Increased uptake of intermittent preventive treatment for malaria in pregnant women in Zambia (2006–2012): Potential determinants and highlight of lessons learnt
Objective: To assess potential determinants of uptake and highlight lessons learnt from the implementation of intermittent preventive treatment (IPTp), given to pregnant women as early as possible during the second trimester in Zambia. Methods: Data from four national malaria surveys (2006, 2008, 20...
Published in: | Asian Pacific Journal of Tropical Biomedicine |
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Wolters Kluwer Medknow Publications
2016
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Online Access: | https://doi.org/10.1016/j.apjtb.2016.01.010 https://doaj.org/article/72ea7e74e1874cbe98d839f7957c9a07 |
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ftdoajarticles:oai:doaj.org/article:72ea7e74e1874cbe98d839f7957c9a07 2023-05-15T15:17:40+02:00 Increased uptake of intermittent preventive treatment for malaria in pregnant women in Zambia (2006–2012): Potential determinants and highlight of lessons learnt Freddie Masaninga Mary Katepa Bwalya Sarai Malumo Busiku Hamainza Peter Songolo Mulakwa Kamuliwo Martin Meremikwu Lawrence Kazembe Jacob Mufunda Olusegun Ayorinde Babaniyi 2016-07-01T00:00:00Z https://doi.org/10.1016/j.apjtb.2016.01.010 https://doaj.org/article/72ea7e74e1874cbe98d839f7957c9a07 EN eng Wolters Kluwer Medknow Publications http://www.sciencedirect.com/science/article/pii/S2221169115309448 https://doaj.org/toc/2221-1691 2221-1691 doi:10.1016/j.apjtb.2016.01.010 https://doaj.org/article/72ea7e74e1874cbe98d839f7957c9a07 Asian Pacific Journal of Tropical Biomedicine, Vol 6, Iss 7, Pp 620-624 (2016) Intermittent preventive treatment Malaria Pregnancy Zambia Arctic medicine. Tropical medicine RC955-962 Biology (General) QH301-705.5 article 2016 ftdoajarticles https://doi.org/10.1016/j.apjtb.2016.01.010 2022-12-31T09:20:11Z Objective: To assess potential determinants of uptake and highlight lessons learnt from the implementation of intermittent preventive treatment (IPTp), given to pregnant women as early as possible during the second trimester in Zambia. Methods: Data from four national malaria surveys (2006, 2008, 2010, 2012) were reviewed, and proportions of pregnant women attending antenatal clinics (ANCs) who received two or more doses of sulfadoxine–pyrimethamine (IPTp2) were compared by place of residence, education level, and wealth status. Malaria cases and deaths in pregnant women, from Health Information Management System 2011–2013, were analyzed to determine malaria burden in pregnancy in Zambia. A multiple logistic regression model was applied to identify potential determinants of IPTp uptake. Results: The proportion of pregnant women who took IPTp at ANCs increased from near zero at inception in 2001 to 61.9% in 2006; and to 72% by 2012 (P < 0.001), and overall the uptake was 1.41 times higher in 2012 compared to 2006. From 2006 to 2012, IPTp2 uptake among women with no formal education increased from 51% to 68% (P < 0.1). Likewise, uptake among pregnant women with the lowest wealth index increased from 58.2% to 61.2%. By 2012, IPTp uptake among pregnant women within the lowest wealth index increased to a similar level as the women with high wealth index (P = 0.05). Incidence of malaria cases, hospital admissions and mortality during pregnancy decreased between 2011 and 2013. Overall, increased IPTp uptake was associated with being in urban areas (OR = 1.56, 95% CI: 1.39–1.74), having college (OR = 1.83, 95% CI: 1.25–2.75) or secondary education (OR = 1.68, 95% CI: 1.44–1.96) or of being of higher wealth status (OR = 1.86, 95% CI: 1.60–2.17). Conclusions: Zambia has increased IPTp uptake through ANC for all women. The malaria control program has contributed to increasing access to health services and reducing demographic and socioeconomic disparities. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Asian Pacific Journal of Tropical Biomedicine 6 7 620 624 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Intermittent preventive treatment Malaria Pregnancy Zambia Arctic medicine. Tropical medicine RC955-962 Biology (General) QH301-705.5 |
spellingShingle |
Intermittent preventive treatment Malaria Pregnancy Zambia Arctic medicine. Tropical medicine RC955-962 Biology (General) QH301-705.5 Freddie Masaninga Mary Katepa Bwalya Sarai Malumo Busiku Hamainza Peter Songolo Mulakwa Kamuliwo Martin Meremikwu Lawrence Kazembe Jacob Mufunda Olusegun Ayorinde Babaniyi Increased uptake of intermittent preventive treatment for malaria in pregnant women in Zambia (2006–2012): Potential determinants and highlight of lessons learnt |
topic_facet |
Intermittent preventive treatment Malaria Pregnancy Zambia Arctic medicine. Tropical medicine RC955-962 Biology (General) QH301-705.5 |
description |
Objective: To assess potential determinants of uptake and highlight lessons learnt from the implementation of intermittent preventive treatment (IPTp), given to pregnant women as early as possible during the second trimester in Zambia. Methods: Data from four national malaria surveys (2006, 2008, 2010, 2012) were reviewed, and proportions of pregnant women attending antenatal clinics (ANCs) who received two or more doses of sulfadoxine–pyrimethamine (IPTp2) were compared by place of residence, education level, and wealth status. Malaria cases and deaths in pregnant women, from Health Information Management System 2011–2013, were analyzed to determine malaria burden in pregnancy in Zambia. A multiple logistic regression model was applied to identify potential determinants of IPTp uptake. Results: The proportion of pregnant women who took IPTp at ANCs increased from near zero at inception in 2001 to 61.9% in 2006; and to 72% by 2012 (P < 0.001), and overall the uptake was 1.41 times higher in 2012 compared to 2006. From 2006 to 2012, IPTp2 uptake among women with no formal education increased from 51% to 68% (P < 0.1). Likewise, uptake among pregnant women with the lowest wealth index increased from 58.2% to 61.2%. By 2012, IPTp uptake among pregnant women within the lowest wealth index increased to a similar level as the women with high wealth index (P = 0.05). Incidence of malaria cases, hospital admissions and mortality during pregnancy decreased between 2011 and 2013. Overall, increased IPTp uptake was associated with being in urban areas (OR = 1.56, 95% CI: 1.39–1.74), having college (OR = 1.83, 95% CI: 1.25–2.75) or secondary education (OR = 1.68, 95% CI: 1.44–1.96) or of being of higher wealth status (OR = 1.86, 95% CI: 1.60–2.17). Conclusions: Zambia has increased IPTp uptake through ANC for all women. The malaria control program has contributed to increasing access to health services and reducing demographic and socioeconomic disparities. |
format |
Article in Journal/Newspaper |
author |
Freddie Masaninga Mary Katepa Bwalya Sarai Malumo Busiku Hamainza Peter Songolo Mulakwa Kamuliwo Martin Meremikwu Lawrence Kazembe Jacob Mufunda Olusegun Ayorinde Babaniyi |
author_facet |
Freddie Masaninga Mary Katepa Bwalya Sarai Malumo Busiku Hamainza Peter Songolo Mulakwa Kamuliwo Martin Meremikwu Lawrence Kazembe Jacob Mufunda Olusegun Ayorinde Babaniyi |
author_sort |
Freddie Masaninga |
title |
Increased uptake of intermittent preventive treatment for malaria in pregnant women in Zambia (2006–2012): Potential determinants and highlight of lessons learnt |
title_short |
Increased uptake of intermittent preventive treatment for malaria in pregnant women in Zambia (2006–2012): Potential determinants and highlight of lessons learnt |
title_full |
Increased uptake of intermittent preventive treatment for malaria in pregnant women in Zambia (2006–2012): Potential determinants and highlight of lessons learnt |
title_fullStr |
Increased uptake of intermittent preventive treatment for malaria in pregnant women in Zambia (2006–2012): Potential determinants and highlight of lessons learnt |
title_full_unstemmed |
Increased uptake of intermittent preventive treatment for malaria in pregnant women in Zambia (2006–2012): Potential determinants and highlight of lessons learnt |
title_sort |
increased uptake of intermittent preventive treatment for malaria in pregnant women in zambia (2006–2012): potential determinants and highlight of lessons learnt |
publisher |
Wolters Kluwer Medknow Publications |
publishDate |
2016 |
url |
https://doi.org/10.1016/j.apjtb.2016.01.010 https://doaj.org/article/72ea7e74e1874cbe98d839f7957c9a07 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Asian Pacific Journal of Tropical Biomedicine, Vol 6, Iss 7, Pp 620-624 (2016) |
op_relation |
http://www.sciencedirect.com/science/article/pii/S2221169115309448 https://doaj.org/toc/2221-1691 2221-1691 doi:10.1016/j.apjtb.2016.01.010 https://doaj.org/article/72ea7e74e1874cbe98d839f7957c9a07 |
op_doi |
https://doi.org/10.1016/j.apjtb.2016.01.010 |
container_title |
Asian Pacific Journal of Tropical Biomedicine |
container_volume |
6 |
container_issue |
7 |
container_start_page |
620 |
op_container_end_page |
624 |
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1766347918948696064 |