Assessment of intermittent preventive treatment for malaria among pregnant women in a tertiary hospital in Northern part of Nigeria

Modupe Iretiola Builders, DANLAMI WETCOS DAYOM, STEPHEN AJEN ANZAKU, AKANDE TUNJI, Peter Uduak Ise
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Abstract

The objective of this study is to assess the IPTp use among the pregnant women attending the antenatal clinic in Bingham University Teaching Hospital and improve the knowledge and attitudes of the patients toward the treatment. Method: A cross-sectional study was carried out between August and December 2017 among 107 pregnant women selected by systematic random sampling from antenatal care attendees at Bingham University Teaching Hospital in Jos North local Government of Plateau State of Nigeria. Information on the knowledge, attitudes and practices with respect to intermittent preventive treatment (IPTp) with sulphadoxine –pyrimethamine (SP) were obtained with the aid of a pre-tested interviewer-administered questionnaire. Descriptive statistics and Bivariate analysis were used to analyze the data. Results: Most of the interviewees were aged 26-30 years 40(37.4%) of the respondent, there was a high significant association between the age, educational level and occupation of the patients. Many of the respondents 57 (61%) were graduates, the association between the knowledge of malaria and level of education was highly significant. About 32 (29.9%) of the respondents had poor knowledge of treatment of malaria, there was a high significant association between the knowledge of treatment of malaria and level of education. 26 (24.3%) of the patients rarely used insecticide treated nets (ITNs) as method of malaria prevention, the association between the knowledge of malaria prevention and educational level was significant. Conclusion: Effort is needed to increase the sensitization of pregnant women about the benefits of IPTp in order to improve IPTp compliance.
对尼日利亚北部一家三级医院孕妇疟疾间歇预防治疗的评估
本研究旨在了解宾汉姆大学教学医院产前门诊孕妇对IPTp的使用情况,提高患者对IPTp治疗的认识和态度。方法:采用系统随机抽样的方法,于2017年8月至12月在尼日利亚高原州乔斯北地方政府宾汉姆大学教学医院产前护理人员中抽取107名孕妇进行横断面研究。通过预先测试的访谈者管理的问卷,获得了有关磺胺嘧啶-乙胺嘧啶(SP)间歇预防治疗(IPTp)的知识、态度和做法的信息。采用描述性统计和双变量分析对数据进行分析。结果:受访患者年龄以26 ~ 30岁居多(占37.4%),年龄、文化程度、职业与受访患者存在高度显著相关。57名应答者中有许多(61%)是大学毕业生,疟疾知识与教育水平之间的关联非常显著。约32人(29.9%)疟疾治疗知识贫乏,疟疾治疗知识与受教育程度呈高度显著相关。26例(24.3%)患者很少使用杀虫剂处理过的蚊帐作为预防疟疾的方法,预防疟疾知识与受教育程度之间存在显著相关性。结论:需要努力提高孕妇对IPTp益处的认识,以提高IPTp的依从性。
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