Abstract
IntroductionThe coverage of adequate (≥2 doses) IPTp-SP in Ghana is below the national target of 80% and that is a threat to reducing the incidence of malaria in pregnancy. The primary objective of the study was to determine the client and facility related factors associated with adequate uptake of IPTp-SP and suggest approaches for increased uptake.MethodsA cross sectional study was conducted among ANC clients and staff in Gushegu, questionnaires was administered to 330 conveniently sampled nursing mothers and all ANC staff present. A checklist and observation were used to collect health facility data. Data was analyzed descriptively and associations between the related factors and adequate uptake of IPTp-SP were determined.ResultsA total of 91.5% and 8.5% of respondents took adequate (≥2doses) and inadequate (≤1dose) IPTp-SP respectively. 85.4% respondents were early first ANC attendance and 80% were multiple gravidae. Mean ANC visits was 5.0 (standard deviation = 2.2). The key determinants for inadequate uptake of IPTp were Unemployment [OR= 4.9 95% CI (1.9-13.1], single gravidae [OR= 3.4 95% CI (1.5-7.6)] and late first ANC visit [OR= 6.8 95% CI (3.0-15.4)]. DOT practice, good staff attitude and health talk at the facility were observed and confirmed by ANC clients as satisfactory. adequate uptake of SP among respondents was high. Majorities were unemployed, have had multiple pregnancies and made early first ANC visits. Unemployment and late first ANC visits are significantly associated with taking inadequate SP dose.ConclusionAdequate uptake of SP among respondents was high. Majorities were unemployed, have had multiple pregnancies and made early first ANC visits. Unemployment and late first ANC visits are significantly associated with taking inadequate SP dose.
Highlights
There were an estimated 207 million cases of malaria in 2012 and an estimated 627 000 deaths globally [1]. 90% of all malaria deaths occur in sub-Saharan Africa [1]
Introduction: the coverage of adequate (≥2 doses) IPTp-SP in Ghana is below the national target of 80% and that is a threat to reducing the incidence of malaria in pregnancy
Unemployment and late first Antenatal clinic (ANC) visits are significantly associated with taking inadequate SP dose. conclusion: adequate uptake of SP among respondents was high
Summary
There were an estimated 207 million cases of malaria in 2012 (uncertainty range:135 – 287 million) and an estimated 627 000 deaths globally (uncertainty range: 473 000 – 789 000) [1]. 90% of all malaria deaths occur in sub-Saharan Africa [1]. In order to control malaria in general and in pregnant women, the WHO proposed both preventive and curative measures. They include prompt and effective management of malaria illness, the use of Insecticide Treated Nets(ITNs) and Intermittent Preventive Treatment during Pregnancy(IPTp) [4,5]. IPTp-SP is recommended for all pregnant women at each scheduled antenatal care(ANC) visit until the time of delivery, provided that the doses are given at least one month apart. SP should be given during the first trimester of pregnancy: the last dose of IPTp-SP can be administered up to the time of delivery without safety concerns
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