Determinants of uptake of malaria preventive interventions among pregnant women in eastern Uganda
Abstract Background Consistent use of insecticide-treated nets (ITNs) and intermittent preventive treatment in pregnancy (IPTp) have been recommended as cost-effective interventions for malaria prevention during pregnancy in endemic areas. However, the coverage and utilization of these interventions...
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ftdoajarticles:oai:doaj.org/article:32e7a1d40b0d451a8cc7654418ed7fdd 2023-05-15T15:17:10+02:00 Determinants of uptake of malaria preventive interventions among pregnant women in eastern Uganda Solomon Tsebeni Wafula Hilbert Mendoza Aisha Nalugya David Musoke Peter Waiswa 2021-01-01T00:00:00Z https://doi.org/10.1186/s12936-020-03558-1 https://doaj.org/article/32e7a1d40b0d451a8cc7654418ed7fdd EN eng BMC https://doi.org/10.1186/s12936-020-03558-1 https://doaj.org/toc/1475-2875 doi:10.1186/s12936-020-03558-1 1475-2875 https://doaj.org/article/32e7a1d40b0d451a8cc7654418ed7fdd Malaria Journal, Vol 20, Iss 1, Pp 1-8 (2021) ITN use IPTp3 uptake Malaria preventive interventions Pregnant women Eastern Uganda Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2021 ftdoajarticles https://doi.org/10.1186/s12936-020-03558-1 2022-12-31T06:56:46Z Abstract Background Consistent use of insecticide-treated nets (ITNs) and intermittent preventive treatment in pregnancy (IPTp) have been recommended as cost-effective interventions for malaria prevention during pregnancy in endemic areas. However, the coverage and utilization of these interventions during pregnancy in sub-Saharan Africa is still suboptimal. This study aimed to determine the uptake of IPTp and ITNs and associated factors among women during their recent pregnancy in Eastern Uganda. Methods This was a cross-sectional study conducted among 2062 women who had delivered within the last 12 months prior to the start of the study in three districts of Eastern Uganda. The primary outcomes were consistent ITN use and optimal uptake (at least 3 doses) of IPTp. A modified Poisson regression was used to examine the association between consistent ITN use and the uptake of optimal doses of IPTp with independent variables. Data were analysed using Stata 14 software. Results The level of uptake of IPTp3 (at least three doses) was 14.7%, while IPTp2 (at least two doses) was 60.0%. The majority (86.4%) of mothers reported regularly sleeping under mosquito nets for the full duration of pregnancy. Uptake of IPTp3 was associated with engaging in farming (adjusted PR = 1.71, 95% CI [1.28–2.28]) or business (adjusted PR = 1.60, 95% CI [1.05–2.44]), and attending at least 4 antenatal care (ANC) visits (adjusted PR = 1.72, 95% CI [1.34–2.22]). On the other hand, consistent ITN use was associated with belonging to the fourth wealth quintile (adjusted PR = 1.08, 95% CI [1.02–1.14]) or fifth wealth quintile (adjusted PR = 1.08, 95% CI [1.02–1.15]), and attending at least 4 ANC visits (adjusted PR = 1.07, 95% CI [1.03–1.11]). Conclusion Uptake of IPTp3 and consistent ITN use during pregnancy were lower and higher than the current Ugandan national targets, respectively. Study findings highlight the need for more efforts to enhance utilization of ANC services, which is likely to increase the uptake of these two key malaria ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Malaria Journal 20 1 |
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ftdoajarticles |
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English |
topic |
ITN use IPTp3 uptake Malaria preventive interventions Pregnant women Eastern Uganda Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
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ITN use IPTp3 uptake Malaria preventive interventions Pregnant women Eastern Uganda Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 Solomon Tsebeni Wafula Hilbert Mendoza Aisha Nalugya David Musoke Peter Waiswa Determinants of uptake of malaria preventive interventions among pregnant women in eastern Uganda |
topic_facet |
ITN use IPTp3 uptake Malaria preventive interventions Pregnant women Eastern Uganda Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Abstract Background Consistent use of insecticide-treated nets (ITNs) and intermittent preventive treatment in pregnancy (IPTp) have been recommended as cost-effective interventions for malaria prevention during pregnancy in endemic areas. However, the coverage and utilization of these interventions during pregnancy in sub-Saharan Africa is still suboptimal. This study aimed to determine the uptake of IPTp and ITNs and associated factors among women during their recent pregnancy in Eastern Uganda. Methods This was a cross-sectional study conducted among 2062 women who had delivered within the last 12 months prior to the start of the study in three districts of Eastern Uganda. The primary outcomes were consistent ITN use and optimal uptake (at least 3 doses) of IPTp. A modified Poisson regression was used to examine the association between consistent ITN use and the uptake of optimal doses of IPTp with independent variables. Data were analysed using Stata 14 software. Results The level of uptake of IPTp3 (at least three doses) was 14.7%, while IPTp2 (at least two doses) was 60.0%. The majority (86.4%) of mothers reported regularly sleeping under mosquito nets for the full duration of pregnancy. Uptake of IPTp3 was associated with engaging in farming (adjusted PR = 1.71, 95% CI [1.28–2.28]) or business (adjusted PR = 1.60, 95% CI [1.05–2.44]), and attending at least 4 antenatal care (ANC) visits (adjusted PR = 1.72, 95% CI [1.34–2.22]). On the other hand, consistent ITN use was associated with belonging to the fourth wealth quintile (adjusted PR = 1.08, 95% CI [1.02–1.14]) or fifth wealth quintile (adjusted PR = 1.08, 95% CI [1.02–1.15]), and attending at least 4 ANC visits (adjusted PR = 1.07, 95% CI [1.03–1.11]). Conclusion Uptake of IPTp3 and consistent ITN use during pregnancy were lower and higher than the current Ugandan national targets, respectively. Study findings highlight the need for more efforts to enhance utilization of ANC services, which is likely to increase the uptake of these two key malaria ... |
format |
Article in Journal/Newspaper |
author |
Solomon Tsebeni Wafula Hilbert Mendoza Aisha Nalugya David Musoke Peter Waiswa |
author_facet |
Solomon Tsebeni Wafula Hilbert Mendoza Aisha Nalugya David Musoke Peter Waiswa |
author_sort |
Solomon Tsebeni Wafula |
title |
Determinants of uptake of malaria preventive interventions among pregnant women in eastern Uganda |
title_short |
Determinants of uptake of malaria preventive interventions among pregnant women in eastern Uganda |
title_full |
Determinants of uptake of malaria preventive interventions among pregnant women in eastern Uganda |
title_fullStr |
Determinants of uptake of malaria preventive interventions among pregnant women in eastern Uganda |
title_full_unstemmed |
Determinants of uptake of malaria preventive interventions among pregnant women in eastern Uganda |
title_sort |
determinants of uptake of malaria preventive interventions among pregnant women in eastern uganda |
publisher |
BMC |
publishDate |
2021 |
url |
https://doi.org/10.1186/s12936-020-03558-1 https://doaj.org/article/32e7a1d40b0d451a8cc7654418ed7fdd |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Malaria Journal, Vol 20, Iss 1, Pp 1-8 (2021) |
op_relation |
https://doi.org/10.1186/s12936-020-03558-1 https://doaj.org/toc/1475-2875 doi:10.1186/s12936-020-03558-1 1475-2875 https://doaj.org/article/32e7a1d40b0d451a8cc7654418ed7fdd |
op_doi |
https://doi.org/10.1186/s12936-020-03558-1 |
container_title |
Malaria Journal |
container_volume |
20 |
container_issue |
1 |
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1766347437985759232 |