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Predictors for uptake of intermittent preventive treatment of malaria in pregnancy (IPTp) in Tanzania

BACKGROUND: Tanzania adopted Intermittent-preventive treatment of malaria in pregnancy (IPTp) policy in 2000; the guidelines at the time of the study recommended the timing of the first dose of intermittent preventive treatment in pregnancy (IPTp) with sulfadoxine-pyrimethamine (SP) (IPTp-SP) at 20–...

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Autores principales: Kibusi, Stephen M., Kimunai, Eunice, Hines, Courtney S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4458339/
https://www.ncbi.nlm.nih.gov/pubmed/26049737
http://dx.doi.org/10.1186/s12889-015-1905-0
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author Kibusi, Stephen M.
Kimunai, Eunice
Hines, Courtney S.
author_facet Kibusi, Stephen M.
Kimunai, Eunice
Hines, Courtney S.
author_sort Kibusi, Stephen M.
collection PubMed
description BACKGROUND: Tanzania adopted Intermittent-preventive treatment of malaria in pregnancy (IPTp) policy in 2000; the guidelines at the time of the study recommended the timing of the first dose of intermittent preventive treatment in pregnancy (IPTp) with sulfadoxine-pyrimethamine (SP) (IPTp-SP) at 20–24 weeks and the timing of the second dose at 28–32 weeks. The aim of this study was to identify factors that are responsible for the uptake of IPTp among pregnant Tanzanian women. Further, this study aims to justify the need for appropriate interventions that would strengthen the Tanzanian IPTp program towards the realization of the Roll Back Malaria (RBM) targets. METHODS: Data were analyzed from the 2011–2012 Tanzania HIV and Malaria Indicators Survey (THMIS) of 1,616 women aged 15–49 years who had a live birth in the 2 years prior to the survey and received antenatal care (ANC) services. RESULTS: Logistic regression analysis results showed that (1) being in the age groups 30–34 and 35–39 versus other age groups and being married or living with partner versus those who reported as never married or divorced/separated were associated with high uptake of IPTp; (2) women pregnant with their first or second child versus those who already have had two or more children had higher odds of completing the recommended number of IPTp dosage; and (3) being a resident from the Eastern Zone versus Lake Zone as well as having the first antenatal visit in the first or second trimester versus third trimester were associated with higher uptake of IPTp. CONCLUSION: Applying these results could contribute to positive social change by helping providers, clinics, and organizations seeking to increase IPTp uptake among ANC attendees and providing health education programs to women, especially those residing in rural areas. This study could also help achieve United Nations Millennium Development Goals (MDG) 6 (combat HIV/AIDS, Malaria and Other Diseases).
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spelling pubmed-44583392015-06-08 Predictors for uptake of intermittent preventive treatment of malaria in pregnancy (IPTp) in Tanzania Kibusi, Stephen M. Kimunai, Eunice Hines, Courtney S. BMC Public Health Research Article BACKGROUND: Tanzania adopted Intermittent-preventive treatment of malaria in pregnancy (IPTp) policy in 2000; the guidelines at the time of the study recommended the timing of the first dose of intermittent preventive treatment in pregnancy (IPTp) with sulfadoxine-pyrimethamine (SP) (IPTp-SP) at 20–24 weeks and the timing of the second dose at 28–32 weeks. The aim of this study was to identify factors that are responsible for the uptake of IPTp among pregnant Tanzanian women. Further, this study aims to justify the need for appropriate interventions that would strengthen the Tanzanian IPTp program towards the realization of the Roll Back Malaria (RBM) targets. METHODS: Data were analyzed from the 2011–2012 Tanzania HIV and Malaria Indicators Survey (THMIS) of 1,616 women aged 15–49 years who had a live birth in the 2 years prior to the survey and received antenatal care (ANC) services. RESULTS: Logistic regression analysis results showed that (1) being in the age groups 30–34 and 35–39 versus other age groups and being married or living with partner versus those who reported as never married or divorced/separated were associated with high uptake of IPTp; (2) women pregnant with their first or second child versus those who already have had two or more children had higher odds of completing the recommended number of IPTp dosage; and (3) being a resident from the Eastern Zone versus Lake Zone as well as having the first antenatal visit in the first or second trimester versus third trimester were associated with higher uptake of IPTp. CONCLUSION: Applying these results could contribute to positive social change by helping providers, clinics, and organizations seeking to increase IPTp uptake among ANC attendees and providing health education programs to women, especially those residing in rural areas. This study could also help achieve United Nations Millennium Development Goals (MDG) 6 (combat HIV/AIDS, Malaria and Other Diseases). BioMed Central 2015-06-07 /pmc/articles/PMC4458339/ /pubmed/26049737 http://dx.doi.org/10.1186/s12889-015-1905-0 Text en © Kibusi et al. 2015 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Kibusi, Stephen M.
Kimunai, Eunice
Hines, Courtney S.
Predictors for uptake of intermittent preventive treatment of malaria in pregnancy (IPTp) in Tanzania
title Predictors for uptake of intermittent preventive treatment of malaria in pregnancy (IPTp) in Tanzania
title_full Predictors for uptake of intermittent preventive treatment of malaria in pregnancy (IPTp) in Tanzania
title_fullStr Predictors for uptake of intermittent preventive treatment of malaria in pregnancy (IPTp) in Tanzania
title_full_unstemmed Predictors for uptake of intermittent preventive treatment of malaria in pregnancy (IPTp) in Tanzania
title_short Predictors for uptake of intermittent preventive treatment of malaria in pregnancy (IPTp) in Tanzania
title_sort predictors for uptake of intermittent preventive treatment of malaria in pregnancy (iptp) in tanzania
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4458339/
https://www.ncbi.nlm.nih.gov/pubmed/26049737
http://dx.doi.org/10.1186/s12889-015-1905-0
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