A community-based delivery system of intermittent preventive treatment of malaria in pregnancy and its effect on use of essential maternity care at health units in Uganda

Anthony K Mbonye; I C Bygbjerg; Pascal Magnussen

doi:10.1016/j.trstmh.2007.06.017

A community-based delivery system of intermittent preventive treatment of malaria in pregnancy and its effect on use of essential maternity care at health units in Uganda

Anthony K Mbonye, I C Bygbjerg, Pascal Magnussen

Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › peer review

18 Citationer (Scopus)

Abstract

Udgivelsesdato: 2007-Nov

Originalsprog	Engelsk
Tidsskrift	Transactions of the Royal Society of Tropical Medicine and Hygiene
Vol/bind	101
Udgave nummer	11
Sider (fra-til)	1088-95
Antal sider	7
ISSN	0035-9203
DOI	https://doi.org/10.1016/j.trstmh.2007.06.017
Status	Udgivet - 2007

Bibliografisk note

Keywords: Adolescent; Adult; Antimalarials; Child; Drug Combinations; Female; Humans; Malaria; Patient Compliance; Patient Education as Topic; Pregnancy; Pregnancy Complications, Infectious; Prenatal Care; Pyrimethamine; Sulfadoxine; Treatment Outcome; Uganda

Adgang til dokumentet

10.1016/j.trstmh.2007.06.017

Citationsformater

A community-based delivery system of intermittent preventive treatment of malaria in pregnancy and its effect on use of essential maternity care at health units in Uganda. / Mbonye, Anthony K; Bygbjerg, I C ; Magnussen, Pascal.

I: Transactions of the Royal Society of Tropical Medicine and Hygiene, Bind 101, Nr. 11, 2007, s. 1088-95.

Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › peer review

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title = "A community-based delivery system of intermittent preventive treatment of malaria in pregnancy and its effect on use of essential maternity care at health units in Uganda",

abstract = "Community delivery of intermittent preventive treatment of malaria in pregnancy (IPTp) is one potential option that could mitigate malaria in pregnancy. However, there is concern that this approach may lead to complacency among women with low access to essential care at health units. A non-randomised community trial assessed a new delivery system of IPTp through traditional birth attendants, drug shop vendors, community reproductive health workers and adolescent peer mobilisers (the intervention) compared with IPTp at health units (control). The study enrolled a total of 2081 pregnant women with the new approaches. Data on care-seeking practices before and after the intervention were collected. The majority of women with the new approaches accessed IPTp in the second trimester and adhered to two doses of sulfadoxine/pyrimethamine (SP) (1404/2081; 67.5%). Antenatal care (four recommended visits) increased from 3.4% (27/805) to 56.8% (558/983) (P<0.001). The proportion of women delivering at health units increased from 34.3% (276/805) to 41.5% (434/1045) (P=0.02), whilst the proportion of women seeking care for malaria at health units increased from 16.7% (128/767) to 36.0% (146/405) (P<0.001). Similarly, use of insecticide-treated nets increased from 7.7% (160/2081) to 22.4% (236/1055) (P<0.001). In conclusion, the community-based system was effective in delivering IPTp, whilst women still accessed and benefited from essential care at health units.",

author = "Mbonye, {Anthony K} and Bygbjerg, {I C} and Pascal Magnussen",

note = "Keywords: Adolescent; Adult; Antimalarials; Child; Drug Combinations; Female; Humans; Malaria; Patient Compliance; Patient Education as Topic; Pregnancy; Pregnancy Complications, Infectious; Prenatal Care; Pyrimethamine; Sulfadoxine; Treatment Outcome; Uganda",

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AU - Mbonye, Anthony K

AU - Bygbjerg, I C

AU - Magnussen, Pascal

N1 - Keywords: Adolescent; Adult; Antimalarials; Child; Drug Combinations; Female; Humans; Malaria; Patient Compliance; Patient Education as Topic; Pregnancy; Pregnancy Complications, Infectious; Prenatal Care; Pyrimethamine; Sulfadoxine; Treatment Outcome; Uganda

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N2 - Community delivery of intermittent preventive treatment of malaria in pregnancy (IPTp) is one potential option that could mitigate malaria in pregnancy. However, there is concern that this approach may lead to complacency among women with low access to essential care at health units. A non-randomised community trial assessed a new delivery system of IPTp through traditional birth attendants, drug shop vendors, community reproductive health workers and adolescent peer mobilisers (the intervention) compared with IPTp at health units (control). The study enrolled a total of 2081 pregnant women with the new approaches. Data on care-seeking practices before and after the intervention were collected. The majority of women with the new approaches accessed IPTp in the second trimester and adhered to two doses of sulfadoxine/pyrimethamine (SP) (1404/2081; 67.5%). Antenatal care (four recommended visits) increased from 3.4% (27/805) to 56.8% (558/983) (P<0.001). The proportion of women delivering at health units increased from 34.3% (276/805) to 41.5% (434/1045) (P=0.02), whilst the proportion of women seeking care for malaria at health units increased from 16.7% (128/767) to 36.0% (146/405) (P<0.001). Similarly, use of insecticide-treated nets increased from 7.7% (160/2081) to 22.4% (236/1055) (P<0.001). In conclusion, the community-based system was effective in delivering IPTp, whilst women still accessed and benefited from essential care at health units.

AB - Community delivery of intermittent preventive treatment of malaria in pregnancy (IPTp) is one potential option that could mitigate malaria in pregnancy. However, there is concern that this approach may lead to complacency among women with low access to essential care at health units. A non-randomised community trial assessed a new delivery system of IPTp through traditional birth attendants, drug shop vendors, community reproductive health workers and adolescent peer mobilisers (the intervention) compared with IPTp at health units (control). The study enrolled a total of 2081 pregnant women with the new approaches. Data on care-seeking practices before and after the intervention were collected. The majority of women with the new approaches accessed IPTp in the second trimester and adhered to two doses of sulfadoxine/pyrimethamine (SP) (1404/2081; 67.5%). Antenatal care (four recommended visits) increased from 3.4% (27/805) to 56.8% (558/983) (P<0.001). The proportion of women delivering at health units increased from 34.3% (276/805) to 41.5% (434/1045) (P=0.02), whilst the proportion of women seeking care for malaria at health units increased from 16.7% (128/767) to 36.0% (146/405) (P<0.001). Similarly, use of insecticide-treated nets increased from 7.7% (160/2081) to 22.4% (236/1055) (P<0.001). In conclusion, the community-based system was effective in delivering IPTp, whilst women still accessed and benefited from essential care at health units.

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