Evaluation of the national policy of single screening and treatment for the prevention of malaria in pregnancy in two districts in Eastern Indonesia: health provider perceptions
Abstract Background Malaria in pregnancy has devastating consequences for both the expectant mother and baby. Annually, 88.2 (70%) of the 125.2 million pregnancies in malaria endemic regions occur in the Asia–Pacific region. The control of malaria in pregnancy in most of Asia relies on passive case...
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ftdoajarticles:oai:doaj.org/article:1625d38527d048ca863519cd1c2eb117 2023-05-15T15:18:20+02:00 Evaluation of the national policy of single screening and treatment for the prevention of malaria in pregnancy in two districts in Eastern Indonesia: health provider perceptions Jenny Hill Chandra U. R. Landuwulang Ansariadi Jenna Hoyt Faustina H. Burdam Irene Bonsapia Din Syafruddin Jeanne R. Poespoprodjo Feiko O. ter Kuile Rukhsana Ahmed Jayne Webster 2018-08-01T00:00:00Z https://doi.org/10.1186/s12936-018-2426-y https://doaj.org/article/1625d38527d048ca863519cd1c2eb117 EN eng BMC http://link.springer.com/article/10.1186/s12936-018-2426-y https://doaj.org/toc/1475-2875 doi:10.1186/s12936-018-2426-y 1475-2875 https://doaj.org/article/1625d38527d048ca863519cd1c2eb117 Malaria Journal, Vol 17, Iss 1, Pp 1-12 (2018) Malaria in pregnancy Single screening and treatment Acceptability Health providers Malaria prevention Antimalarials Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2018 ftdoajarticles https://doi.org/10.1186/s12936-018-2426-y 2022-12-31T00:22:11Z Abstract Background Malaria in pregnancy has devastating consequences for both the expectant mother and baby. Annually, 88.2 (70%) of the 125.2 million pregnancies in malaria endemic regions occur in the Asia–Pacific region. The control of malaria in pregnancy in most of Asia relies on passive case detection and prevention with long-lasting insecticide-treated nets. Indonesia was the first country in the region to introduce, in 2012, malaria screening at pregnant women’s first antenatal care visit to reduce the burden of malaria in pregnancy. The study assessed health providers’ acceptability and perceptions on the feasibility of implementing the single screening and treatment (SST) strategy in the context of the national programme in two endemic provinces of Indonesia. Methods Qualitative data were collected through in-depth interviews with 86 health providers working in provision of antenatal care (midwives, doctors, laboratory staff, pharmacists, and heads of drug stores), heads of health facilities and District Health Office staff in West Sumba and Mimika districts in East Nusa Tenggara and Papua provinces, respectively. Results Health providers of all cadres were accepting of SST as a preventive strategy, showing a strong preference for microscopy over rapid diagnostic tests (RDTs) as the method of screening. Implementation of the policy was inconsistent in both sites, with least extensive implementation reported in West Sumba compared to Mimika. SST was predominantly implemented at health centre level using microscopy, whereas implementation at community health posts was said to occur in less than half the selected health facilities. Lack of availability of RDTs was cited as the major factor that prevented provision of SST at health posts, however as village midwives cannot prescribe medicines women who test positive are referred to health centres for anti-malarials. Few midwives had received formal training on SST or related topics. Conclusions The study findings indicate that SST was an acceptable ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Pacific Sumba ENVELOPE(-6.712,-6.712,61.403,61.403) Malaria Journal 17 1 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Malaria in pregnancy Single screening and treatment Acceptability Health providers Malaria prevention Antimalarials Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
spellingShingle |
Malaria in pregnancy Single screening and treatment Acceptability Health providers Malaria prevention Antimalarials Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 Jenny Hill Chandra U. R. Landuwulang Ansariadi Jenna Hoyt Faustina H. Burdam Irene Bonsapia Din Syafruddin Jeanne R. Poespoprodjo Feiko O. ter Kuile Rukhsana Ahmed Jayne Webster Evaluation of the national policy of single screening and treatment for the prevention of malaria in pregnancy in two districts in Eastern Indonesia: health provider perceptions |
topic_facet |
Malaria in pregnancy Single screening and treatment Acceptability Health providers Malaria prevention Antimalarials Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Abstract Background Malaria in pregnancy has devastating consequences for both the expectant mother and baby. Annually, 88.2 (70%) of the 125.2 million pregnancies in malaria endemic regions occur in the Asia–Pacific region. The control of malaria in pregnancy in most of Asia relies on passive case detection and prevention with long-lasting insecticide-treated nets. Indonesia was the first country in the region to introduce, in 2012, malaria screening at pregnant women’s first antenatal care visit to reduce the burden of malaria in pregnancy. The study assessed health providers’ acceptability and perceptions on the feasibility of implementing the single screening and treatment (SST) strategy in the context of the national programme in two endemic provinces of Indonesia. Methods Qualitative data were collected through in-depth interviews with 86 health providers working in provision of antenatal care (midwives, doctors, laboratory staff, pharmacists, and heads of drug stores), heads of health facilities and District Health Office staff in West Sumba and Mimika districts in East Nusa Tenggara and Papua provinces, respectively. Results Health providers of all cadres were accepting of SST as a preventive strategy, showing a strong preference for microscopy over rapid diagnostic tests (RDTs) as the method of screening. Implementation of the policy was inconsistent in both sites, with least extensive implementation reported in West Sumba compared to Mimika. SST was predominantly implemented at health centre level using microscopy, whereas implementation at community health posts was said to occur in less than half the selected health facilities. Lack of availability of RDTs was cited as the major factor that prevented provision of SST at health posts, however as village midwives cannot prescribe medicines women who test positive are referred to health centres for anti-malarials. Few midwives had received formal training on SST or related topics. Conclusions The study findings indicate that SST was an acceptable ... |
format |
Article in Journal/Newspaper |
author |
Jenny Hill Chandra U. R. Landuwulang Ansariadi Jenna Hoyt Faustina H. Burdam Irene Bonsapia Din Syafruddin Jeanne R. Poespoprodjo Feiko O. ter Kuile Rukhsana Ahmed Jayne Webster |
author_facet |
Jenny Hill Chandra U. R. Landuwulang Ansariadi Jenna Hoyt Faustina H. Burdam Irene Bonsapia Din Syafruddin Jeanne R. Poespoprodjo Feiko O. ter Kuile Rukhsana Ahmed Jayne Webster |
author_sort |
Jenny Hill |
title |
Evaluation of the national policy of single screening and treatment for the prevention of malaria in pregnancy in two districts in Eastern Indonesia: health provider perceptions |
title_short |
Evaluation of the national policy of single screening and treatment for the prevention of malaria in pregnancy in two districts in Eastern Indonesia: health provider perceptions |
title_full |
Evaluation of the national policy of single screening and treatment for the prevention of malaria in pregnancy in two districts in Eastern Indonesia: health provider perceptions |
title_fullStr |
Evaluation of the national policy of single screening and treatment for the prevention of malaria in pregnancy in two districts in Eastern Indonesia: health provider perceptions |
title_full_unstemmed |
Evaluation of the national policy of single screening and treatment for the prevention of malaria in pregnancy in two districts in Eastern Indonesia: health provider perceptions |
title_sort |
evaluation of the national policy of single screening and treatment for the prevention of malaria in pregnancy in two districts in eastern indonesia: health provider perceptions |
publisher |
BMC |
publishDate |
2018 |
url |
https://doi.org/10.1186/s12936-018-2426-y https://doaj.org/article/1625d38527d048ca863519cd1c2eb117 |
long_lat |
ENVELOPE(-6.712,-6.712,61.403,61.403) |
geographic |
Arctic Pacific Sumba |
geographic_facet |
Arctic Pacific Sumba |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Malaria Journal, Vol 17, Iss 1, Pp 1-12 (2018) |
op_relation |
http://link.springer.com/article/10.1186/s12936-018-2426-y https://doaj.org/toc/1475-2875 doi:10.1186/s12936-018-2426-y 1475-2875 https://doaj.org/article/1625d38527d048ca863519cd1c2eb117 |
op_doi |
https://doi.org/10.1186/s12936-018-2426-y |
container_title |
Malaria Journal |
container_volume |
17 |
container_issue |
1 |
_version_ |
1766348541738876928 |