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Compliance with Intermittent Presumptive Treatment and Insecticide Treated Nets Use During Pregnancy in Enugu State, Nigeria

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Abstract

To identify key socio-demographic and knowledge factors associated with compliance with recommended use of commodities for preventing malaria in pregnancy (MIP) in Enugu State, Nigeria. Cross-sectional study of 720 women who delivered within 6 months preceding the survey in three local government areas in Enugu State was conducted using a structured questionnaire. About half (51.6 %) of the women used IPTp1 while 25.9 % took IPTp2 as recommended during their most recent pregnancy. Forty-one percent of the women slept under insecticide treat nets (ITN) during the most recent pregnancy but only 15.4 % did so as recommended every night. Socio-demographic and knowledge factors associated with compliance were identified. Compliance with intermittent presumptive treatment in pregnancy (IPTp) recommendation was more common among those in the rural setting (26.9 %) compared to the peri-urban (20.3 %) and urban (17.3 %) (P = 0.032). Those with good knowledge of the causes, effects and prevention of malaria during pregnancy complied more (23.7 %) than those with poor knowledge (17.0 %) (P = 0.020). With respect to sleeping under ITN, more of those with post secondary education, good knowledge of MIP and currently living with a partner used ITN every night during the last pregnancy. Knowledge about the MIP issues and having a partner influence compliance with relevant preventives. Efforts to increase compliance with recommended practices to prevent MIP should focus on providing health education to pregnant women and their partners, who reinforce what the women are told during antenatal care. More qualitative studies need to be conducted on this subject.

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References

  1. World Health Organization (WHO). (2003). Lives at risk: Malaria in pregnancy. Africa Malaria Report.

  2. National Population Commission (NPC) [Nigeria] & National Malaria Control Programme (NMCP) [Nigeria], and ICF International. (2012). Nigeria Malaria Indicator Survey 2010. Abuja, Nigeria: NPC, NMCP, and ICF International.

  3. Shane, B. (2001). Malaria continues to threaten pregnant women and children. Population Reference Bureau Articles, 2, 15–20.

    Google Scholar 

  4. Okeibunor, J. C., Orji, B. C., Brieger, W., Ishola, G., Otolorin, E., Rawlins, B., et al. (2011). Preventing malaria in pregnancy through community-directed interventions: Evidence from Akwa Ibom State, Nigeria. Malaria Journal, 10, 227.

    Article  PubMed Central  PubMed  Google Scholar 

  5. Steketee, R., Nahlen, B., Parise, M., & Menendez, C. (2001). The burden of malaria in pregnancy in malaria-endemic areas. American Journal of Tropical Medicine and Hygiene, 64(1), 28–35.

    CAS  PubMed  Google Scholar 

  6. Barker, D. J. P. (1992). Fetal and infant origins of disease. London: BMJ Books.

    Google Scholar 

  7. Center for Disease Control and Prevention. (2007). Alternatives for Pregnant women and treatment: Severe malaria. Atlanta: CDC.

    Google Scholar 

  8. Wilcox, A. J. (2001). On the importance—and the unimportance—of birthweight. International Journal of Epidemiology, 30(6), 1233–1241.

    Article  CAS  PubMed  Google Scholar 

  9. Rijken, M. J., Moroski, W. E., Kiricharoen, S., Karunkonkowit, N., Stevenson, G., Ohuma, E. O., et al. (2012). Effect of malaria on placental volume measured using three-dimensional ultrasound: A pilot study. Malaria Journal, 11, 5.

    Article  PubMed Central  PubMed  Google Scholar 

  10. Murphy, S. C., & Breman, J. G. (2001). Gaps in the childhood malaria burden in Africa: Cerebral malaria, neurological sequelae, anemia, respiratory distress, hypoglycemia, and complications of pregnancy. American Journal of Tropical Medicine and Hygiene, 64(1), 57–67.

    CAS  PubMed  Google Scholar 

  11. Guyatt, H. L., & Snow, R. W. (2004). Impact of malaria during pregnancy on low birth weight in sub-Saharan Africa. Clinical Microbiology Reviews, 17, 760–769.

    Article  PubMed Central  PubMed  Google Scholar 

  12. Federal Ministry of Health (FMoH) [Nigeria], and National Malaria Control Programme (NMCP). (2009). Strategic plan 2009–2013: A road map for malaria control in Nigeria; abridged version. Abuja, Nigeria: Yaliam Press Ltd.

  13. Federal Ministry of Health (FMOH). (2004). Malaria situation analysis document. Nigeria: Abuja Federal Ministry of Health.

    Google Scholar 

  14. Idowu, O., Mafiana, C., & Dapo, S. (2006). Malaria among pregnant women in Abeokuta, Nigeria. Tanzania Health Research Bulletin, 8(1), 28–31.

    CAS  PubMed  Google Scholar 

  15. National Population Commission Nigeria & ICF Macro. (2009). Nigeria: DHS, 2008—Final Report (English). Calverton, MD: Macro International.

  16. Garner, P., & Gulmezoglu, A. M. (2006). Drugs for preventing malaria in pregnant women. The Cochrane database of systematic reviews, 4, CD000169.

    PubMed  Google Scholar 

  17. Hughes, A. (2011). Methods to protect pregnant women from malaria are still under-utilized in sub-Saharan Africa. Medical News Today. http://www.medicalnewstoday.com/printerfriendlynews.php?newsid. Accessed 20 Nov 2012.

  18. WHO/UNICEF. (2003). Malaria in pregnancy. World Health Organization/UNICEF. WHO/CDS/MAL/2003. 1093.

  19. Igwe, P. C., Ebuchi, O. M., Imem, V., & Afolabi, B. M. (2007). Effects of the use of insecticide treated dednets on birth outcomes among primigravidae in a peri-urban slum settlement in south east Nigeria. SA Family Practical, 49(6), 15.

    Google Scholar 

  20. Jhpiego. (2005). MCH programme spotlight. In: A few steps forward on a long, winding road: Jhpiego’s work in malaria in pregnancy in Nigeria. http://www.jhpiego.jhu.edu/maternal. Accessed 18 Nov 2012.

  21. Pfeiffer, J., Johnson, W., Fort, M., Shakow, A., Hagopian, A., Gloyd, S., et al. (2008). Strengthening health systems in poor countries: A code of conduct for nongovernmental organizations. AJPH, 98(12), 2134–2140.

    Article  Google Scholar 

  22. Chen, L., Anand, S., Boufford, J., Brown, H., Chowdury, M., Cueto, M., et al. (2004). Human resources for health: Overcoming the crisis. Lancet, 364, 1984–1990.

    Article  PubMed  Google Scholar 

  23. Yuan, Y., L’italien, G., Mukherjee, J., & Iloeje, U. (2006). Determinants of discontinuation of initial highly active antiretroviral therapy regimens in a US HIV-infected patient cohort. HIV Medicine, 7(3), 156–162.

    Article  CAS  PubMed  Google Scholar 

  24. Iliyasu, Z., Kabir, M., Abubakar, I. S., Babashani, M., & Zubair, Z. A. (2005). Compliance to antiretroviral therapy among AIDS patients in Aminu Kano Teaching Hospital, Kano, Nigeria. Nigerian Journal of Medicine, 14(3), 290–294.

    CAS  PubMed  Google Scholar 

  25. Brieger, W. R., Otusanya, S. A., Oke, G. A., Oshiname, F. O., & Adeniyi, J. D. (2002). Factors associated with coverage in community directed treatment with ivermectin for onchocerciasis control in Oyo State, Nigeria. Tropical Medicine & International Health, 7(1), 11–18.

    Article  Google Scholar 

  26. Maduka, C. U., Nweke, L. N., Miri, E. S., Amazigo, U., Emukah, E. C., & Richards, F. O. (2004). Missed treatment opportunities, for pregnant and breast-feeding women, in onchocerciasis mass-treatment programmes in south-eastern Nigeria. Annals Tropical Medicine Parasitol, 98(7), 697–702.

    Article  CAS  Google Scholar 

  27. Semiyaga, N. B., Lalobo, O., & Ndyomugyenyi, R. (2005). Refusal to take ivermectin: the associated ‘risk’ factors in Hoima district, Uganda. Annals of Tropical Medicine & Parasitol, 99(2), 165–172.

    Article  CAS  Google Scholar 

  28. Lakwo, T. L., & Gasarasi, D. B. (2006). Non-adherence to community directed treatment with ivermectin for onchocerciasis control in Rungwe district, southwest Tanzania. East African Medical Journal, 83(6), 326–332.

    Article  CAS  PubMed  Google Scholar 

  29. Nuwaha, F., Okware, J., & Ndyomugyenyi, R. (2005). Predictors of compliance with community-directed ivermectin treatment in Uganda: Quantitative results. Tropical Medicine & International Health, 10(7), 659–667.

    Article  CAS  Google Scholar 

  30. Akogun, O. B., Akogun, M. K., & Audu, Z. (2000). Community-perceived benefits of ivermectin treatment in Northeastern Nigeria. Social Science and Medicine, 50, 1451–1456.

    Article  CAS  PubMed  Google Scholar 

  31. Federal Republic of Nigeria. (2007). Legal notice on publication of the details of the breakdown of the national and state provisional total 2006 census. Official Gazette No. 24, Vol. 94, pp. 178–198.

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Authors and Affiliations

  1. Department of Sociology/Anthropology, University of Nigeria, Nsukka, Nigeria

    Nkechi G. Onyeneho, Ngozi Idemili-Aronu, Ijeoma Okoye & Chidi Ugwu

  2. Humanities Unit, School of General Studies, University of Nigeria, Enugu Campus, Nsukka, Nigeria

    Felicia U. Iremeka

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  1. Nkechi G. Onyeneho
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  2. Ngozi Idemili-Aronu
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  3. Ijeoma Okoye
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  4. Chidi Ugwu
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  5. Felicia U. Iremeka
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Correspondence to Nkechi G. Onyeneho.

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Onyeneho, N.G., Idemili-Aronu, N., Okoye, I. et al. Compliance with Intermittent Presumptive Treatment and Insecticide Treated Nets Use During Pregnancy in Enugu State, Nigeria. Matern Child Health J 18, 1169–1175 (2014). https://doi.org/10.1007/s10995-013-1347-1

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