Malaria knowledge and experiences with community health workers among recently pregnant women in Malawi
Abstract Background The World Health Organization recommends three or more doses of intermittent preventive treatment in pregnancy with sulfadoxine-pyrimethamine (IPTp-SP) to mitigate the negative effects of malaria in pregnancy (MIP). Many pregnant women in Malawi are not receiving the recommended...
Published in: | Malaria Journal |
---|---|
Main Authors: | , , , , , , , , , , , |
Format: | Article in Journal/Newspaper |
Language: | English |
Published: |
BMC
2020
|
Subjects: | |
Online Access: | https://doi.org/10.1186/s12936-020-03228-2 https://doaj.org/article/16cd0a5ec1ff4d04a9675a087d10aee1 |
id |
ftdoajarticles:oai:doaj.org/article:16cd0a5ec1ff4d04a9675a087d10aee1 |
---|---|
record_format |
openpolar |
spelling |
ftdoajarticles:oai:doaj.org/article:16cd0a5ec1ff4d04a9675a087d10aee1 2023-05-15T15:17:57+02:00 Malaria knowledge and experiences with community health workers among recently pregnant women in Malawi Ashley Malpass Jobiba Chinkhumba Elizabeth Davlantes John Munthali Katherine Wright Kathryn Ramsey Peter Troell Michael Kayange Fannie Kachale Don P. Mathanga Dziko Chatata Julie R. Gutman 2020-04-01T00:00:00Z https://doi.org/10.1186/s12936-020-03228-2 https://doaj.org/article/16cd0a5ec1ff4d04a9675a087d10aee1 EN eng BMC http://link.springer.com/article/10.1186/s12936-020-03228-2 https://doaj.org/toc/1475-2875 doi:10.1186/s12936-020-03228-2 1475-2875 https://doaj.org/article/16cd0a5ec1ff4d04a9675a087d10aee1 Malaria Journal, Vol 19, Iss 1, Pp 1-13 (2020) Malaria Pregnancy Community Health Workers Malawi Intermittent preventive treatment Sulfadoxine-pyrimethamine Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2020 ftdoajarticles https://doi.org/10.1186/s12936-020-03228-2 2022-12-30T22:53:46Z Abstract Background The World Health Organization recommends three or more doses of intermittent preventive treatment in pregnancy with sulfadoxine-pyrimethamine (IPTp-SP) to mitigate the negative effects of malaria in pregnancy (MIP). Many pregnant women in Malawi are not receiving the recommended number of doses. Community delivery of IPTp (cIPTp) is being piloted as a new approach to increase coverage. This survey assessed recently pregnant women’s knowledge of MIP and their experiences with community health workers (CHWs) prior to implementing cIPTp. Methods Data were collected via a household survey in Ntcheu and Nkhata Bay Districts, Malawi, from women aged 16–49 years who had a pregnancy resulting in a live birth in the previous 12 months. Survey questions were primarily open response and utilized review of the woman’s health passport whenever possible. Analyses accounted for selection weighting and clustering at the health facility level and explored heterogeneity between districts. Results A total of 370 women were interviewed. Women in both districts found their community health workers (CHWs) to be helpful (77.9%), but only 35.7% spoke with a CHW about antenatal care and 25.8% received assistance for malaria during their most recent pregnancy. A greater proportion of women in Nkhata Bay than Ntcheu reported receiving assistance with malaria from a CHW (42.7% vs 21.9%, p = 0.01); women in Nkhata Bay were more likely to cite IPTp-SP as a way to prevent MIP (41.0% vs 24.8%, p = 0.02) and were more likely to cite mosquito bites as the only way to spread malaria (70.6% vs 62.0% p = 0.03). Women in Nkhata Bay were more likely to receive 3 + doses of IPTp-SP (IPTp3) (59.2% vs 41.8%, p = 0.0002). Adequate knowledge was associated with increased odds of receiving IPTp3, although not statistically significantly so (adjusted odds ratio = 1.50, 95% confidence interval 0.97–2.32, p-value 0.066). Conclusions Women reported positive experiences with CHWs, but there was not a focus on MIP. Women in Nkhata Bay were ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Malaria Journal 19 1 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Malaria Pregnancy Community Health Workers Malawi Intermittent preventive treatment Sulfadoxine-pyrimethamine Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
spellingShingle |
Malaria Pregnancy Community Health Workers Malawi Intermittent preventive treatment Sulfadoxine-pyrimethamine Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 Ashley Malpass Jobiba Chinkhumba Elizabeth Davlantes John Munthali Katherine Wright Kathryn Ramsey Peter Troell Michael Kayange Fannie Kachale Don P. Mathanga Dziko Chatata Julie R. Gutman Malaria knowledge and experiences with community health workers among recently pregnant women in Malawi |
topic_facet |
Malaria Pregnancy Community Health Workers Malawi Intermittent preventive treatment Sulfadoxine-pyrimethamine Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Abstract Background The World Health Organization recommends three or more doses of intermittent preventive treatment in pregnancy with sulfadoxine-pyrimethamine (IPTp-SP) to mitigate the negative effects of malaria in pregnancy (MIP). Many pregnant women in Malawi are not receiving the recommended number of doses. Community delivery of IPTp (cIPTp) is being piloted as a new approach to increase coverage. This survey assessed recently pregnant women’s knowledge of MIP and their experiences with community health workers (CHWs) prior to implementing cIPTp. Methods Data were collected via a household survey in Ntcheu and Nkhata Bay Districts, Malawi, from women aged 16–49 years who had a pregnancy resulting in a live birth in the previous 12 months. Survey questions were primarily open response and utilized review of the woman’s health passport whenever possible. Analyses accounted for selection weighting and clustering at the health facility level and explored heterogeneity between districts. Results A total of 370 women were interviewed. Women in both districts found their community health workers (CHWs) to be helpful (77.9%), but only 35.7% spoke with a CHW about antenatal care and 25.8% received assistance for malaria during their most recent pregnancy. A greater proportion of women in Nkhata Bay than Ntcheu reported receiving assistance with malaria from a CHW (42.7% vs 21.9%, p = 0.01); women in Nkhata Bay were more likely to cite IPTp-SP as a way to prevent MIP (41.0% vs 24.8%, p = 0.02) and were more likely to cite mosquito bites as the only way to spread malaria (70.6% vs 62.0% p = 0.03). Women in Nkhata Bay were more likely to receive 3 + doses of IPTp-SP (IPTp3) (59.2% vs 41.8%, p = 0.0002). Adequate knowledge was associated with increased odds of receiving IPTp3, although not statistically significantly so (adjusted odds ratio = 1.50, 95% confidence interval 0.97–2.32, p-value 0.066). Conclusions Women reported positive experiences with CHWs, but there was not a focus on MIP. Women in Nkhata Bay were ... |
format |
Article in Journal/Newspaper |
author |
Ashley Malpass Jobiba Chinkhumba Elizabeth Davlantes John Munthali Katherine Wright Kathryn Ramsey Peter Troell Michael Kayange Fannie Kachale Don P. Mathanga Dziko Chatata Julie R. Gutman |
author_facet |
Ashley Malpass Jobiba Chinkhumba Elizabeth Davlantes John Munthali Katherine Wright Kathryn Ramsey Peter Troell Michael Kayange Fannie Kachale Don P. Mathanga Dziko Chatata Julie R. Gutman |
author_sort |
Ashley Malpass |
title |
Malaria knowledge and experiences with community health workers among recently pregnant women in Malawi |
title_short |
Malaria knowledge and experiences with community health workers among recently pregnant women in Malawi |
title_full |
Malaria knowledge and experiences with community health workers among recently pregnant women in Malawi |
title_fullStr |
Malaria knowledge and experiences with community health workers among recently pregnant women in Malawi |
title_full_unstemmed |
Malaria knowledge and experiences with community health workers among recently pregnant women in Malawi |
title_sort |
malaria knowledge and experiences with community health workers among recently pregnant women in malawi |
publisher |
BMC |
publishDate |
2020 |
url |
https://doi.org/10.1186/s12936-020-03228-2 https://doaj.org/article/16cd0a5ec1ff4d04a9675a087d10aee1 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Malaria Journal, Vol 19, Iss 1, Pp 1-13 (2020) |
op_relation |
http://link.springer.com/article/10.1186/s12936-020-03228-2 https://doaj.org/toc/1475-2875 doi:10.1186/s12936-020-03228-2 1475-2875 https://doaj.org/article/16cd0a5ec1ff4d04a9675a087d10aee1 |
op_doi |
https://doi.org/10.1186/s12936-020-03228-2 |
container_title |
Malaria Journal |
container_volume |
19 |
container_issue |
1 |
_version_ |
1766348204480135168 |