BACKGROUND:Malaria in pregnancy has adverse effects on maternal and child health. Intermittent preventive treatment (IPTp) with three doses of Sulfadoxine/Pyrimethamine is an effective preventive measure for malaria in pregnancy. However, 24.0% of women use this prophylactic regimen in Ebonyi State. Previous studies have focused on the level of uptake with less attention given to factors influencing uptake. Therefore, we examined the predictors of IPTp uptake in the last pregnancy among women in Ebonyi State, Nigeria. METHODS:This was a community-based cross-sectional study among 340 women of reproductive age selected using multistage sampling technique. A semi-structured interviewer administered questionnaire was used to collect data on socio-demographic characteristics of respondents, IPTp uptake and reasons for not taking IPTp. Adherence was judged adequate if three or more doses of IPTp were taken, otherwise inadequate. Data were analyzed using descriptive statistics, Chi- square test and logistic regression model at 5% level of significance. RESULTS:Mean age of respondents was 28.8 ± 5.2 years, 96.5% were married, 19.4% had tertiary education, and 11.2% were from polygamous family. Uptake of IPTp was 74.2%. The level of IPTp uptake was 12.5 and 41.0% among women with no formal and tertiary education respectively. A similar pattern of IPTp uptake was observed among women from monogamous (38.0%) and polygamous (39.5%) families. Women education, husband education and family type were associated with uptake of IPTp, however only husband education remained a predictor of uptake. Women whose husband had secondary education (aOR = 4.1, 95%CI: 1.66-10.06) and tertiary education (aOR = 4.8, 95%CI: 1.76-12.90) were more likely to have IPTp uptake than those whose husbands had below secondary education. CONCLUSION:Adequate IPTp uptake among women in their last pregnancy was below WHO recommendation. Intervention aimed at improving couple's education could facilitate increase in IPTp uptake in Ebonyi State.

译文

背景:怀孕期间的疟疾会对母婴健康产生不利影响。三种剂量的磺胺多辛/乙胺嘧啶的间歇性预防性治疗(IPTp)是预防疟疾的有效措施。但是,在埃博尼州,有24.0%的妇女使用这种预防性治疗方案。先前的研究集中在摄取水平上,较少关注影响摄取的因素。因此,我们检查了尼日利亚埃邦伊州妇女最后一次妊娠中IPTp摄取的预测因子。
方法:这是一项基于社区的横断面研究,对使用多阶段抽样技术选择的340名育龄妇女进行了研究。使用半结构性访调员管理的问卷来收集有关受访者的社会人口统计学特征,IPTp摄入量和不服用IPTp的原因的数据。如果服用三剂或更多剂量的IPTp,则判断粘附性足够,否则不足。使用描述性统计,卡方检验和逻辑回归模型对数据进行了分析(显着性水平为5%)。
结果:受访者平均年龄为28.8±5.2岁,已婚的比例为96.5%,大专以上学历的比例为19.4%,一夫多妻制家庭的比例为11.2%。 IPTp的吸收率为74.2%。没有受过正规和高等教育的妇女的IPTp摄取水平分别为12.5%和41.0%。在一夫一妻制(38.0%)和一夫多妻制(39.5%)家庭的妇女中观察到了类似的IPTp吸收模式。妇女的教育,丈夫的教育和家庭类型与IPTp的摄取有关,但是只有丈夫的教育仍然是摄取IPTp的指标。丈夫受过中等教育(aOR = 4.1,95%CI:1.66-10.06)和高等教育(aOR = 4.8,95%CI:1.76-12.90)的女性比丈夫受过中等教育的女性更有可能接受IPTp 。
结论:上次妊娠妇女的足够IPTp摄取低于WHO的建议。旨在改善夫妇的教育水平的干预措施可以促进埃博尼州IPTp摄入量的增加。

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