Reaching the unreached: effectiveness and satisfaction with community-directed distribution of sulfadoxine-pyrimethamine for preventing malaria in pregnancy in rural South-East, Nigeria
Abstract Background Innovative community strategies to increase intermittent preventive treatment with sulfadoxine-pyrimethamine (IPTp-SP) coverage is advocated particularly in rural areas, where health infrastructure is weakest and malaria transmission highest. This study involved proof-of-concept...
Published in: | Malaria Journal |
---|---|
Main Authors: | , , , , , , , , |
Format: | Article in Journal/Newspaper |
Language: | English |
Published: |
BMC
2020
|
Subjects: | |
Online Access: | https://doi.org/10.1186/s12936-020-03468-2 https://doaj.org/article/74f42520115644688ef090fcb35e3bcc |
id |
ftdoajarticles:oai:doaj.org/article:74f42520115644688ef090fcb35e3bcc |
---|---|
record_format |
openpolar |
spelling |
ftdoajarticles:oai:doaj.org/article:74f42520115644688ef090fcb35e3bcc 2023-05-15T15:16:16+02:00 Reaching the unreached: effectiveness and satisfaction with community-directed distribution of sulfadoxine-pyrimethamine for preventing malaria in pregnancy in rural South-East, Nigeria Ijeoma Nkem Okedo-Alex Ifeyinwa Chizoba Akamike Chihurumnanya Nwachi Alo Adaoha Pearl Agu Chinyere Benedicta Nzeh Chinwendu Daniel Ndukwe Odii Ogonna Okoro Dejene Derseh Abateneh Chigozie Jesse Uneke 2020-11-01T00:00:00Z https://doi.org/10.1186/s12936-020-03468-2 https://doaj.org/article/74f42520115644688ef090fcb35e3bcc EN eng BMC http://link.springer.com/article/10.1186/s12936-020-03468-2 https://doaj.org/toc/1475-2875 doi:10.1186/s12936-020-03468-2 1475-2875 https://doaj.org/article/74f42520115644688ef090fcb35e3bcc Malaria Journal, Vol 19, Iss 1, Pp 1-9 (2020) Malaria Pregnancy Sulfadoxine-pyrimethamine Effectiveness Community-directed distribution Satisfaction Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2020 ftdoajarticles https://doi.org/10.1186/s12936-020-03468-2 2022-12-31T11:37:46Z Abstract Background Innovative community strategies to increase intermittent preventive treatment with sulfadoxine-pyrimethamine (IPTp-SP) coverage is advocated particularly in rural areas, where health infrastructure is weakest and malaria transmission highest. This study involved proof-of-concept implementation research to determine satisfaction with and effectiveness of community-directed distribution of IPTp-SP on uptake among pregnant women in Ebonyi State, Nigeria. Methods This before-and-after study was carried out in 2019 in a rural community in Ebonyi State Nigeria. The intervention involved advocacy visits, community-wide sensitizations on malaria prevention, house-to-house directly observed IPTp-SP administration, and follow-up visits by trained community-selected community-directed distributors (CDDs). Monthly IPTp-SP coverage was assessed over 5 months and data analysed using SPSS version 20. Results During the study, 229 women received the first dose of IPTp while 60 pregnant women received 5 or more doses of IPTp. The uptake of ≥ 3 IPTp doses increased from 31.4% before the community-directed distribution of IPTp to 71.6% (P < 0.001) by the fourth month post-initiation of the community-directed distribution of IPTp. Sleeping under insecticide-treated net (ITN) the night before the survey increased from 62.4 to 84.3% (P < 0.001) while reporting of fever during pregnancy decreased from 64.9 to 17.0% (P < 0.001). Although antenatal clinic utilization increased in the primary health centre serving the community, traditional birth attendants and patent medicine vendors in the community remained more patronized. Post-intervention, most mothers rated CDD services well (93.6%), were satisfied (97.6%), and preferred community IPTp administration to facility administration (92.3%). Conclusion Community-directed distribution of IPTp-SP improved uptake of IPTp-SP and ITN use. Mothers were satisfied with the services. The authors recommend sustained large-scale implementation of community-directed ... 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 Sulfadoxine-pyrimethamine Effectiveness Community-directed distribution Satisfaction Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
spellingShingle |
Malaria Pregnancy Sulfadoxine-pyrimethamine Effectiveness Community-directed distribution Satisfaction Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 Ijeoma Nkem Okedo-Alex Ifeyinwa Chizoba Akamike Chihurumnanya Nwachi Alo Adaoha Pearl Agu Chinyere Benedicta Nzeh Chinwendu Daniel Ndukwe Odii Ogonna Okoro Dejene Derseh Abateneh Chigozie Jesse Uneke Reaching the unreached: effectiveness and satisfaction with community-directed distribution of sulfadoxine-pyrimethamine for preventing malaria in pregnancy in rural South-East, Nigeria |
topic_facet |
Malaria Pregnancy Sulfadoxine-pyrimethamine Effectiveness Community-directed distribution Satisfaction Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Abstract Background Innovative community strategies to increase intermittent preventive treatment with sulfadoxine-pyrimethamine (IPTp-SP) coverage is advocated particularly in rural areas, where health infrastructure is weakest and malaria transmission highest. This study involved proof-of-concept implementation research to determine satisfaction with and effectiveness of community-directed distribution of IPTp-SP on uptake among pregnant women in Ebonyi State, Nigeria. Methods This before-and-after study was carried out in 2019 in a rural community in Ebonyi State Nigeria. The intervention involved advocacy visits, community-wide sensitizations on malaria prevention, house-to-house directly observed IPTp-SP administration, and follow-up visits by trained community-selected community-directed distributors (CDDs). Monthly IPTp-SP coverage was assessed over 5 months and data analysed using SPSS version 20. Results During the study, 229 women received the first dose of IPTp while 60 pregnant women received 5 or more doses of IPTp. The uptake of ≥ 3 IPTp doses increased from 31.4% before the community-directed distribution of IPTp to 71.6% (P < 0.001) by the fourth month post-initiation of the community-directed distribution of IPTp. Sleeping under insecticide-treated net (ITN) the night before the survey increased from 62.4 to 84.3% (P < 0.001) while reporting of fever during pregnancy decreased from 64.9 to 17.0% (P < 0.001). Although antenatal clinic utilization increased in the primary health centre serving the community, traditional birth attendants and patent medicine vendors in the community remained more patronized. Post-intervention, most mothers rated CDD services well (93.6%), were satisfied (97.6%), and preferred community IPTp administration to facility administration (92.3%). Conclusion Community-directed distribution of IPTp-SP improved uptake of IPTp-SP and ITN use. Mothers were satisfied with the services. The authors recommend sustained large-scale implementation of community-directed ... |
format |
Article in Journal/Newspaper |
author |
Ijeoma Nkem Okedo-Alex Ifeyinwa Chizoba Akamike Chihurumnanya Nwachi Alo Adaoha Pearl Agu Chinyere Benedicta Nzeh Chinwendu Daniel Ndukwe Odii Ogonna Okoro Dejene Derseh Abateneh Chigozie Jesse Uneke |
author_facet |
Ijeoma Nkem Okedo-Alex Ifeyinwa Chizoba Akamike Chihurumnanya Nwachi Alo Adaoha Pearl Agu Chinyere Benedicta Nzeh Chinwendu Daniel Ndukwe Odii Ogonna Okoro Dejene Derseh Abateneh Chigozie Jesse Uneke |
author_sort |
Ijeoma Nkem Okedo-Alex |
title |
Reaching the unreached: effectiveness and satisfaction with community-directed distribution of sulfadoxine-pyrimethamine for preventing malaria in pregnancy in rural South-East, Nigeria |
title_short |
Reaching the unreached: effectiveness and satisfaction with community-directed distribution of sulfadoxine-pyrimethamine for preventing malaria in pregnancy in rural South-East, Nigeria |
title_full |
Reaching the unreached: effectiveness and satisfaction with community-directed distribution of sulfadoxine-pyrimethamine for preventing malaria in pregnancy in rural South-East, Nigeria |
title_fullStr |
Reaching the unreached: effectiveness and satisfaction with community-directed distribution of sulfadoxine-pyrimethamine for preventing malaria in pregnancy in rural South-East, Nigeria |
title_full_unstemmed |
Reaching the unreached: effectiveness and satisfaction with community-directed distribution of sulfadoxine-pyrimethamine for preventing malaria in pregnancy in rural South-East, Nigeria |
title_sort |
reaching the unreached: effectiveness and satisfaction with community-directed distribution of sulfadoxine-pyrimethamine for preventing malaria in pregnancy in rural south-east, nigeria |
publisher |
BMC |
publishDate |
2020 |
url |
https://doi.org/10.1186/s12936-020-03468-2 https://doaj.org/article/74f42520115644688ef090fcb35e3bcc |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Malaria Journal, Vol 19, Iss 1, Pp 1-9 (2020) |
op_relation |
http://link.springer.com/article/10.1186/s12936-020-03468-2 https://doaj.org/toc/1475-2875 doi:10.1186/s12936-020-03468-2 1475-2875 https://doaj.org/article/74f42520115644688ef090fcb35e3bcc |
op_doi |
https://doi.org/10.1186/s12936-020-03468-2 |
container_title |
Malaria Journal |
container_volume |
19 |
container_issue |
1 |
_version_ |
1766346553564332032 |