सार
Background: Malaria has adverse effects on pregnancy outcomes for mothers, their foetuses and newborns. The effective use of Intermittent Preventive Treatment - Sulfadoxine-Pyrimethamine (IPT-SP) would be of benefit to these vulnerable women. The aim of this study is to assess the compliance with IPT during pregnancy among postpartum women in Ibadan, Nigeria.
Methods: The descriptive survey collected data from 346 postpartum women attending postnatal and child welfare clinics of the University College Hospital, Adeoyo Memorial Maternity Specialist Hospital and Saint Mary Catholic Hospital (all in Ibadan, Nigeria) using a questionnaire. The three settings were selected based on their high client flow and strategic locations within the reach of resident people of Ibadan (both the rich and the poor). The three settings operate the traditional model of antenatal care. None of the settings provide preconception care. Descriptive and inferential statistics were employed for data analysis.
Results: Antenatal visit recorded among the women were marked with irregularities. Majority of the women received information on IPT during clinic visits. Nearly half of the women received other antimalaria prophylaxis apart from SP. Less than 40% of the women had good knowledge of malaria in pregnancy (MIP). Only 20.9% demonstrated positive attitudes towards the use of IPT-SP for malaria prevention. Presentation of malaria symptoms influenced the uptake of IPT significantly.
Conclusion: The study recommends integration of focused antenatal care with fewer clinic visits into the existing health care system to improve Ante-natal care (ANC) service utilization. Since majority of the women accessed information on IPT during antenatal clinic visits, same should be intensified to improve its uptake and compliance among women.
Keywords: Compliance, malaria, intermittent preventive treatment, pregnancy, postpartum women
Résumé
Introduction: Le paludisme a des effets néfastes sur la grossesse pour les mères, les fœtus et les nouveau-nés. L’utilisation efficace de traitement préventif intermittent - la sulfadoxine-pyriméthamine (IPT-SP) serait bénéfique pour ces femmes vulnérables. L’objectif de cette étude est d’évaluer la conformité avec le TPI pendant la grossesse chez les femmes post-partum à Ibadan, Nigeria.
Méthodes: L’enquête a recueilli des données descriptives de 346 femmes post-partum qui fréquentent postnatales et protection de l’enfance cliniques du centre hospitalier universitaire (UCH), hôpitalmémoriald’ Adeoyo et Maternité spécialiste de l’hôpital catholique-Sainte-Marie (tous à Ibadan, Nigeria) à l’aide d’un questionnaire. Les trois paramètres ont été choisis en fonction de leur débit élevé de la clientèle et des endroits stratégiques à la portée des personnes résidentes d’Ibadan (à la fois riches et pauvres). Les trois paramètres fonctionnent le modèle traditionnel de soins prénatals. Aucun des paramètres fournir des soins de préconception. Les statistiques descriptives et inférentielles ont été utilisées pour l’analyse des données.
Résultats: La visite prénatale enregistrée parmi les femmes a été marquée par des irrégularités. Majorité des femmes ont reçu des informations sur IPT pendant visites à la clinique. Près de la moitié des femmes a reçu d’autres antipaludiques prophylaxies hormis SP. Moins de 40% des femmes avaient une bonne connaissance du paludisme pendant la grossesse (PPG). Seulement 20,9% ont démontré une attitude positive envers l’utilisation du TPI-SP pour la prévention du paludisme. La présentation des symptômes du paludisme influençait l’adoption du TPI de manière significative.
Conclusion: L’étude recommande l’intégration ciblée des soins prénatals avec moins de visites à la clinique dans le système existant de soins de santé, améliorer l’utilisation des services d’ANC. Étant donné que la majorité des femmes sont accessible a l’information sur IPT pendant visites prénatales, il devrait de même intensifier pour améliorer son utilisation et le respect parmi les femmes.
Correspondence: Dr. O. Abimbola Oluwatosin, Department of Nursing, College of Medicine, University of Ibadan, Ibadan, Nigeria. E-mail: aoluwatosin@yahoo.com
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