N'Guessan, C. Brengues, F. Chandre, L. Djogbenou, T. Martin, et al. Multiple insecticide resistance mechanisms in Anopheles gambiae and Culex quinquefasciatus from Benin, West Africa. Acta Trop. 2007; 101 (3): 207-16.
Mbengue, M. A. S., A. K. Bei, A. Mboup, A. Ahouidi, M. Sarr, S. Mboup, et al. Factors influencing the use of malaria prevention strategies by women in Senegal: a cross-sectional study. Malar J. 2017; 16 (1): 470.
Ibrahim, H., E. T. Maya, K. Issah, P. A. Apanga, E. G. Bachan, and C. L. Noora. Factors influencing uptake of intermittent preventive treatment of malaria in pregnancy using sulphadoxine pyrimethamine in Sunyani Municipality, Ghana. Pan Afr Med J. 2017; 28: 122.
Ayubu, M. B. and W. B. Kidima. Monitoring Compliance and Acceptability of Intermittent Preventive Treatment of Malaria Using Sulfadoxine Pyrimethamine after Ten Years of Implementation in Tanzania. Malar Res Treat. 2017; 2017: 9761289.
Orish, V. N., O. S. Onyeabor, J. N. Boampong, R. Afoakwah, E. Nwaefuna, S. Acquah, et al. Prevalence of intermittent preventive treatment with sulphadoxine-pyrimethamine (IPTp-SP) use during pregnancy and other associated factors in Sekondi-Takoradi, Ghana. Afr Health Sci. 2015; 15 (4): 1087-96.
Nwaefuna, E. K., R. Afoakwah, V. N. Orish, A. Egyir-Yawson, and J. N. Boampong. Effectiveness of Intermittent Preventive Treatment in Pregnancy with Sulphadoxine-Pyrimethamine against Submicroscopic falciparum Malaria in Central Region, Ghana. J Parasitol Res. 2015; 2015: 959427.
Namazzi, G., M. Okuga, M. Tetui, R. Muhumuza Kananura, A. Kakaire, S. Namutamba, et al. Working with community health workers to improve maternal and newborn health outcomes: implementation and scale-up lessons from eastern Uganda. Glob Health Action. 2017; 10 (sup4): 1345495.
van Eijk, A. M., J. Hill, D. A. Larsen, J. Webster, R. W. Steketee, T. P. Eisele, et al. Coverage of intermittent preventive treatment and insecticide-treated nets for the control of malaria during pregnancy in sub-Saharan Africa: a synthesis and meta-analysis of national survey data, 2009-11. Lancet Infect Dis. 2013; 13 (12): 1029-42.
Olukoya, O. O. and O. A. Adebiyi. Missed Opportunities for Intermittent Preventive Treatment for Malaria in Pregnancy in Nigeria: Evidence from Demographic and Health Survey in Nigeria 2013. Ann Ib Postgrad Med. 2017; 15 (2): 88-95.
Kibusi, S. M., E. Kimunai, and C. S. Hines. Predictors for uptake of intermittent preventive treatment of malaria in pregnancy (IPTp) in Tanzania. BMC Public Health. 2015; 15: 540.
Ampt, F., M. M. Mon, K. K. Than, M. M. Khin, P. A. Agius, C. Morgan, et al. Correlates of male involvement in maternal and newborn health: a cross-sectional study of men in a peri-urban region of Myanmar. BMC Pregnancy Childbirth. 2015; 15: 122.
Kaye, D. K., O. Kakaire, A. Nakimuli, M. O. Osinde, S. N. Mbalinda, and N. Kakande. Male involvement during pregnancy and childbirth: men's perceptions, practices and experiences during the care for women who developed childbirth complications in Mulago Hospital, Uganda. BMC Pregnancy Childbirth. 2014; 14: 54.
Kululanga, L. I., J. Sundby, A. Malata, and E. Chirwa. Male involvement in maternity health care in Malawi. Afr J Reprod Health. 2012; 16 (1): 145-57.
Kwambai, T. K., S. Dellicour, M. Desai, C. A. Ameh, B. Person, F. Achieng, et al. Perspectives of men on antenatal and delivery care service utilisation in rural western Kenya: a qualitative study. BMC Pregnancy Childbirth. 2013; 13: 134.
Olayemi, O., F. A. Bello, C. O. Aimakhu, G. O. Obajimi, and A. O. Adekunle. Male participation in pregnancy and delivery in Nigeria: a survey of antenatal attendees. J Biosoc Sci. 2009; 41 (4): 493-503.
Wai, K. M., A. Shibanuma, N. N. Oo, T. J. Fillman, Y. M. Saw, and M. Jimba. Are Husbands Involving in Their Spouses' Utilization of Maternal Care Services?: A Cross-Sectional Study in Yangon, Myanmar. PLoS One. 2015; 10 (12): e0144135.
Pell, C., A. Menaca, F. Were, N. A. Afrah, S. Chatio, L. Manda-Taylor, et al. Factors affecting antenatal care attendance: results from qualitative studies in Ghana, Kenya and Malawi. PLoS One. 2013; 8 (1): e53747.