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Compliance with Intermittent Preventive Treatment Against Malaria in Pregnancy: Role of Health Center Quality and Accessibility in a Beninese Semi Urban Area

Received: 1 December 2020     Accepted: 9 December 2020     Published: 12 January 2021
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Abstract

Background: In a context of low coverage (around 40%) of malarial intermittent preventive treatment in pregnant women in republic of Benin, we investigated the implication of health center quality and accessibility factors on the compliance with IPTp. Methods: In a cross-sectional study conducted from October 2017 to February 2018 in southern Benin, 422 women, pregnant in the last trimester or who gave birth less than a month ago were included. Conditions of access to the health center and factors related to the quality of services at the health center were collected. To search for associated factors, univariate analysis were performed using Chi2 (or Fisher’s) and Student’s test. Logistic regression model was fitted for multivariate analysis. Results: Rates of IPTp intake were 36.49%, 26.78% and 11.14% respectively for first, second and third doses. Two factors increased the probability of taking IPT: travel cost (OR=2.57 [1.36; 3.92]) and quality of reception at health center (OR=1.93 [1.27; 2.64]). Conversely, the increase in travel time from home to health center was associated with a lower probability of taking IPT (OR=0.91 [0.85; 0.98]). Conclusion: This study highlighted the need to take into account the improvement of the socioeconomic level of women and the improvement of the quality of services in health centers in order to achieve better coverage of IPT taking in pregnant women. Strengthening the health system in developing countries, in particular by recruiting health workers and training them, is beneficial.

Published in European Journal of Preventive Medicine (Volume 9, Issue 1)
DOI 10.11648/j.ejpm.20210901.12
Page(s) 8-13
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Pregnancy, IPT, Socioeconomic Level, Quality of Health Center Services

References
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Cite This Article
  • APA Style

    Padonou Sètondji Géraud Roméo, Aguemon Badirou, Damien Georgia, Djossou Elisette, Codjia Estelle, et al. (2021). Compliance with Intermittent Preventive Treatment Against Malaria in Pregnancy: Role of Health Center Quality and Accessibility in a Beninese Semi Urban Area. European Journal of Preventive Medicine, 9(1), 8-13. https://doi.org/10.11648/j.ejpm.20210901.12

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    ACS Style

    Padonou Sètondji Géraud Roméo; Aguemon Badirou; Damien Georgia; Djossou Elisette; Codjia Estelle, et al. Compliance with Intermittent Preventive Treatment Against Malaria in Pregnancy: Role of Health Center Quality and Accessibility in a Beninese Semi Urban Area. Eur. J. Prev. Med. 2021, 9(1), 8-13. doi: 10.11648/j.ejpm.20210901.12

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    AMA Style

    Padonou Sètondji Géraud Roméo, Aguemon Badirou, Damien Georgia, Djossou Elisette, Codjia Estelle, et al. Compliance with Intermittent Preventive Treatment Against Malaria in Pregnancy: Role of Health Center Quality and Accessibility in a Beninese Semi Urban Area. Eur J Prev Med. 2021;9(1):8-13. doi: 10.11648/j.ejpm.20210901.12

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  • @article{10.11648/j.ejpm.20210901.12,
      author = {Padonou Sètondji Géraud Roméo and Aguemon Badirou and Damien Georgia and Djossou Elisette and Codjia Estelle and Hinson Antoine Vickey and Ayelo Paul},
      title = {Compliance with Intermittent Preventive Treatment Against Malaria in Pregnancy: Role of Health Center Quality and Accessibility in a Beninese Semi Urban Area},
      journal = {European Journal of Preventive Medicine},
      volume = {9},
      number = {1},
      pages = {8-13},
      doi = {10.11648/j.ejpm.20210901.12},
      url = {https://doi.org/10.11648/j.ejpm.20210901.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ejpm.20210901.12},
      abstract = {Background: In a context of low coverage (around 40%) of malarial intermittent preventive treatment in pregnant women in republic of Benin, we investigated the implication of health center quality and accessibility factors on the compliance with IPTp. Methods: In a cross-sectional study conducted from October 2017 to February 2018 in southern Benin, 422 women, pregnant in the last trimester or who gave birth less than a month ago were included. Conditions of access to the health center and factors related to the quality of services at the health center were collected. To search for associated factors, univariate analysis were performed using Chi2 (or Fisher’s) and Student’s test. Logistic regression model was fitted for multivariate analysis. Results: Rates of IPTp intake were 36.49%, 26.78% and 11.14% respectively for first, second and third doses. Two factors increased the probability of taking IPT: travel cost (OR=2.57 [1.36; 3.92]) and quality of reception at health center (OR=1.93 [1.27; 2.64]). Conversely, the increase in travel time from home to health center was associated with a lower probability of taking IPT (OR=0.91 [0.85; 0.98]). Conclusion: This study highlighted the need to take into account the improvement of the socioeconomic level of women and the improvement of the quality of services in health centers in order to achieve better coverage of IPT taking in pregnant women. Strengthening the health system in developing countries, in particular by recruiting health workers and training them, is beneficial.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - Compliance with Intermittent Preventive Treatment Against Malaria in Pregnancy: Role of Health Center Quality and Accessibility in a Beninese Semi Urban Area
    AU  - Padonou Sètondji Géraud Roméo
    AU  - Aguemon Badirou
    AU  - Damien Georgia
    AU  - Djossou Elisette
    AU  - Codjia Estelle
    AU  - Hinson Antoine Vickey
    AU  - Ayelo Paul
    Y1  - 2021/01/12
    PY  - 2021
    N1  - https://doi.org/10.11648/j.ejpm.20210901.12
    DO  - 10.11648/j.ejpm.20210901.12
    T2  - European Journal of Preventive Medicine
    JF  - European Journal of Preventive Medicine
    JO  - European Journal of Preventive Medicine
    SP  - 8
    EP  - 13
    PB  - Science Publishing Group
    SN  - 2330-8230
    UR  - https://doi.org/10.11648/j.ejpm.20210901.12
    AB  - Background: In a context of low coverage (around 40%) of malarial intermittent preventive treatment in pregnant women in republic of Benin, we investigated the implication of health center quality and accessibility factors on the compliance with IPTp. Methods: In a cross-sectional study conducted from October 2017 to February 2018 in southern Benin, 422 women, pregnant in the last trimester or who gave birth less than a month ago were included. Conditions of access to the health center and factors related to the quality of services at the health center were collected. To search for associated factors, univariate analysis were performed using Chi2 (or Fisher’s) and Student’s test. Logistic regression model was fitted for multivariate analysis. Results: Rates of IPTp intake were 36.49%, 26.78% and 11.14% respectively for first, second and third doses. Two factors increased the probability of taking IPT: travel cost (OR=2.57 [1.36; 3.92]) and quality of reception at health center (OR=1.93 [1.27; 2.64]). Conversely, the increase in travel time from home to health center was associated with a lower probability of taking IPT (OR=0.91 [0.85; 0.98]). Conclusion: This study highlighted the need to take into account the improvement of the socioeconomic level of women and the improvement of the quality of services in health centers in order to achieve better coverage of IPT taking in pregnant women. Strengthening the health system in developing countries, in particular by recruiting health workers and training them, is beneficial.
    VL  - 9
    IS  - 1
    ER  - 

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Author Information
  • Department of Public Health, Faculty of Health Sciences, University of Abomey-Calavi, Cotonou, Republic of Benin

  • Department of Public Health, Faculty of Health Sciences, University of Abomey-Calavi, Cotonou, Republic of Benin

  • Population and Health Department, Center for Training and Research in Population, University of Abomey-Calavi, Cotonou, Republic of Benin

  • Department of Public Health, Faculty of Health Sciences, University of Abomey-Calavi, Cotonou, Republic of Benin

  • Teaching and Research Unit in Community Health and Epidemiology, Faculty of Health Sciences, University of Abomey-Calavi, Cotonou, Republic of Benin

  • Research and Teaching Unit in Occupational Health and Environment, Faculty of Health Sciences, University of Abomey-Calavi, Cotonou, Republic of Benin

  • Research and Teaching Unit in Occupational Health and Environment, Faculty of Health Sciences, University of Abomey-Calavi, Cotonou, Republic of Benin

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