Utilization of Intermittent Preventive Treatment during Pregnancy in the Awutu Senya East Municipality, A Case Study at the Kasoa Polyclinic
Date
2018-07
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Publisher
University Of Ghana
Abstract
Introduction: Malaria in pregnancy has serious health outcomes especially to the pregnant woman and the unborn child. These may include premature delivery, low birth weight (LBW), fetal and maternal death. Adoption of intermittent preventive treatment (IPTp-SP) by government as an effective strategy for malaria prevention during pregnancy has been influenced by various factors such as attitude of health staffs and stock out of SP, hence the need to assess the factors associated with utilization to help improve uptake by pregnant women.
Objective: The study sought to assess client and health facility level factors associated with utilization of intermittent preventive treatment during pregnancy at the Kasoa Polyclinic in Awutu Senya East Municipality.
Methods: The study design was both descriptive and analytical cross-sectional involving a total of 255 randomly selected postnatal mothers at the Child Welfare Clinic who were within six months with permanent residence in the municipality. Questionnaire was used for data collection. Data collected were entered into Microsoft Excel and analyzed in STATA (statistical analysis software) Version 15 with Chi-square and logistic regression with statistical significance set at p<0.05.
Results: Prevalence of IPTp-SP utilization was 86% (218/255), (p = 85.5%, 95% CI = 0.8 – 0.90). Of these, 35.2% (78/221) received three doses of SP during antenatal care, 24.4% (54/221) received four doses of SP with 23.1% (51/221) also receiving two doses. ANC attendance significantly influences IPTp-SP utilization (AOR = 3.1, 95% CI = 1.3 – 7.4). No knowledge on the use of SP significantly reduces the odds of IPTp-SP utilization (AOR = 0.6, 95% CI = 0.3 – 0.96). No knowledge on the interval of SP administration reduces the odds of IPTp-SP utilization (AOR = 0.4, 95% CI = 0.2 – 0.8).
Conclusion: ANC attendance, no knowledge of the use of SP and the interval of SP administration after 1st dose, were significant predictors of IPTp-SP utilization during pregnancy. Health promotion strategies with a focus on strengthening community action should be employed by Community Health Nurses (CHNs) to get women involved in the education of other women on IPTp-SP during pregnancy.
Description
MPH.
Keywords
Pregnancy, Awutu Senya East Municipality, Kasoa Polyclinic