The provider’s checklist to improve pregnant women coverage by intermittent preventive malaria treatment in Mali: a pilot implementation study
Abstract Background Intermittent preventive treatment of malaria in pregnancy (IPTp) is a comprehensive treatment protocol of anti-malarial drugs administered to pregnant women to prevent malaria, started at the fourth pregnancy month, with at least three doses of sulfadoxine–pyrimethamine (SP), tak...
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ftdoajarticles:oai:doaj.org/article:50dd8a091cd84359b9416a27d1bc4a2d 2023-05-15T15:15:29+02:00 The provider’s checklist to improve pregnant women coverage by intermittent preventive malaria treatment in Mali: a pilot implementation study Issa Doumbia Fomba Seydou Koné Diakalia Issam Bennis 2021-10-01T00:00:00Z https://doi.org/10.1186/s12936-021-03940-7 https://doaj.org/article/50dd8a091cd84359b9416a27d1bc4a2d EN eng BMC https://doi.org/10.1186/s12936-021-03940-7 https://doaj.org/toc/1475-2875 doi:10.1186/s12936-021-03940-7 1475-2875 https://doaj.org/article/50dd8a091cd84359b9416a27d1bc4a2d Malaria Journal, Vol 20, Iss 1, Pp 1-10 (2021) Malaria Pregnant women Implementation strategy Intermittent preventive treatment Sulfadoxine–pyrimethamine Checklist Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2021 ftdoajarticles https://doi.org/10.1186/s12936-021-03940-7 2022-12-31T07:47:19Z Abstract Background Intermittent preventive treatment of malaria in pregnancy (IPTp) is a comprehensive treatment protocol of anti-malarial drugs administered to pregnant women to prevent malaria, started at the fourth pregnancy month, with at least three doses of sulfadoxine–pyrimethamine (SP), taken as directly observed treatment (DOT) every 30 days at intervals until childbirth, in combination with other preventive measures. This paper introduces feasibility and adoption concepts as implementation research outcomes (IRO), allowing after a defined intervention, to assess the coverage improvement by IPTp for women attending a reference district hospital in Mali. Specifically, the purpose is to evaluate the feasibility of a reminder tool (provider checklist) to enhance pregnant women’s adoption of information about IPTp-SP uptake as immediate and sustained women practices. Methods The implementation strategy used a reminder checklist about malaria knowledge and the recommended preventive tools. Then, the checklist feasibility was assessed during routine practices with the adoption-level about pregnant women’ knowledge. Quantitative data were collected through a questionnaire distributed to a non-probability purposive sampling targeting 200 pregnant women divided into two groups before and after the checklist intervention. In contrast, the qualitative data were based on in-depth face-to-face gynaecologists’ interviews. Results Both the IROs (feasibility and adoption) were satisfactory. The gynaecologists agreed to the use of this checklist during routine practice with a recommendation to generalize it to other health providers. After a gynaecologist visit, a significant increase of the adoption-level about prior knowledge and preventive tools was noticed. A total of 83% of participants were not knowledgeable about malaria disease before checklist use versus 15% after. Similarly, coverage of women’s SP DOT rose from 0 to 59% after introducing the checklist and the IPTp-SP uptake after the visit was highly ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Malaria Journal 20 1 |
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Directory of Open Access Journals: DOAJ Articles |
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Malaria Pregnant women Implementation strategy Intermittent preventive treatment Sulfadoxine–pyrimethamine Checklist Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
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Malaria Pregnant women Implementation strategy Intermittent preventive treatment Sulfadoxine–pyrimethamine Checklist Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 Issa Doumbia Fomba Seydou Koné Diakalia Issam Bennis The provider’s checklist to improve pregnant women coverage by intermittent preventive malaria treatment in Mali: a pilot implementation study |
topic_facet |
Malaria Pregnant women Implementation strategy Intermittent preventive treatment Sulfadoxine–pyrimethamine Checklist Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Abstract Background Intermittent preventive treatment of malaria in pregnancy (IPTp) is a comprehensive treatment protocol of anti-malarial drugs administered to pregnant women to prevent malaria, started at the fourth pregnancy month, with at least three doses of sulfadoxine–pyrimethamine (SP), taken as directly observed treatment (DOT) every 30 days at intervals until childbirth, in combination with other preventive measures. This paper introduces feasibility and adoption concepts as implementation research outcomes (IRO), allowing after a defined intervention, to assess the coverage improvement by IPTp for women attending a reference district hospital in Mali. Specifically, the purpose is to evaluate the feasibility of a reminder tool (provider checklist) to enhance pregnant women’s adoption of information about IPTp-SP uptake as immediate and sustained women practices. Methods The implementation strategy used a reminder checklist about malaria knowledge and the recommended preventive tools. Then, the checklist feasibility was assessed during routine practices with the adoption-level about pregnant women’ knowledge. Quantitative data were collected through a questionnaire distributed to a non-probability purposive sampling targeting 200 pregnant women divided into two groups before and after the checklist intervention. In contrast, the qualitative data were based on in-depth face-to-face gynaecologists’ interviews. Results Both the IROs (feasibility and adoption) were satisfactory. The gynaecologists agreed to the use of this checklist during routine practice with a recommendation to generalize it to other health providers. After a gynaecologist visit, a significant increase of the adoption-level about prior knowledge and preventive tools was noticed. A total of 83% of participants were not knowledgeable about malaria disease before checklist use versus 15% after. Similarly, coverage of women’s SP DOT rose from 0 to 59% after introducing the checklist and the IPTp-SP uptake after the visit was highly ... |
format |
Article in Journal/Newspaper |
author |
Issa Doumbia Fomba Seydou Koné Diakalia Issam Bennis |
author_facet |
Issa Doumbia Fomba Seydou Koné Diakalia Issam Bennis |
author_sort |
Issa Doumbia |
title |
The provider’s checklist to improve pregnant women coverage by intermittent preventive malaria treatment in Mali: a pilot implementation study |
title_short |
The provider’s checklist to improve pregnant women coverage by intermittent preventive malaria treatment in Mali: a pilot implementation study |
title_full |
The provider’s checklist to improve pregnant women coverage by intermittent preventive malaria treatment in Mali: a pilot implementation study |
title_fullStr |
The provider’s checklist to improve pregnant women coverage by intermittent preventive malaria treatment in Mali: a pilot implementation study |
title_full_unstemmed |
The provider’s checklist to improve pregnant women coverage by intermittent preventive malaria treatment in Mali: a pilot implementation study |
title_sort |
provider’s checklist to improve pregnant women coverage by intermittent preventive malaria treatment in mali: a pilot implementation study |
publisher |
BMC |
publishDate |
2021 |
url |
https://doi.org/10.1186/s12936-021-03940-7 https://doaj.org/article/50dd8a091cd84359b9416a27d1bc4a2d |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Malaria Journal, Vol 20, Iss 1, Pp 1-10 (2021) |
op_relation |
https://doi.org/10.1186/s12936-021-03940-7 https://doaj.org/toc/1475-2875 doi:10.1186/s12936-021-03940-7 1475-2875 https://doaj.org/article/50dd8a091cd84359b9416a27d1bc4a2d |
op_doi |
https://doi.org/10.1186/s12936-021-03940-7 |
container_title |
Malaria Journal |
container_volume |
20 |
container_issue |
1 |
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1766345850324254720 |