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Knowledge and Utilization of Intermittent Preventive Treatment (IPT) for Malaria Control Among Pregnant Women Attending Antenatal Clinics in the Sunyani West District of Ghana

Received: 21 February 2017     Accepted: 6 March 2017     Published: 15 April 2017
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Abstract

For this study, the knowledge and utilization of Intermittent Preventive Treatment (IPT) for malaria control among pregnant women attending antenatal clinics in the Primary Health Care Centers in the Sunyani West District of Ghana was assessed. A cross-sectional descriptive survey was conducted to assess antenatal accessibility and practices of IPT, knowledge of pregnant women on IPT use, and the effectiveness of IPT towards the reduction of malaria in pregnancy. The researcher used both secondary and primary data to elicit information for the study. The tools for the primary data collection were structured questionnaire and focused group discussion. Data was collected in two health facilities in the Sunyani West. Data was analyzed using Statistical Package for Social Science (SPSS) version 20.0 and the results were presented using frequencies, graph, cross tabulation and level of association using Chi-square. The study shows that the knowledge and utilization of IPT among pregnant women in Sunyani West District were very low. Majority of the respondents (68.2%) did not have knowledge on ITP use. Thus at 95% confidence level, the proportion of those who did not have knowledge on IPT use and those who had was highly significant (p1≠P2). The major challenges that were identified to suppress the effectiveness of IPT utilization from the health care provider point of view included inadequate Antenatal Clinic trained staff, low facility coverage and late ANC reporting of pregnant women. This study, therefore, recommends that healthcare providers in the district should intensify education on the use of Intermittent Preventive Treatment of malaria in pregnant women through community durbars, and radio and Television programs.

Published in Science Journal of Public Health (Volume 5, Issue 3)
DOI 10.11648/j.sjph.20170503.24
Page(s) 254-262
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2017. Published by Science Publishing Group

Keywords

Intermittent Preventive Treatment, Malaria Control, Antenatal Accessibility, Effectiveness, Knowledge of IPT

References
[1] Marchesini, T., & Crawley, J. (2004). Malaria, iron deficiency and anaemia control. An Update of Roll Back Malaria. Geneva: WHO.
[2] Mbonye, A. K., Neema, S., & Magnussen, P. (2005). Perceptions on use of sulfadoxine- pyrimethamine in pregnancy and the policy implications for malaria control in Uganda. Journal of Health Policy, 2, 6.
[3] Global Fund Training Manual. (2005). Intermittent Preventive treatment of Malaria in Pregnancy. Training Manual for Health Providers. Participants guide.
[4] Savage, E., Msyamboza, K., Gies, S., & D’Alessandro, H. (2007). Indicator for monitoring malaria control in pregnancy in sub-Saharan Africa. BJOG, 114, 1222-1231.
[5] Steketee, R., Nahlen, B., Parise, M., & Menendez, C. (2001). The burden of malaria in pregnancy in malaria-endemic areas. American Journal of Tropical Medicine and Hygiene, 64, 28-35.
[6] Marielle, K. B. A., Denisa, E. I. C., Modeste, M. M., Eric, K., Pierre, B. M., Elie, M., & Maryvome, K. (2003). Prevalence of Plasmodium Falciparum Infection in Pregnant women in Gabon. Malaria Journal, 2, 1-17.
[7] Peter, P. J., Thigpen, M. C., Parisen, M. E., & Newman, R. D. (2007). Safety and toxicity of Sulfadoxine pyrimethamine implications for malaria prevention in pregnancy using.
[8] WHO. (2004). A strategic framework for malaria prevention and control during pregnancy in the Africa Region. RBM Malaria in Pregnancy Info Sheet 2005. Geneva: World Health Organization.
[9] Ghana Health Service Annual Report, 2015.
[10] President Malaria Initiative. (2009). Malaria Operational Plan, Year Two (FY09). Ghana.
[11] WHO/RBM. (2005). Children and Malaria. Roll Back Malaria Department. Geneva: WHO.
[12] Enato, E. F., Okhamafe, A. O., & Okpere, E. E. (2007). A survey of knowledge, attitude and practice of malaria management among pregnant women from two health care facilities in Nigeria. In Acta Obstetric Gynecological Scand., 86 (1), 33-6.
[13] Falade, C. O., Yusuf, B. O., Fadero, F. F., Mokolu, O. A., Hamer, D. H., & Salako, L. A. (2007). Intermittent preventive treatment with Sulfadoxine-Syrimethamine is effective in preventing maternal and placental malaria in Ibadan, south-western Nigeria. Malaria Journal, 6, 8.
[14] Mubyazi, A., Bloch, P., Kamugisha, M., Kituua, A., & Ijimba, J. (2005). Intermittent preventive treatment of malaria during pregnancy: A qualitative study of knowledge, attitudes and practices of district health managers, antenatal care staff and pregnant women in Korogwe district, Northern eastern Tanzania. Malaria Journal, 4, 31.
[15] Newman, R. D. (2006). Malaria prevention during pregnancy; assessing burden one year after implementing a program of 2006: the disease preventive treatment in Koupela district, Burkina Faso. American Journal of Tropical Medical and Hygiene, 75, 205-211.
[16] Launiala, A., & Honkasolo, C. J. (2007). Reduction in mortality and morbidity from malaria in Gambian children. Lancet, 345, 479-483.
[17] Antwi, G. D. (2010). Factors influencing the uptake of Intermittent Preventive Treatment of Malaria in Pregnany in the Bosomtwi District of Ghana. French Embassy Small Grants programme in the Humanities and Social Sciences, 52-54. Ghana: Accra.
[18] Nganda, R. Y., Drakeley, C., Reyburn, H., & Marchant, T. (2004). Knowledge of malaria influences the use of insecticide treated nets but not intermittent presumptive treatment by pregnant women in Tanzania. Malaria Journal, 12 (3), 42.
[19] Ministry of Health, Ghana. (2009). Malaria Action Plan: 1993-1997. Ghana: Accra, (unpublished).
[20] Roll Back Malaria, RBM. (2011). Children and Malaria. Roll Back Malaria Department. Geneva: WHO.
[21] Ghana Statistical Service. (2012). Municipal Population and Housing Census Unpublished. Ghana: Sunyani.
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    Evans Atenkperiga Ayiisi. (2017). Knowledge and Utilization of Intermittent Preventive Treatment (IPT) for Malaria Control Among Pregnant Women Attending Antenatal Clinics in the Sunyani West District of Ghana. Science Journal of Public Health, 5(3), 254-262. https://doi.org/10.11648/j.sjph.20170503.24

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    ACS Style

    Evans Atenkperiga Ayiisi. Knowledge and Utilization of Intermittent Preventive Treatment (IPT) for Malaria Control Among Pregnant Women Attending Antenatal Clinics in the Sunyani West District of Ghana. Sci. J. Public Health 2017, 5(3), 254-262. doi: 10.11648/j.sjph.20170503.24

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    AMA Style

    Evans Atenkperiga Ayiisi. Knowledge and Utilization of Intermittent Preventive Treatment (IPT) for Malaria Control Among Pregnant Women Attending Antenatal Clinics in the Sunyani West District of Ghana. Sci J Public Health. 2017;5(3):254-262. doi: 10.11648/j.sjph.20170503.24

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  • @article{10.11648/j.sjph.20170503.24,
      author = {Evans Atenkperiga Ayiisi},
      title = {Knowledge and Utilization of Intermittent Preventive Treatment (IPT) for Malaria Control Among Pregnant Women Attending Antenatal Clinics in the Sunyani West District of Ghana},
      journal = {Science Journal of Public Health},
      volume = {5},
      number = {3},
      pages = {254-262},
      doi = {10.11648/j.sjph.20170503.24},
      url = {https://doi.org/10.11648/j.sjph.20170503.24},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20170503.24},
      abstract = {For this study, the knowledge and utilization of Intermittent Preventive Treatment (IPT) for malaria control among pregnant women attending antenatal clinics in the Primary Health Care Centers in the Sunyani West District of Ghana was assessed. A cross-sectional descriptive survey was conducted to assess antenatal accessibility and practices of IPT, knowledge of pregnant women on IPT use, and the effectiveness of IPT towards the reduction of malaria in pregnancy. The researcher used both secondary and primary data to elicit information for the study. The tools for the primary data collection were structured questionnaire and focused group discussion. Data was collected in two health facilities in the Sunyani West. Data was analyzed using Statistical Package for Social Science (SPSS) version 20.0 and the results were presented using frequencies, graph, cross tabulation and level of association using Chi-square. The study shows that the knowledge and utilization of IPT among pregnant women in Sunyani West District were very low. Majority of the respondents (68.2%) did not have knowledge on ITP use. Thus at 95% confidence level, the proportion of those who did not have knowledge on IPT use and those who had was highly significant (p1≠P2). The major challenges that were identified to suppress the effectiveness of IPT utilization from the health care provider point of view included inadequate Antenatal Clinic trained staff, low facility coverage and late ANC reporting of pregnant women. This study, therefore, recommends that healthcare providers in the district should intensify education on the use of Intermittent Preventive Treatment of malaria in pregnant women through community durbars, and radio and Television programs.},
     year = {2017}
    }
    

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  • TY  - JOUR
    T1  - Knowledge and Utilization of Intermittent Preventive Treatment (IPT) for Malaria Control Among Pregnant Women Attending Antenatal Clinics in the Sunyani West District of Ghana
    AU  - Evans Atenkperiga Ayiisi
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    UR  - https://doi.org/10.11648/j.sjph.20170503.24
    AB  - For this study, the knowledge and utilization of Intermittent Preventive Treatment (IPT) for malaria control among pregnant women attending antenatal clinics in the Primary Health Care Centers in the Sunyani West District of Ghana was assessed. A cross-sectional descriptive survey was conducted to assess antenatal accessibility and practices of IPT, knowledge of pregnant women on IPT use, and the effectiveness of IPT towards the reduction of malaria in pregnancy. The researcher used both secondary and primary data to elicit information for the study. The tools for the primary data collection were structured questionnaire and focused group discussion. Data was collected in two health facilities in the Sunyani West. Data was analyzed using Statistical Package for Social Science (SPSS) version 20.0 and the results were presented using frequencies, graph, cross tabulation and level of association using Chi-square. The study shows that the knowledge and utilization of IPT among pregnant women in Sunyani West District were very low. Majority of the respondents (68.2%) did not have knowledge on ITP use. Thus at 95% confidence level, the proportion of those who did not have knowledge on IPT use and those who had was highly significant (p1≠P2). The major challenges that were identified to suppress the effectiveness of IPT utilization from the health care provider point of view included inadequate Antenatal Clinic trained staff, low facility coverage and late ANC reporting of pregnant women. This study, therefore, recommends that healthcare providers in the district should intensify education on the use of Intermittent Preventive Treatment of malaria in pregnant women through community durbars, and radio and Television programs.
    VL  - 5
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Author Information
  • Winwild Information and Research Consult, Sunyani West, Ghana

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