Perspectives of postpartum women on intermittent presumptive treatment in Uganda: implications for malaria prevention: a qualitative study.

IF 2.4 3区医学 Q3 INFECTIOUS DISEASES

Malaria Journal Pub Date : 2024-11-06 DOI:10.1186/s12936-024-05135-2

Fatuma Namusoke, Allan Lugaajju, William Buwembo, Mpungu Steven Kiwuuwa, Mark Kaddumukasa

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引用次数: 0

Abstract

Background: Malaria during pregnancy leads to many deaths in Africa. COVID-19 contributed to more malaria cases due to interruptions in prevention efforts. Intermittent presumptive treatment (IPTP) is an effective malaria prevention strategy for pregnant women, but adoption barriers still exist. The study aim was to explore barriers to the adoption of IPTP at Kawempe National Referral Hospital (KNRH) Uganda.

Methods: In a qualitative study design, data was collected using focus group discussions. A total of 37 postpartum mothers were interviewed in six focus group discussions. The interviews were conducted using a structured guide to explore barriers to IPTP implementation at KNRH. The data was transcribed, coded, and analysed using NVivo 10.

Results: The study found that mothers lacked adequate knowledge about IPTP, faced socioeconomic and cultural constraints, fear of side effects, a high pill burden, and experience of health system challenges as major themes of barriers to optimal IPTP use.

Conclusions and recommendations: Challenges in the service delivery and inadequate information in regard to importance and expected side effects were identified by the users as the major barriers to IPTP delivery in public health care setting. Improving delivery of focused health education talks and health work attitude and delivery chain for IPTP in the health facilities are recommended to increase its uptake.

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乌干达产后妇女对间歇假定性治疗的看法：对疟疾预防的影响：一项定性研究。

背景：在非洲，孕期疟疾导致许多人死亡。由于预防工作中断，COVID-19 导致疟疾病例增加。间歇假定性治疗（IPTP）是一种针对孕妇的有效疟疾预防策略，但仍存在采用障碍。本研究旨在探讨乌干达 Kawempe 国家转诊医院（KNRH）采用间歇假定性治疗的障碍：方法：采用定性研究设计，通过焦点小组讨论收集数据。在六次焦点小组讨论中，共有 37 名产后母亲接受了访谈。访谈采用结构化指南进行，以探讨在 KNRH 实施 IPTP 的障碍。使用 NVivo 10 对数据进行了转录、编码和分析：研究发现，母亲们对 IPTP 缺乏足够的了解、面临社会经济和文化方面的限制、害怕副作用、药片负担重以及经历过医疗系统的挑战，这些都是影响 IPTP 最佳使用的主要障碍：使用者认为，在公共医疗机构提供 IPTP 的主要障碍是服务提供方面的挑战以及有关重要性和预期副作用的信息不足。为提高 IPTP 的使用率，建议在医疗机构中更好地开展有针对性的健康教育讲座，改善卫生工作态度和 IPTP 服务链。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Malaria Journal 医学-寄生虫学

CiteScore

5.10

自引率

23.30%

发文量

334

审稿时长

2-4 weeks

期刊介绍： Malaria Journal is aimed at the scientific community interested in malaria in its broadest sense. It is the only journal that publishes exclusively articles on malaria and, as such, it aims to bring together knowledge from the different specialities involved in this very broad discipline, from the bench to the bedside and to the field.