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Factors Associated with Malaria Preventive Measures among Pregnant Women in Guinea.
- Source :
-
Infectious diseases in obstetrics and gynecology [Infect Dis Obstet Gynecol] 2021 Jul 01; Vol. 2021, pp. 9914424. Date of Electronic Publication: 2021 Jul 01 (Print Publication: 2021). - Publication Year :
- 2021
-
Abstract
- Background: Malaria control interventions have been scaled up, particularly those in pregnant women in Guinea. Despite that, coverage of key malaria preventive measure (MPM) indicators remains low. Therefore, it is vital to understand the reasons behind that, especially for the low coverage of sulfadoxine-pyrimethamine (SP) and long-lasting insecticide-treated bed nets (LLIN).<br />Methods: We conducted a cross-sectional survey in nine district hospitals in Guinea. Pregnant women received for delivery were interviewed to collect sociodemographic and obstetrical parameters. Associated factors with MPMs were investigated through univariate analysis and classification and regression tree (CART).<br />Results: A total of 2248 parturients participated in this study. Among pregnant women using mosquito nets (63.5% (61.4%, 65.5%)), only 41.2% (39.1%, 43.3%) had used it regularly during the last two weeks preceding delivery. Similarly, most pregnant women (57.9% (55.8%, 59.9%)) had received less than three doses of SP, and only a few pregnant women (23.9% (22.1%, 25.7%)) have benefited from full MPMs. Parturient's age, marital status, time spent in residence, place of residence, level of education, distance from home to the health centre, health conditions, occupation, head of the household's occupation, the presence of garbage and stagnant water in the neighbourhood, source of running water, and the number of pregnancies were significantly statistically associated with MPMs in pregnant women. However, the number of antenatal care visits (ANC), means of transportation used by the pregnant woman to accomplish ANCs, and stagnant water in the neighbourhood were the three preponderant factors.<br />Conclusion: The low coverage of SP and LLINs among pregnant women requires revitalising some strategies, especially improving ANC coverage and more efforts to reduce inequalities in access to those services due to sociodemographic status. Education on the benefits of these MPMs should also be emphasised.<br />Competing Interests: The authors state that there are no conflicts between the parties cited in this study.<br /> (Copyright © 2021 Abdourahamane Diallo et al.)
- Subjects :
- Cross-Sectional Studies
Female
Guinea epidemiology
Humans
Pregnancy
Pregnant Women
Antimalarials therapeutic use
Insecticide-Treated Bednets
Malaria epidemiology
Malaria prevention & control
Pregnancy Complications, Parasitic epidemiology
Pregnancy Complications, Parasitic prevention & control
Subjects
Details
- Language :
- English
- ISSN :
- 1098-0997
- Volume :
- 2021
- Database :
- MEDLINE
- Journal :
- Infectious diseases in obstetrics and gynecology
- Publication Type :
- Academic Journal
- Accession number :
- 34305392
- Full Text :
- https://doi.org/10.1155/2021/9914424