Community-based delivery of intermittent preventive treatment of malaria in pregnancy in Burkina Faso: a qualitative study
Abstract Background Burkina Faso is among ten countries with the highest rates of malaria cases and deaths in the world. Delivery and coverage of intermittent preventive treatment of malaria in pregnancy (IPTp) is insufficient in Burkina Faso; In a 2016 survey, only 22% of eligible women had receive...
Published in: | Malaria Journal |
---|---|
Main Authors: | , , , , , , , , , |
Format: | Article in Journal/Newspaper |
Language: | English |
Published: |
BMC
2021
|
Subjects: | |
Online Access: | https://doi.org/10.1186/s12936-021-03814-y https://doaj.org/article/f2768647f9634a1a99eb1c756eeb6a99 |
id |
ftdoajarticles:oai:doaj.org/article:f2768647f9634a1a99eb1c756eeb6a99 |
---|---|
record_format |
openpolar |
spelling |
ftdoajarticles:oai:doaj.org/article:f2768647f9634a1a99eb1c756eeb6a99 2023-05-15T15:18:22+02:00 Community-based delivery of intermittent preventive treatment of malaria in pregnancy in Burkina Faso: a qualitative study Danielle Burke Justin Tiendrebeogo Courtney Emerson Susan Youll Julie Gutman Ousmane Badolo Yacouba Savadogo Kristen Vibbert Katherine Wolf William Brieger 2021-06-01T00:00:00Z https://doi.org/10.1186/s12936-021-03814-y https://doaj.org/article/f2768647f9634a1a99eb1c756eeb6a99 EN eng BMC https://doi.org/10.1186/s12936-021-03814-y https://doaj.org/toc/1475-2875 doi:10.1186/s12936-021-03814-y 1475-2875 https://doaj.org/article/f2768647f9634a1a99eb1c756eeb6a99 Malaria Journal, Vol 20, Iss 1, Pp 1-9 (2021) Malaria Pregnancy Intermittent preventive treatment Community healthcare workers Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2021 ftdoajarticles https://doi.org/10.1186/s12936-021-03814-y 2022-12-31T09:05:51Z Abstract Background Burkina Faso is among ten countries with the highest rates of malaria cases and deaths in the world. Delivery and coverage of intermittent preventive treatment of malaria in pregnancy (IPTp) is insufficient in Burkina Faso; In a 2016 survey, only 22% of eligible women had received their third dose of IPTp. It is also an extremely rural country and one with an established cadre of community healthcare workers (CHWs). To better meet the needs of pregnant women, an enhanced programme was established to facilitate distribution of IPTp at the community level by CHWs. Methods In order to assess the perceptions of CHWs and facility healthcare workers (HCWs) involved in this programme rollout, semi-structured interviews were conducted at three high malaria burden health districts in Burkina Faso. Interviews were conducted at baseline with 104 CHWs and 35 HCWs prior to the introduction of community based IPTp (c-IPTp) to assess capacity and any areas of concern. At endline, interviews were conducted with 29 CHWs and 21 HCWs to identify key facilitators and suggestions for further implementation of the c-IPTp programme. Results CHWs reported feeling capable of supporting c-IPTp delivery and facilitating linkage to antenatal care (ANC). They noted that the opportunity for enhanced training and close and ongoing connections with facility HCWs and supportive supervision were imperative. Both CHWs and HCWs perceived this approach as acceptable to community members and noted the importance of close community engagement, monthly meetings between CHWs and facility HCWs, and maintaining regular supplies of sulfadoxine–pyrimethamine (SP). Those interviewed noted that it was beneficial to have the involvement of both female and male CHWs. Conclusions Community-based delivery of IPTp was feasible and acceptable to both facility HCWs and CHWs. This approach has the potential to strengthen delivery and uptake of IPTp and ANC both in Burkina Faso and across the region. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Malaria Journal 20 1 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Malaria Pregnancy Intermittent preventive treatment Community healthcare workers Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
spellingShingle |
Malaria Pregnancy Intermittent preventive treatment Community healthcare workers Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 Danielle Burke Justin Tiendrebeogo Courtney Emerson Susan Youll Julie Gutman Ousmane Badolo Yacouba Savadogo Kristen Vibbert Katherine Wolf William Brieger Community-based delivery of intermittent preventive treatment of malaria in pregnancy in Burkina Faso: a qualitative study |
topic_facet |
Malaria Pregnancy Intermittent preventive treatment Community healthcare workers Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Abstract Background Burkina Faso is among ten countries with the highest rates of malaria cases and deaths in the world. Delivery and coverage of intermittent preventive treatment of malaria in pregnancy (IPTp) is insufficient in Burkina Faso; In a 2016 survey, only 22% of eligible women had received their third dose of IPTp. It is also an extremely rural country and one with an established cadre of community healthcare workers (CHWs). To better meet the needs of pregnant women, an enhanced programme was established to facilitate distribution of IPTp at the community level by CHWs. Methods In order to assess the perceptions of CHWs and facility healthcare workers (HCWs) involved in this programme rollout, semi-structured interviews were conducted at three high malaria burden health districts in Burkina Faso. Interviews were conducted at baseline with 104 CHWs and 35 HCWs prior to the introduction of community based IPTp (c-IPTp) to assess capacity and any areas of concern. At endline, interviews were conducted with 29 CHWs and 21 HCWs to identify key facilitators and suggestions for further implementation of the c-IPTp programme. Results CHWs reported feeling capable of supporting c-IPTp delivery and facilitating linkage to antenatal care (ANC). They noted that the opportunity for enhanced training and close and ongoing connections with facility HCWs and supportive supervision were imperative. Both CHWs and HCWs perceived this approach as acceptable to community members and noted the importance of close community engagement, monthly meetings between CHWs and facility HCWs, and maintaining regular supplies of sulfadoxine–pyrimethamine (SP). Those interviewed noted that it was beneficial to have the involvement of both female and male CHWs. Conclusions Community-based delivery of IPTp was feasible and acceptable to both facility HCWs and CHWs. This approach has the potential to strengthen delivery and uptake of IPTp and ANC both in Burkina Faso and across the region. |
format |
Article in Journal/Newspaper |
author |
Danielle Burke Justin Tiendrebeogo Courtney Emerson Susan Youll Julie Gutman Ousmane Badolo Yacouba Savadogo Kristen Vibbert Katherine Wolf William Brieger |
author_facet |
Danielle Burke Justin Tiendrebeogo Courtney Emerson Susan Youll Julie Gutman Ousmane Badolo Yacouba Savadogo Kristen Vibbert Katherine Wolf William Brieger |
author_sort |
Danielle Burke |
title |
Community-based delivery of intermittent preventive treatment of malaria in pregnancy in Burkina Faso: a qualitative study |
title_short |
Community-based delivery of intermittent preventive treatment of malaria in pregnancy in Burkina Faso: a qualitative study |
title_full |
Community-based delivery of intermittent preventive treatment of malaria in pregnancy in Burkina Faso: a qualitative study |
title_fullStr |
Community-based delivery of intermittent preventive treatment of malaria in pregnancy in Burkina Faso: a qualitative study |
title_full_unstemmed |
Community-based delivery of intermittent preventive treatment of malaria in pregnancy in Burkina Faso: a qualitative study |
title_sort |
community-based delivery of intermittent preventive treatment of malaria in pregnancy in burkina faso: a qualitative study |
publisher |
BMC |
publishDate |
2021 |
url |
https://doi.org/10.1186/s12936-021-03814-y https://doaj.org/article/f2768647f9634a1a99eb1c756eeb6a99 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Malaria Journal, Vol 20, Iss 1, Pp 1-9 (2021) |
op_relation |
https://doi.org/10.1186/s12936-021-03814-y https://doaj.org/toc/1475-2875 doi:10.1186/s12936-021-03814-y 1475-2875 https://doaj.org/article/f2768647f9634a1a99eb1c756eeb6a99 |
op_doi |
https://doi.org/10.1186/s12936-021-03814-y |
container_title |
Malaria Journal |
container_volume |
20 |
container_issue |
1 |
_version_ |
1766348568340201472 |