Factors associated with use of malaria control interventions by pregnant women in Buwunga subcounty, Bugiri DistrictReport as inadecuate




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Malaria Journal

, 15:342

First Online: 04 July 2016Received: 21 March 2016Accepted: 20 June 2016DOI: 10.1186-s12936-016-1407-2

Cite this article as: Muhumuza, E., Namuhani, N., Balugaba, B.E. et al. Malar J 2016 15: 342. doi:10.1186-s12936-016-1407-2

Abstract

BackgroundIn Uganda, the Government has promoted the use of intermittent preventive treatment of malaria in pregnancy IPTp and insecticide-treated bed nets ITNs as malaria control strategies for pregnant women. However, their utilization among pregnant women is low. This study aimed at assessing factors associated with use of IPTp for malaria and ITNs by pregnant women in Buwunga sub-county, Bugiri District.

MethodsThis was a cross-sectional study, conducted in Buwunga sub-county, Bugiri District, employing quantitative data collection tools. A total of 350 household members were randomly selected to participate in the study. Data were entered and analysed using Epi info version 3.5.1; bivariable and multivariable analysis was done to assess the factors associated with use of IPTp and ITNs among pregnant women.

ResultsThe level of uptake of IPTp1 at least one dose was 63.7 % while IPTp2 at least two doses was 42.0 %. More than half 58.6 % of the mothers had slept under an ITN the night before the survey. Slightly more than half 51.9 % of the mothers mentioned stock outs as the major reason for not accessing IPTp and ITNs. The main factors that were statistically significant for IPTp2 uptake were the knowledge of mothers on IPTp2 AOR 2.48 95 % CI 1.53–4.02 and providing women with free clean water at the antenatal care ANC clinic AOR 3.63 95 % CI 2.06–6.39. Factors that were significant for ITN utilization included education level of mothers AOR 2.03 95 % CI 1.09–3.78, ease of access AOR 2.74 95 % CI 1.65–4.52, and parity AOR 1.71 95 % CI 1.01–1.29.

ConclusionThe level of uptake of the two recommended doses of sulfadoxine–pyrimethamine SP tablets for malaria prevention IPTp2 was low, slightly more than half of the mothers slept under an ITN the night before the survey. Appropriate measures to increase the level of uptake of IPTp2 and coverage of ITNs among pregnant women should be implemented, and these include providing health education about IPTp and ITNs, and ensuring that mothers are provided with free safe clean water at ANC clinic.

KeywordsITN use IPTp2 uptake Malaria control interventions Pregnant women AbbreviationsANCantenatal care

DOTdirectly observed treatment

ITNinsecticide-treated bed net

IPTpintermittent preventive treatment in pregnancy

NGONon-government organization

PNCpostnatal care

SPsulfadoxine-pyrimethamine

UMISUganda malaria indicator survey

VHTVillage health team

WHOWorld Health Organization

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Author: Elizabeth Muhumuza - Noel Namuhani - Bonny Enock Balugaba - Jessica Namata - Elizabeth Ekirapa Kiracho

Source: https://link.springer.com/







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