Status of malaria in pregnancy services in Madagascar 2010–2021: a scoping review
Abstract Background Malaria in pregnancy (MIP) increases the risk of poor maternal and infant outcomes. To reduce these risks, WHO recommends insecticide-treated net (ITN) use, intermittent preventive treatment during pregnancy (IPTp) with sulfadoxine-pyrimethamine (SP), and prompt case management....
Published in: | Malaria Journal |
---|---|
Main Authors: | , , , , , , |
Format: | Article in Journal/Newspaper |
Language: | English |
Published: |
BMC
2023
|
Subjects: | |
Online Access: | https://doi.org/10.1186/s12936-023-04497-3 https://doaj.org/article/080f7023d5a1443182d3b7cc48adfb2c |
id |
ftdoajarticles:oai:doaj.org/article:080f7023d5a1443182d3b7cc48adfb2c |
---|---|
record_format |
openpolar |
spelling |
ftdoajarticles:oai:doaj.org/article:080f7023d5a1443182d3b7cc48adfb2c 2023-05-15T15:14:54+02:00 Status of malaria in pregnancy services in Madagascar 2010–2021: a scoping review Ashley Malpass Natasha Hansen Catherine M. Dentinger Susan Youll Annett Cotte Chiarella Mattern Aimée Ravaoarinosy 2023-02-01T00:00:00Z https://doi.org/10.1186/s12936-023-04497-3 https://doaj.org/article/080f7023d5a1443182d3b7cc48adfb2c EN eng BMC https://doi.org/10.1186/s12936-023-04497-3 https://doaj.org/toc/1475-2875 doi:10.1186/s12936-023-04497-3 1475-2875 https://doaj.org/article/080f7023d5a1443182d3b7cc48adfb2c Malaria Journal, Vol 22, Iss 1, Pp 1-9 (2023) Malaria Madagascar IPTp Pregnancy Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2023 ftdoajarticles https://doi.org/10.1186/s12936-023-04497-3 2023-03-26T01:33:52Z Abstract Background Malaria in pregnancy (MIP) increases the risk of poor maternal and infant outcomes. To reduce these risks, WHO recommends insecticide-treated net (ITN) use, intermittent preventive treatment during pregnancy (IPTp) with sulfadoxine-pyrimethamine (SP), and prompt case management. However, uptake of these interventions remains sub-optimal in Madagascar. A scoping review was conducted to determine the breadth and depth of information available during 2010–2021 about Madagascar’s MIP activities and to identify barriers and facilitators to MIP interventions uptake. Methods PubMed, Google Scholar, and USAID’s files (Development Experience Catalog) were searched using the terms “Madagascar AND pregnancy AND malaria,” and reports and materials from stakeholders were collected. Documents in English and French from 2010 to 2021 with data regarding MIP were included. Documents were systematically reviewed and summarized; results were captured in an Excel database. Results Of 91 project reports, surveys and published articles, 23 (25%) fell within the stated time period and contained relevant data on MIP activities in Madagascar and were categorized accordingly: eight (35%) quality of care, including health facility readiness, provider knowledge and commodity availability; nine (39%) care-seeking behaviour; and, six (26%) prevention of MIP. Key barriers were identified: nine articles mentioned SP stockouts; seven found limitations of provider knowledge, attitudes, and behaviours (KAB) regarding MIP treatment and prevention; and, one reported limited supervision. MIP care seeking and prevention barriers and facilitators included women’s KAB regarding MIP treatment and prevention, distance, wait times, poor service quality, cost, and/or unwelcoming providers. A 2015 survey of 52 health facilities revealed limited client access to antenatal care due to financial and geographic barriers; two 2018 surveys revealed similar findings. Self-treatment and care-seeking delays were reported even when distance was ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Malaria Journal 22 1 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Malaria Madagascar IPTp Pregnancy Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
spellingShingle |
Malaria Madagascar IPTp Pregnancy Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 Ashley Malpass Natasha Hansen Catherine M. Dentinger Susan Youll Annett Cotte Chiarella Mattern Aimée Ravaoarinosy Status of malaria in pregnancy services in Madagascar 2010–2021: a scoping review |
topic_facet |
Malaria Madagascar IPTp Pregnancy Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Abstract Background Malaria in pregnancy (MIP) increases the risk of poor maternal and infant outcomes. To reduce these risks, WHO recommends insecticide-treated net (ITN) use, intermittent preventive treatment during pregnancy (IPTp) with sulfadoxine-pyrimethamine (SP), and prompt case management. However, uptake of these interventions remains sub-optimal in Madagascar. A scoping review was conducted to determine the breadth and depth of information available during 2010–2021 about Madagascar’s MIP activities and to identify barriers and facilitators to MIP interventions uptake. Methods PubMed, Google Scholar, and USAID’s files (Development Experience Catalog) were searched using the terms “Madagascar AND pregnancy AND malaria,” and reports and materials from stakeholders were collected. Documents in English and French from 2010 to 2021 with data regarding MIP were included. Documents were systematically reviewed and summarized; results were captured in an Excel database. Results Of 91 project reports, surveys and published articles, 23 (25%) fell within the stated time period and contained relevant data on MIP activities in Madagascar and were categorized accordingly: eight (35%) quality of care, including health facility readiness, provider knowledge and commodity availability; nine (39%) care-seeking behaviour; and, six (26%) prevention of MIP. Key barriers were identified: nine articles mentioned SP stockouts; seven found limitations of provider knowledge, attitudes, and behaviours (KAB) regarding MIP treatment and prevention; and, one reported limited supervision. MIP care seeking and prevention barriers and facilitators included women’s KAB regarding MIP treatment and prevention, distance, wait times, poor service quality, cost, and/or unwelcoming providers. A 2015 survey of 52 health facilities revealed limited client access to antenatal care due to financial and geographic barriers; two 2018 surveys revealed similar findings. Self-treatment and care-seeking delays were reported even when distance was ... |
format |
Article in Journal/Newspaper |
author |
Ashley Malpass Natasha Hansen Catherine M. Dentinger Susan Youll Annett Cotte Chiarella Mattern Aimée Ravaoarinosy |
author_facet |
Ashley Malpass Natasha Hansen Catherine M. Dentinger Susan Youll Annett Cotte Chiarella Mattern Aimée Ravaoarinosy |
author_sort |
Ashley Malpass |
title |
Status of malaria in pregnancy services in Madagascar 2010–2021: a scoping review |
title_short |
Status of malaria in pregnancy services in Madagascar 2010–2021: a scoping review |
title_full |
Status of malaria in pregnancy services in Madagascar 2010–2021: a scoping review |
title_fullStr |
Status of malaria in pregnancy services in Madagascar 2010–2021: a scoping review |
title_full_unstemmed |
Status of malaria in pregnancy services in Madagascar 2010–2021: a scoping review |
title_sort |
status of malaria in pregnancy services in madagascar 2010–2021: a scoping review |
publisher |
BMC |
publishDate |
2023 |
url |
https://doi.org/10.1186/s12936-023-04497-3 https://doaj.org/article/080f7023d5a1443182d3b7cc48adfb2c |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Malaria Journal, Vol 22, Iss 1, Pp 1-9 (2023) |
op_relation |
https://doi.org/10.1186/s12936-023-04497-3 https://doaj.org/toc/1475-2875 doi:10.1186/s12936-023-04497-3 1475-2875 https://doaj.org/article/080f7023d5a1443182d3b7cc48adfb2c |
op_doi |
https://doi.org/10.1186/s12936-023-04497-3 |
container_title |
Malaria Journal |
container_volume |
22 |
container_issue |
1 |
_version_ |
1766345299857506304 |