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Factors Affecting the Implementation of Intermittent Preventive Treatment of Malaria in Pregnancy in Dar es Salaam Health Facilities.

Nyonyi, J. K. (2012) Factors Affecting the Implementation of Intermittent Preventive Treatment of Malaria in Pregnancy in Dar es Salaam Health Facilities. Masters thesis, Muhimbili University of Health and Allied Sciences.

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Abstract

Tanzania adapted the World Health Organization (WHO) policy of giving two doses of Sulphadoxine- Pyrimethamine (SP) to pregnant women attending Antenatal clinics (ANCs) in order to control malaria in pregnancy. Implementation of IPT policy has been observed to face various challenges making the targeted coverage of 80% too far from being achieved. The main objective of this study was to identify factors affecting the uptake of Intermittent Preventive Treatment of Malaria among pregnant women attending ANCs in Dar-es Salaam region. A cross sectional study was carried out where interviewer guided questionnaires were administered to 302 pregnant women and 25 healthcare workers. The Reproductive and Child Health (RCH) cards of the pregnant women were also inspected for additional information. Focus Group Discussions (FGD) were conducted to the ANC staff and non participatory ANC observations were made using a standardized checklist. The IPT program in Dar es salaam public health facilities has successfully achieved higher coverage for both IPT 1 and IPT 2, (90% and 79.5% respectively).Gestation age appeared to have an influence on knowledge of pregnant women in IPT (p=0.04) and knowledge seem to have a significant relationship with IPT coverage (p= 0.03). Generally there was high knowledge among health care workers and availability of drug for IPT administration was good (92%), the probable reason for high coverage. The IPT program has successfully achieved higher coverage for both IPT 1 and IPT 2. Factors that were observed to influence coverage include knowledge of both healthcare workers and pregnant women, availability of SP and monitoring of IPT services. Knowledge of the pregnant women was found to be generally high and had an influence on the coverage of IPT. Health worker knowledge and attitude on IPTp was found to be high. Improved monitoring of IPT services will enhance copying of the best practice from one health facility to others. There should be continuous efforts that the health care workers are now practicing, probably by providing them with refresher training. More advocacies are needed including creation of clear IEC messages to help the healthcare workers in implementing the program. The IPT program should provide standardized improved IEC messages that will provide well understood information. The study also recommends that a similar study should be conducted in private health facilities to find out if they contribute significantly to the coverage of IPT Dar es salaam region

Item Type: Thesis (Masters)
Keywords: Intermittent Preventive Treatment, Malaria, malaria prevention, sulphadoxine, pyrimethamine, Pregnant women, Dar es Salaam
Subjects: Malaria > Diagnosis & treatment
Divisions: Muhimbili University of Health and Allied Sciences (MUHAS)
Depositing User: Mr Joseph Madata
Date Deposited: 20 Jun 2013 13:17
Last Modified: 20 Jun 2013 13:17
URI: http://ihi.eprints.org/id/eprint/1659

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