Abstract
Background In Africa the burden of malaria in pregnancy is highest in rural areas. In many Sub-Saharan African countries, IPTp/SP is being adopted to replace chloroquine (CQ) chemoprophylaxis shown to be inefficacious. Many publications showed a very poor compliance with CQ chemoprophylaxis among pregnant women and might explain the failure of this preventive strategy rather than increased levels of CQ resistance. In this study, we compare three approaches of IPTp/SP delivery to pregnant women in term of improving coverage and compliance. These three approaches are: i) Passive health centre services, ii) Extended delivery outreach services, iii) Community based distribution delivery approach.
Highlights
In Africa the burden of malaria in pregnancy is highest in rural areas
The mean coverage of 2 doses of Intermittent Preventive Treatment (IPT) is higher in the community based arm than in the control group (33% vs 24%; P
The compliance was better in the control group than intervention groups (P=0.001)
Summary
Different approaches for delivery of Intermittent Preventive Treatment (IPT) to pregnant women in Burkina Faso. Alphonse Ouédraogo1*†, Sheick O Coulibaly2,3†, Amidou Diarra, Abdoulaye Traoré, Sodiomon B Sirima, Pascal Magnussen. From Parasite to Prevention: Advances in the understanding of malaria Edinburgh, UK. From Parasite to Prevention: Advances in the understanding of malaria Edinburgh, UK. 20-22 October 2010
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