AB008. The impact of readiness of malaria services on uptake of intermittent preventive treatment in pregnancy provided during antenatal care visits
Abstract

AB008. The impact of readiness of malaria services on uptake of intermittent preventive treatment in pregnancy provided during antenatal care visits

Xinfang Xu#, Di Liang#, Jiayan Huang

School of Public Health, Global Health Institute, Fudan University, Shanghai, China

#These authors contributed equally to this work.

Correspondence to: Jiayan Huang, PhD. School of Public Health, Global Health Institute, Fudan University, 138 Yixueyuan Road, Mailbox 197, Shanghai 200032, China. Email: jiayanhuang@fudan.edu.cn.

Background: The coverage of intermittent preventive treatment in pregnancy with sulfadoxine-pyrimethamine (IPTp-SP) in antenatal care (ANC) in sub-Saharan Africa, remains well below the target. This study examined the impact of the availability and readiness of malaria services on the uptake of IPTp-SP provided during ANC visits in sub-Saharan countries.

Methods: This cross-sectional study used the latest data from the Service Provision Assessment (SPA) in six African countries (Kenya, Senegal, Congo, Malawi, Namibia, and Tanzania). The outcome variable indicates whether a pregnant woman received IPTp-SP at her current ANC visit. The primary predictors of interest were the availability and readiness of malaria services at each facility, including the availability of SP and guidelines for malaria, the percentage of trained staff, and whether the facility integrated IPTp-SP into routine ANC. A Poisson regression model was used to estimate the associations between the availability and readiness of malaria services and the uptake of IPTp-SP for women eligible for the first dose of IPTp-SP and those eligible for their next dose, respectively.

Results: For women eligible for their first dose of IPT-SP, those who attended facilities with available SP were 43% more likely [95% confidence interval (CI): 1.22–1.67, P<0.001] to receive IPTp-SP than those who attended facilities with no available SP. For women who were not SP-naive and eligible for their next dose, those who attended facilities with available SP were 24% (95% CI: 1.10–1.39, P<0.001) more likely to receive IPTp-SP, and those who attended facilities where IPTp-SP provision was integrated into routine ANC and 99% (95% CI: 1.32–1.67, P=0.001) more likely to receive IPTp-SP than those who attended facilities did not integrate IPTp-SP provision into ANC.

Conclusions: The availability of preventive malaria drugs (SP) and integrating IPTp-SP into routine ANC were associated with increased uptake rates of IPTp-SP among pregnant women. Future efforts were warranted to integrate malaria services into routine ANC.

Keywords: Intermittent preventive treatment in pregnancy (IPTp); antenatal care (ANC); readiness of malaria services

Acknowledgments

Funding: This research was funded by the Major Project of the National Social Science Fund of China (Grant No. 20VMG027 & 20&ZD147).

Footnote

Conflicts of Interest: All authors have completed the ICMJE uniform disclosure form (available at https://jphe.amegroups.com/article/view/10.21037/jphe-2023-apru-ab008/coif). The authors have no conflicts of interest to declare.

Ethical Statement: The authors are accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved. The study was conducted in accordance with the Declaration of Helsinki (as revised in 2013). The secondary data analysis does not require IRB review because the publicly available dataset is completely de-identified when the investigator accesses it for research purposes, and there is no way of linking the data back to the subjects. Individual consent for this retrospective analysis was waived.

Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the noncommercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0/.

doi: 10.21037/jphe-2023-apru-ab008
Cite this abstract as: Xu X, Liang D, Huang J. AB008. The impact of readiness of malaria services on uptake of intermittent preventive treatment in pregnancy provided during antenatal care visits. J Public Health Emerg 2024;8:AB008.

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