Abstract
BackgroundThe World Health Organization (WHO) recommends the use of insecticide-treated nets (ITNs) and intermittent preventive treatment in pregnancy (IPTp) as a cost-effective intervention for the prevention of malaria during pregnancy in endemic areas. This study was conducted to investigate: (1) the extent of use of both IPTp and ITNs, and (2) conduct multinomial regression to identify factors affecting the optimal usage of IPTp and ITNs among women with a recent pregnancy in Senegal.MethodsData was drawn from the 2013–2014 Demographic and Health Survey. A total of 4616 women aged 15–49 years old, who had a recent pregnancy were analyzed. Multinomial logistic regression model was used to assess factors associated with optimal uptake of malaria preventive strategies (both IPTp and ITN use).ResultsAmongst women who had a recent pregnancy, less than half of them used ITNs (46.84%) however, 80.35% reported taking IPTp during their last pregnancy. Overall, 37.51% reported using the optimal malaria preventive strategies. Women aged 35–49 years and living in the richer or middle wealth quintile were more likely to use optimal prevention methods. Pregnant women living in Diourbel, Saint-Louis, Thies, Louga, Fatick and Matam were more likely to use both IPTp-SP and ITNs compared to those living in Dakar. Additionally, women who initiated antenatal care in at least at 6 weeks of pregnancy or who attended four antenatal visits or more were more likely to use optimal malaria preventive methods during pregnancy.ConclusionsThis study has shown important factors that influence the uptake of malaria prevention methods during pregnancy in Senegal. These findings highlight the need for targeted preventive strategies when designing and implementing policies aimed at improving the uptake of these measures during pregnancy in Senegal.
Highlights
The World Health Organization (WHO) recommends the use of insecticide-treated nets (ITNs) and intermittent preventive treatment in pregnancy (IPTp) as a cost-effective intervention for the prevention of malaria during pregnancy in endemic areas
Background characteristics and use of malaria prevention methods The characteristics of the study population and enrollment criteria are presented in Table 1 and Fig. 1
A total of 4616 women who had a live birth within the 2 years preceding the survey and who attended antenatal care at least once during their most recent pregnancy or pregnancies
Summary
The World Health Organization (WHO) recommends the use of insecticide-treated nets (ITNs) and intermittent preventive treatment in pregnancy (IPTp) as a cost-effective intervention for the prevention of malaria during pregnancy in endemic areas. Mbengue et al Malar J (2017) 16:470 during pregnancy (IPTp) to prevent pregnancy-associated malaria (PAM) [6] The combination of both prevention strategies has been found to be cost-effective and is associated with substantial reduction in neonatal mortality and low birth weight [7,8,9]. Senegal is one of the 43 sub-Saharan countries where malaria is endemic and represents one of the leading causes of childhood mortality and negative birth outcomes. Use of ITNs has been shown to reduce malaria incidence rate by 50% and mortality rates by 55% in children under 5 years in sub-Saharan Africa [13]. In 2016, there was a nationwide distribution campaign in Senegal that resulted to more than 8 million ITNs being distributed across the country [15]
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