Predictors of the use of interventions to prevent malaria in pregnancy in Cameroon
Open accessAbstract
BACKGROUND: Malaria in pregnancy is common in sub-Saharan Africa where it contributes to perinatal morbidity and mortality. Use of insecticide-treated bed nets and intermittent preventive therapy with sulfadoxine-pyrimethamine during pregnancy are effective but underutilized interventions to prevent infection. Factors associated with bed net ownership and usage, and use of prophylaxis among recently pregnant women in Cameroon were investigated. METHODS: National data from the 2011 Cameroon Demographic Health Survey was used to identify women with a pregnancy within the previous 5 years. Logistic regression models were created to assess for independent predictors of reported bed net ownership, bed net usage, and the use of malaria prophylaxis medications during pregnancy. RESULTS: Nearly one in two women surveyed had a recent pregnancy (n = 7647). In this group, bed net ownership and usage rates were low (33.7 and 16.9%, respectively); 61.6% used medication for malaria prophylaxis during pregnancy. Bed net ownership and usage were associated with maternal literacy (aOR 1.4 for net usage, 95% CI 1.1-1.8) and the presence of children under age 5 in the home (aOR 2.3 for net usage, 95% CI 1.6-3.3). The use of malaria prophylaxis medication was associated with measures of healthcare access (aOR 17.8, 95% CI 13-24.5 for ≥4 antenatal care visits), higher maternal education (aOR 1.5, 95% CI 1.1-2.1) and maternal literacy (aOR 1.4, 95% CI 1.1-1.7). CONCLUSIONS: Women in Cameroon and their antenatal providers missed many opportunities to prevent malaria in pregnancy. Efforts toward ensuring universal bed net provision, consistent antenatal care and the education of girls are likely to improve birth outcomes attributable to malaria infection.
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This moderate uptake is better than previous reports of 20-26% use of ≥3 doses of IPTp-SP in the country and Tanzania but still below the 60% target by the Ministry of Health.
“This moderate uptake though better than previous reports of 20–26% use of ≥ 3 doses of IPTp-SP in the country [39] and Tanzania is still below the 60% target by the Ministry of Health [40].”
From Intermittent preventive treatment with Sulphadoxine-Pyrimethamine (IPTp-SP) is associated with protection against sub-microscopic P. falciparum infection in pregnant women during the low transmission dry season in southwestern Cameroon: A Semi - longitudinal study (2022) · cites this paper as [39]
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- Authors
- Dionne-Odom, J., Westfall, A. O., Apinjoh, T. O., Anchang-Kimbi, J., Achidi, E. A., & Tita, A. T. N.
- Affiliations
- University of Alabama at Birmingham (US)
- University of Buea (CM)
- Venue
- Malaria Journal
- Published
- 2017-03-27
- Volume
- 16
- Issue
- 1
- Pages
- 132-132
- ISSN
- 1475-2875 (ISSN-L)
- PMC
- PMC5368905
- OpenAlex
- W2601859644
- Cited by
- 21
- References
- 26
- Citations by year
- 2024: 3 · 2023: 2 · 2022: 3 · 2021: 4 · 2020: 5 · 2019: 2 · 2018: 2
- FWCI
- 2.31
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- Malaria Journal (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (K23HD090993)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Malaria Research and Control
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
- Keywords
- malaria in pregnancy, malaria prevention, insecticide-treated nets, sulfadoxine-pyrimethamine, malaria prophylaxis, bed net ownership, bed net use, prenatal care, maternal literacy, maternal education, health care access, Cameroon
- MeSH terms
- Adult, Cameroon, Female, Humans, Malaria, Ownership, Pregnancy, Socioeconomic Factors, Pregnancy Complications, Parasitic, Young Adult, Insecticide-Treated Bednets, Pre-Exposure Prophylaxis
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