UTILIZATION AND EFFECTIVENESS OF MALARIA PREVENTION METHODS AMONG PREGNANT WOMEN IN TERTIARY HOSPITAL SITUATED IN RURAL COMMUNITY OF EKITI STATE, NIGERIA

2021 ◽  
pp. 6-9
Author(s):  
Azeez Oyemomi Ibrahim ◽  
Tosin Anthony Agbesanwa ◽  
Olabode Muftau Shabi ◽  
Kayode Ebenezer Ariyibi ◽  
Ayodele Kamal Alabi ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Indoor Residual Spray ◽  
Venous Blood ◽  
Malaria Prevention ◽  
Tertiary Hospital ◽  
Malaria Parasitaemia ◽  
Insecticide Treated Nets ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Prevention Methods

Background: National surveys indicate that among countries in Africa where malaria is endemic, Nigeria alone accounts for 21% of pregnancies that are unprotected from malaria. This study aimed to ascertain the extent of utilization and effectiveness of malaria prevention methods, found out the existing relationship between maternal parasitaemia and the effectiveness of these methods at (p<0.05) level of signicance.Methods: The study was a cross sectional survey involving 264 consenting pregnant women who were recruited at booking clinic at Federal Teaching Hospital, Ido -Ekiti, Ekiti State, Nigeria. Interviewer administered questionnaire was used to elicit information on their socio-demographic characteristics, mode and extent of utilization of malaria prevention methods and their effectiveness. Venous blood samples were collected and analyzed for malaria parasitaemia using the microscopy. Data was analyzed using SPSS version 20.0 Results:The malaria prevention methods most commonly reported as being effective were the Insecticide Treated Nets (ITNs), Indoor Residual Spray (IRS) or both, which were utilized by 97(36.5%), 79 (30.0%) and 88 (33.4%) participants respectively. Eight (8.3%), 9 (10.8%), and 7 (7.9%) of the participants that used ITNs, IRS or both combination respectively tested positive for malaria parasitaemia. There was a statistically signicant association between maternal parasitaemia and malaria prevention methods using ITNs (p=0.001), IRS (p = 0.001) or both (p = 0.001).Conclusion: The most commonly adopted malaria prevention methods were ITNs, Indoor Residual Spray or both. Despite their protective effectiveness, their utilizations are still poor. Information and communication strategies by the stakeholders are suggested to improve the utilization of these methods as adopted by other countries.

scholarly journals Knowledge of Malaria and Utilization of Its Preventive Measures among Pregnant Women Attending Antenatal Care at a Tertiary Hospital in Port-Harcourt, Nigeria

2020 ◽  
pp. 34-46
Author(s):  
P. A. Awoyesuku ◽  
C. Ohaka ◽  
B. Ngeri
Keyword(s):  
Pregnant Women ◽  
Preventive Measures ◽  
Statistical Significance ◽  
Malaria Prevention ◽  
Tertiary Hospital ◽  
Roll Back Malaria ◽  
Insecticide Treated Nets ◽  
Mosquito Net ◽  
Cross Sectional ◽  
Significant Difference

Background: Prevention of malaria is a major priority for the roll back malaria partnership which recommends three-pronged approach for reducing the burden of malaria among pregnant women. The WHO framework for malaria prevention during pregnancy in areas of stable malaria transmission recommends IPT, use of ITN, and case management of malaria illness. Objective: This study sought to determine the knowledge of malaria and its preventive measures among pregnant women, assess their utilization of malaria preventive measures and attitude to treatment. To ascertain whether there exists any relationship between their knowledge and practice of prevention. Methodology: An institutional based, cross-sectional study was carried out. 385 consenting participants, between 18-48 years, were interviewed using a structured questionnaire. Information on socio-demographic characteristics, knowledge of malaria and its preventive measures, use of IPT and ownership/use of ITN, and attitude to treatment were recorded. Data were entered into Excel spreadsheet and analyzed with SPSS version 20. Associations between different variables were determined using Fisher’s exact test or Chi-square test, as appropriate, and logistic regression used to test statistical significance at P<0.05. Results: Of the 385 women, 307 (79.7%) had excellent (18.7%) and good (61%) knowledge, while 78 (20.3%) had average (16.6%) and poor (3.6%) knowledge. There was no difference in association of Knowledge with age, marital status, education, occupation, and parity. Of the 385 women, 61.3% were using IPT for chemoprophylaxis, 66.2% were using insecticide spray or repellants and 71.4% owned mosquito net; of these, 84% owned insecticide treated nets, but only 65.8% were using it in this current pregnancy. Reasons for not using nets ranged from unavailable 49.0%, discomfort due to heat 32.9%, fear of suffocation 6.9%, Spouse’s disapproval 3.9% and 1.0% ineffective. There was statistically significant difference between knowledge and use of IPT, ITN and insecticide sprays. Conclusion: There was adequate knowledge of malaria in pregnancy and its preventive measures, but utilization of these measures needs improvement. Efforts should be made to address barriers to utilization.

scholarly journals Utilization And Effectiveness Of Malaria Prevention Methods Among Pregnant Women In A Rural Community Of Ekiti State, South West Nigeria: A Cross- Sectional Study.

2020 ◽  
Author(s):  
Azeez Ibrahim ◽  
Tosin Anthony Agbesanwa ◽  
Olabode Muftau Shabi ◽  
Kayode Ebenezer Ariyibi ◽  
Ayodele Kamal Alabi ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Malaria Parasite ◽  
Rank Order ◽  
Venous Blood ◽  
Intermittent Preventive Treatment ◽  
Malaria Prevention ◽  
Cross Sectional ◽  
Blood Samples ◽  
Prevention Methods ◽  
Insecticide Spray

Abstract Background: National surveys indicate that among countries in Africa where malaria is endemic, Nigeria alone accounts for 21% of pregnancies that are unprotected from malaria. The purpose of this study is to ascertain the extent of utilization and effectiveness of malaria prevention methods, to find out the existing relationship between maternal parasitaemia and the effectiveness of these methods at (p<0.05) level of significance.Methods: The study was a cross sectional survey involving 264 consenting booked pregnant women who were recruited from antenatal clinic at Federal Teaching Hospital, Ido -Ekiti, Ekiti State, Southwestern Nigerian. Interviewer administered questionnaire was used to elicit information on the socio-demographic characteristics of the respondents, mode of malaria prevention, extent of utilization of malaria prevention methods and their effectiveness. Venous blood samples for malaria parasite test were collected and microscopic analysis was done to detect the malaria parasite in the obtained blood samples. Data was analyzed using SPSS version 20.0Results: All the 264 pregnant women interviewed, consented to having their blood taken. In rank order, the mode of malaria prevention methods most commonly reported as being effective were Intermittent Preventive Treatment using sulphadoxine-pyrimethamine (IPT-sp) which was favored by majority 190 (72.0%). This was followed by Insecticide Spray 166 (62.9%). Insecticide Treated Nets (ITNs) were the least utilized by 108 (40.9%) respondents. Nine (8.3%) of the 108 participants that used ITNs, 15 (7.9%) of the 190 participants that used IPT-s and 18 (10.8%) of the 156 participants that used Insecticide Spray tested positive for malaria respectively. There was a statistically significant association between maternal parasitaemia and malaria prevention methods using ITNs (p=0.001), IPT-sp (p = 0.001) and Insecticide sprays (p = 0.001).Conclusion: The three malaria preventive methods adopted for this study were ITNs, IPT-sp and Insecticide Spray. Despite their protective effectiveness, their utilizations are still poor. Information and communication strategies with other concerted efforts by the stakeholders are suggested to ensure proper implementation of the national policy on malaria as adopted by other countries.

scholarly journals Utilization And Effectiveness Of Malaria Prevention Methods Among Pregnant Women  In A Rural Community Of Ekiti State, South West Nigeria : A Cross- Sectional Study.

2020 ◽  
Author(s):  
Azeez Ibrahim ◽  
Tosin Agbesanwa ◽  
Olabode Shabi ◽  
Kayode Ariyibi ◽  
Ayodele Alabi ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Malaria Parasite ◽  
Rank Order ◽  
Venous Blood ◽  
Intermittent Preventive Treatment ◽  
Malaria Prevention ◽  
Cross Sectional ◽  
Blood Samples ◽  
Prevention Methods ◽  
Insecticide Spray

Abstract Background: National surveys indicate that among countries in Africa where malaria is endemic, Nigeria alone accounts for 21% of pregnancies that are unprotected from malaria. The purpose of this study is to ascertain the extent of utilization and effectiveness of malaria prevention methods, to find out the existing relationship between maternal parasitaemia and the effectiveness of these methods at (p<0.05) level of significance.Methods: The study was a cross sectional survey involving 264 consenting booked pregnant women who were recruited from antenatal clinic at Federal Teaching Hospital, Ido -Ekiti, Ekiti State, Southwestern Nigerian. Interviewer administered questionnaire was used to elicit information on the socio-demographic characteristics of the respondents, mode of malaria prevention, extent of utilization of malaria prevention methods and their effectiveness. Venous blood samples for malaria parasite test were collected and microscopic analysis was done to detect the malaria parasite in the obtained blood samples. Data was analyzed using SPSS version 20.0Results: All the 264 pregnant women interviewed, consented to having their blood taken. In rank order, the mode of malaria prevention methods most commonly reported as being effective were Intermittent Preventive Treatment using sulphadoxine-pyrimethamine (IPT-sp) which was favored by majority 190 (72.0%). This was followed by Insecticide Spray 166 (62.9%). Insecticide Treated Nets (ITNs) were the least utilized by 108 (40.9%) respondents. Nine (8.3%) of the 108 participants that used ITNs, 15 (7.9%) of the 190 participants that used IPT-s and 18 (10.8%) of the 156 participants that used Insecticide Spray tested positive for malaria respectively. There was a statistically significant association between maternal parasitaemia and malaria prevention methods using ITNs (p=0.001), IPT-sp (p = 0.001) and Insecticide sprays (p = 0.001).Conclusion: The three malaria preventive methods adopted for this study were ITNs, IPT-sp and Insecticide Spray. Despite their protective effectiveness, their utilizations are still poor. Information and communication strategies with other concerted efforts by the stakeholders are suggested to ensure proper implementation of the national policy on malaria as adopted by other countries.

scholarly journals Pregnant Women and Malaria Preventive Measures: A Case of Tamale Teaching Hospital, Ghana

2021 ◽  
Vol 2021 ◽  
pp. 1-9
Author(s):  
Abdul Rauf Alhassan
Keyword(s):  
Pregnant Women ◽  
Teaching Hospital ◽  
Preventive Measures ◽  
Malaria Prevention ◽  
Bivariate Analysis ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Preventive Practice ◽  
Study Participants ◽  
Tamale Teaching Hospital

Background. In Saharan Africa, an estimated 25 million pregnancies are all at risk of malaria every year, with substantial morbidity and death effects for both the mother and the fetus. Aim. To investigate the use of malaria preventive measures among pregnant women patronizing antenatal services of Tamale Teaching Hospital. Methodology. This study was conducted using a descriptive cross-sectional survey of 250 participants. Data analysis was done with SPSS version 20. Graphs and tables were used to present the study data. Bivariate analysis was done using Chi-square use to determine the relationships and binary logistics regression used for identification of predictor variables. Results. The mean age of the study participants was 30.0 ± 4.5 years and most of them (73.0%) were within the age group of 25–35 years. Respondents’ favorable knowledge, a favorable attitude, and favorable practice were 78.0%, 62.0%, and 57.6%, respectively. And the following variables were associated with malaria preventive practice: age of the respondent (X2 = 6.276, P = 0.043 ), religion (X2 = 6.904, P = 0.032 ), level of education (X2 = 41.482, P < 0.001 ), employment status (X2 = 20.533, P < 0.001 ), monthly income (X2 = 21.838, P < 0.001 ), and attitude level towards malaria prevention (X2 = 35.885, P < 0.001 ). Further analysis revealed educational level and attitude level as predictors of malaria preventive practice. Conclusion. This study recorded favorable knowledge, attitude, and practice with regards to malaria prevention among more than half of the study participants.

scholarly journals Anaemia and iron deficiency during pregnancy in rural Bangladesh

2004 ◽  
Vol 7 (8) ◽  
pp. 1065-1070 ◽  
Author(s):  
SM Ziauddin Hyder ◽  
Lars-Åke Persson ◽  
Mushtaque Chowdhury ◽  
Bo Lönnerdal ◽  
Eva-Charlotte Ekström
Keyword(s):  
Iron Deficiency ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Economic Status ◽  
Venous Blood ◽  
Haemoglobin Concentration ◽  
Severe Anaemia ◽  
Enzyme Linked Immunosorbent Assay ◽  
Cross Sectional Survey ◽  
Cross Sectional

AbstractObjective:To study the prevalence of anaemia and its association with measures of iron deficiency (ID) among a group of pregnant women.Design:Cross-sectional survey.Setting:Pregnant women identified through house-to-house visits and participating in community-based antenatal care activities in a rural location of Mymensingh, Bangladesh.Subjects:The estimates are based on 214 reportedly healthy pregnant women in their second trimester. Information on socio-economic status and reproductive history were obtained through home visits and venous blood samples were collected at antenatal care centres. Haemoglobin concentration (Hb) was measured by HemoCue, serum ferritin (sFt) by radioimmunoassay and serum transferrin receptor (sTfR) by enzyme-linked immunosorbent assay methods. ID was defined as presence of either low sFt (<12 μg l−1) or high sTfR (>8.5 mg l−1).Results:The prevalence of anaemia (Hb <110 g l−1) was 50%, but severe anaemia (Hb >70 g l−1) was absent. Low sFt was observed in 42%, high sTfR in 25%, either low sFt or high TfR in 54% and both low sFt and high TfR in 13% of the pregnant women. Two out of three anaemic women had an indication of ID, which was present in 80% of women with moderate (Hb 70–99 g l−1) and 50% with mild (Hb 100–109 g l−1) anaemia. Four out of 10 non-anaemic women (Hb >110 g l−1) also had ID, but the prevalence was significantly lower than that observed in anaemic women (P=0.001).Conclusions:Despite the high prevalence of anaemia, severe cases were absent. The prevalence of ID increased at lower Hb. However, an increased prevalence was also found among women in the highest category of Hb.

scholarly journals Malaria prevention knowledge, attitudes, and practices in Zambezia Province, Mozambique

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Liliana de Sousa Pinto ◽  
Jorge A. H. Arroz ◽  
Maria do Rosário O. Martins ◽  
Zulmira Hartz ◽  
Nuria Negrao ◽  
...  
Keyword(s):  
Preventive Measures ◽  
Early Recognition ◽  
Behavioural Change ◽  
Intermittent Preventive Treatment ◽  
Malaria Prevention ◽  
Insecticide Treated Nets ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Attitudes And Practices ◽  
Prevention Messages

Abstract Background In Mozambique, socio-economic and cultural factors influence the wide adoption of disease preventive measures that are relevant for malaria control strategies to promote early recognition of disease, prompt seeking of medical care, sleeping under insecticide-treated nets (ITNs), and taking intermittent preventive treatment for pregnant women. However, there is a critical information gap regarding previous and ongoing malaria social and behavioural change (SBC) interventions. The aim of this study is to assess the knowledge, attitudes, practices of beneficiaries of SBC interventions. Methods A descriptive cross-sectional survey was undertaken in 2018 in two rural districts of Zambezia Province, Mozambique. A structured questionnaire was administered to 773 randomly selected households. Respondents were the adult heads of the households. Descriptive statistics were done. Results The main results show that 96.4% of respondents recalled hearing about malaria in the previous 6 months, 90.0% had knowledge of malaria prevention, and 70.0% of preventive measures. Of the 97.7% respondents that had received ITNs through a mass ITN distribution campaign, 81.7% had slept under an ITN the night before the survey. In terms of source of health information, 70.5% mentioned the role of community volunteers in dissemination of malaria prevention messages, 76.1% of respondents considered worship places (churches and mosques) to be the main places where they heard key malaria prevention messages, and 79.1% asserted that community dialogue sessions helped them better understand how to prevent malaria. Conclusions Results show that volunteers/activists/teachers played an important role in dissemination of key malaria prevention messages, which brought the following successes: community actors are recognized and people have knowledge of malaria transmission, signs and symptoms, preventive measures, and where to get treatment. There is, however, room for improvement on SBC messaging regarding some malaria symptoms (anaemia and convulsions) and operational research is needed to ascertain the drivers of malaria prevalence and inform the SBC approach.

scholarly journals Malaria prevention practices and delivery outcome: a cross sectional study of pregnant women attending a tertiary hospital in northeastern Nigeria

2016 ◽  
Vol 15 (1) ◽  
Author(s):  
Hamzat U. Muhammad ◽  
Fatima J. Giwa ◽  
Adebola T. Olayinka ◽  
Shakir M. Balogun ◽  
IkeOluwapo Ajayi ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Malaria Prevention ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Delivery Outcome

scholarly journals Publics’ Malaria Knowledge, Prevention and Treatment Practices, A Cross-sectional Survey From Khartoum, Sudan

2020 ◽  
Author(s):  
Syed Sulaiman ◽  
Elkhanssa Abdelhameed Elhag
Keyword(s):  
Community Education ◽  
Malaria Prevention ◽  
Effective Control ◽  
Political Commitment ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Treatment Practices ◽  
Treatment And Prevention ◽  
Prevention And Treatment ◽  
Prevention Methods

Abstract Background: Malaria is one of the major health problems in Sudan with high prevalence among children under five years age and pregnant women. Effective control of the disease needs contribution of the community, health authorities as well as political commitment. This research was conducted to assess the public’s knowledge, and practice regarding malaria prevention and treatment.Methods: A cross-sectional survey was conducted among publics in Khartoum State. Data was collected using a self-administered questionnaire. Publics were assessed for their knowledge about malaria symptoms and complications, knowledge and utilization of prevention methods and drugs knowledge and treatment behaviors.Results: About 457 of the public participated in the survey. Despite that the publics showed good knowledge regarding malaria symptoms, complications and drugs knowledge, self-treatment practices were there. Noncompliance to treatment in form of stopping treatment upon symptoms relieve and upon developing adverse drug reactions was also reported. Underuse of prevention methods was reported.Conclusions: Inappropriate treatment and prevention practices among the community could be an obstacle in the way of malaria elimination in Sudan. More efforts towards involvement of the community in malaria control through community education are needed.

Malaria Prevention and Mothers: Sudan

2021 ◽  
Author(s):  
Yousif Elmosaad ◽  
Ahmed Al Rajeh ◽  
Asif khan ◽  
Elfatih Malik ◽  
Ilias Mahmud
Keyword(s):  
Formal Education ◽  
Effective Means ◽  
Malaria Prevention ◽  
Good Knowledge ◽  
Bed Nets ◽  
Cluster Sampling ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Attitudes And Practices ◽  
Positive Attitudes

This study assessed the knowledge, attitudes, and practices (KAP) in malaria prevention using insecticide-treated bed nets (ITNs) among mothers of children under five years of age in White Nile State, Sudan. Multistage cluster sampling was used to select 761 mothers for this cross-sectional survey. There were gaps in the KAP in malaria prevention. Only 46.3% of the mothers stated personal protective measures (PPMs) as the best malaria prevention strategy; 54.9% considered ITNs as an effective means; and only 18.7% reported sleeping under an ITN every day. Older mothers were less likely to have good knowledge (OR=0.96), attitudes (OR=0.98) and practices (OR=0.98). Having a Government employee as the head of the household was positively associated with knowledge (OR=2.16) and attitudes (OR=1.96). The mother having a formal education was also positively associated with good knowledge (OR=1.55) and positive attitudes (OR=1.69). Mothers with a monthly household income of <491 Sudanese Pound were more likely to have good knowledge (OR=1.43). Mothers who had good knowledge (OR=4.99) and positive attitudes towards PPMs (OR=2.60) in malaria prevention were found to be more likely to practice preventive measures. Therefore, we recommend focusing on raising mothers’ awareness of the different preventive activities to protect them and their family from malaria.

Sign in / Sign up

Export Citation Format

Share Document