Community-Based Promotional Campaign to Improve Uptake of Intermittent Preventive Antimalarial Treatment in Pregnancy in Burkina Faso

Gies, S., Coulibaly, S. O., Ky, C., Ouattara, F. T., Brabin, Bernard and D'Alessandro, U. (2009) 'Community-Based Promotional Campaign to Improve Uptake of Intermittent Preventive Antimalarial Treatment in Pregnancy in Burkina Faso'. American Journal of Tropical Medicine and Hygiene, Vol 80, Issue 3, pp. 460-469.

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Abstract

Malaria preventive strategies in pregnancy were assessed in a health center randomized trial comparing intermittent preventive treatment with sulfadoxine-pyrimethamine (IPTp-SP) with and without community based promotional activities in rural Burkina Faso. The study involved 2,240 secundigravidae and secundigravidae and evaluated factors associated with antenatal clinic (ANC) attendance and uptake of IPTp-SP With promotion, 64.2% completed >= 3 ANC visits compared with 44.7% without (P = 0.05). Complete uptake of IPTp-SP was 71.8% with and 49.1.% without promotion (P = 0.008). The IPTp-SP uptake was lowest in adolescents delivering during high malaria transmission with (29%) or without promotion (30%). Uptake of SP was higher during the low transmission season than in the high transmission season (adjusted odds ratio = 2.17, 95% confidence interval = 1.59-3.03). Community sensitization increased ANC attendance and IPTp-SP uptake. Adolescents were the most difficult to reach, particularly during the high malaria transmission period. The impact of IPTp-SP will be limited unless this high risk group is protected.

Item Type:	Article
Uncontrolled Keywords:	sulfadoxine-pyrimethamine disease burden malaria women district kenya implementation challenges delivery therapy
Subjects:	WA Public Health > Preventive Medicine > WA 108 Preventive health services. Preventive medicine. Travel Medicine. WQ Obstetrics > Pregnancy Complications > WQ 240 Pregnancy complications (General) WC Communicable Diseases > Tropical and Parasitic Diseases > WC 755 Epidemiology WC Communicable Diseases > Tropical and Parasitic Diseases > WC 750 Malaria WQ Obstetrics > Pregnancy > WQ 200 General works QX Parasitology > Insects. Other Parasites > QX 650 Insect vectors WB Practice of Medicine > Medical Climatology > WB 710 Diseases of geographic areas WA Public Health > Preventive Medicine > WA 110 Prevention and control of communicable diseases. Transmission of infectious diseases WC Communicable Diseases > Tropical and Parasitic Diseases > WC 765 Prevention and control QX Parasitology > Insects. Other Parasites > QX 510 Mosquitoes
Faculty: Department:	Groups (2002 - 2012) > Child & Reproductive Health Group
Depositing User:	Pauline Anderson
Date Deposited:	12 Mar 2010 15:01
Last Modified:	06 Feb 2018 12:59
URI:	https://archive.lstmed.ac.uk/id/eprint/275

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