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Community-based delivery of intermittent preventive treatment of malaria in pregnancy in Burkina Faso: a qualitative study
BACKGROUND: Burkina Faso is among ten countries with the highest rates of malaria cases and deaths in the world. Delivery and coverage of intermittent preventive treatment of malaria in pregnancy (IPTp) is insufficient in Burkina Faso; In a 2016 survey, only 22% of eligible women had received their...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8220751/ https://www.ncbi.nlm.nih.gov/pubmed/34162384 http://dx.doi.org/10.1186/s12936-021-03814-y |
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author | Burke, Danielle Tiendrebeogo, Justin Emerson, Courtney Youll, Susan Gutman, Julie Badolo, Ousmane Savadogo, Yacouba Vibbert, Kristen Wolf, Katherine Brieger, William |
author_facet | Burke, Danielle Tiendrebeogo, Justin Emerson, Courtney Youll, Susan Gutman, Julie Badolo, Ousmane Savadogo, Yacouba Vibbert, Kristen Wolf, Katherine Brieger, William |
author_sort | Burke, Danielle |
collection | PubMed |
description | BACKGROUND: Burkina Faso is among ten countries with the highest rates of malaria cases and deaths in the world. Delivery and coverage of intermittent preventive treatment of malaria in pregnancy (IPTp) is insufficient in Burkina Faso; In a 2016 survey, only 22% of eligible women had received their third dose of IPTp. It is also an extremely rural country and one with an established cadre of community healthcare workers (CHWs). To better meet the needs of pregnant women, an enhanced programme was established to facilitate distribution of IPTp at the community level by CHWs. METHODS: In order to assess the perceptions of CHWs and facility healthcare workers (HCWs) involved in this programme rollout, semi-structured interviews were conducted at three high malaria burden health districts in Burkina Faso. Interviews were conducted at baseline with 104 CHWs and 35 HCWs prior to the introduction of community based IPTp (c-IPTp) to assess capacity and any areas of concern. At endline, interviews were conducted with 29 CHWs and 21 HCWs to identify key facilitators and suggestions for further implementation of the c-IPTp programme. RESULTS: CHWs reported feeling capable of supporting c-IPTp delivery and facilitating linkage to antenatal care (ANC). They noted that the opportunity for enhanced training and close and ongoing connections with facility HCWs and supportive supervision were imperative. Both CHWs and HCWs perceived this approach as acceptable to community members and noted the importance of close community engagement, monthly meetings between CHWs and facility HCWs, and maintaining regular supplies of sulfadoxine–pyrimethamine (SP). Those interviewed noted that it was beneficial to have the involvement of both female and male CHWs. CONCLUSIONS: Community-based delivery of IPTp was feasible and acceptable to both facility HCWs and CHWs. This approach has the potential to strengthen delivery and uptake of IPTp and ANC both in Burkina Faso and across the region. |
format | Online Article Text |
id | pubmed-8220751 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-82207512021-06-24 Community-based delivery of intermittent preventive treatment of malaria in pregnancy in Burkina Faso: a qualitative study Burke, Danielle Tiendrebeogo, Justin Emerson, Courtney Youll, Susan Gutman, Julie Badolo, Ousmane Savadogo, Yacouba Vibbert, Kristen Wolf, Katherine Brieger, William Malar J Research BACKGROUND: Burkina Faso is among ten countries with the highest rates of malaria cases and deaths in the world. Delivery and coverage of intermittent preventive treatment of malaria in pregnancy (IPTp) is insufficient in Burkina Faso; In a 2016 survey, only 22% of eligible women had received their third dose of IPTp. It is also an extremely rural country and one with an established cadre of community healthcare workers (CHWs). To better meet the needs of pregnant women, an enhanced programme was established to facilitate distribution of IPTp at the community level by CHWs. METHODS: In order to assess the perceptions of CHWs and facility healthcare workers (HCWs) involved in this programme rollout, semi-structured interviews were conducted at three high malaria burden health districts in Burkina Faso. Interviews were conducted at baseline with 104 CHWs and 35 HCWs prior to the introduction of community based IPTp (c-IPTp) to assess capacity and any areas of concern. At endline, interviews were conducted with 29 CHWs and 21 HCWs to identify key facilitators and suggestions for further implementation of the c-IPTp programme. RESULTS: CHWs reported feeling capable of supporting c-IPTp delivery and facilitating linkage to antenatal care (ANC). They noted that the opportunity for enhanced training and close and ongoing connections with facility HCWs and supportive supervision were imperative. Both CHWs and HCWs perceived this approach as acceptable to community members and noted the importance of close community engagement, monthly meetings between CHWs and facility HCWs, and maintaining regular supplies of sulfadoxine–pyrimethamine (SP). Those interviewed noted that it was beneficial to have the involvement of both female and male CHWs. CONCLUSIONS: Community-based delivery of IPTp was feasible and acceptable to both facility HCWs and CHWs. This approach has the potential to strengthen delivery and uptake of IPTp and ANC both in Burkina Faso and across the region. BioMed Central 2021-06-23 /pmc/articles/PMC8220751/ /pubmed/34162384 http://dx.doi.org/10.1186/s12936-021-03814-y Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Burke, Danielle Tiendrebeogo, Justin Emerson, Courtney Youll, Susan Gutman, Julie Badolo, Ousmane Savadogo, Yacouba Vibbert, Kristen Wolf, Katherine Brieger, William Community-based delivery of intermittent preventive treatment of malaria in pregnancy in Burkina Faso: a qualitative study |
title | Community-based delivery of intermittent preventive treatment of malaria in pregnancy in Burkina Faso: a qualitative study |
title_full | Community-based delivery of intermittent preventive treatment of malaria in pregnancy in Burkina Faso: a qualitative study |
title_fullStr | Community-based delivery of intermittent preventive treatment of malaria in pregnancy in Burkina Faso: a qualitative study |
title_full_unstemmed | Community-based delivery of intermittent preventive treatment of malaria in pregnancy in Burkina Faso: a qualitative study |
title_short | Community-based delivery of intermittent preventive treatment of malaria in pregnancy in Burkina Faso: a qualitative study |
title_sort | community-based delivery of intermittent preventive treatment of malaria in pregnancy in burkina faso: a qualitative study |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8220751/ https://www.ncbi.nlm.nih.gov/pubmed/34162384 http://dx.doi.org/10.1186/s12936-021-03814-y |
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