Factors Associated with Intermittent Preventive Treatment of Malaria During Pregnancy in Mali

Intermittent preventive treatment in pregnancy (IPTp) with 3 or more doses of sulfadoxine-pyrimethamine (SP) is recommended by the World Health Organization to prevent malaria in pregnant women living in high-risk areas. According to the 2015 malaria indicator survey in Mali, malaria prevalence is 3...

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Bibliographic Details
Published in:The Journal of parasitology 2019-04, Vol.105 (2), p.299-302
Main Authors: Diarra, Souleymane S, Konaté, Drissa, Diawara, Sory I, Tall, Mariam, Diakité, Mahamadou, Doumbia, Seydou
Format: Article
Language:English
Subjects:
Adolescent
Adult
Age
Age Factors
ANC
Anemia
Antimalarial agents
Antimalarials - administration & dosage
Confidence intervals
Data analysis
Drug Combinations
Economic Status
Educational Status
Female
Fetuses
Health risks
Households
Humans
Information sources
IPTp-SP
Logistic Models
Malaria
Malaria - prevention & control
Mali
Middle Aged
Neonates
Polls & surveys
Pregnancy
Pregnancy Complications, Parasitic - prevention & control
Prenatal care
Prevention
Principal components analysis
Public health
Pyrimethamine
Pyrimethamine - administration & dosage
Questionnaires
Response rates
Rural areas
Rural Population
Statistical analysis
Sulfadoxine
Sulfadoxine - administration & dosage
Surveys and Questionnaires
THERAPEUTICS-DIAGNOSTICS
Urban Population
Vector-borne diseases
Womens health
Young Adult
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Summary:Intermittent preventive treatment in pregnancy (IPTp) with 3 or more doses of sulfadoxine-pyrimethamine (SP) is recommended by the World Health Organization to prevent malaria in pregnant women living in high-risk areas. According to the 2015 malaria indicator survey in Mali, malaria prevalence is 34.6%. The high risk of malaria among pregnant women and children led the Malian government to provide free SP during antenatal clinics visits. The Malian National Program of Malaria Control recommends at least 3 doses during pregnancy. The proportion of pregnant women taking 3 or more doses of IPTp-SP (IPTp 3+) still remains low. In Mali, only 36.7% of pregnant women with a live birth in the past 2 yr received IPTp 3+. To investigate the factors associated with this low coverage, we carried out a secondary data analysis using the database of the Mali 2015 Malaria Indicator Survey. Multiple logistic regression was used to analyze these factors among 2,382 interviewed women. Taking less than 3 doses was higher among women below 20 yr (adjusted odds ratio [AOR] = 1.43, 95% confidence interval [CI, 1.03; 1.98]); however, media accessibility (listening to radio) (AOR = 0.71, 95% CI [0.53–0.95]) and residing in Segou (AOR = 0.56, 95% CI [0.35–0.90]) seem to favor the opposite after adjusting the potential confusion. Residence, educational level, and wealth index were not statistically associated with taking 3 doses of IPTp-SP. This study identifies that women less than 20 yr of age were significantly associated with taking lower than 3 doses of IPTp-SP.
ISSN:0022-3395
1937-2345
DOI:10.1645/17-141