Perspectives of health care providers on the provision of intermittent preventive treatment in pregnancy in health facilities in Malawi

BMC Health Services Research
P Stanley YoderYazoumé Yé

Abstract

Nearly 20 years after the adoption by the government of Malawi of the provision of intermittent preventive treatment in pregnancy (IPTp) for malaria, only 55% of pregnant women received at least two doses of sulfadoxine-pyrimethamine (SP) in 2010. Although several reasons for the low coverage have been suggested, few studies have examined the views of health care providers. This study examined the experiences of the nurses and midwives in providing antenatal care (ANC) services. This study was conducted in health facilities in Malawi that provide routine ANC services. Providers of ANC in Malawi were selected from in eight health care facilities of Malawi. Selected providers were interviewed using a semi-structured interview guide designed to address a series of themes related to their working conditions and their delivery of IPTp. Nurses displayed detailed knowledge of ANC services and the rationale behind them. Nurses understood that they should provide two doses of IPTp during a pregnancy, but they did not agree on the timing of the doses. Nurses gave SP as directly observed therapy (DOT) at the clinic. Nurses did not give SP pills to women to take home with them because they did not trust that women would take the pills. Wom...Continue Reading

References

Jul 31, 2007·Transactions of the Royal Society of Tropical Medicine and Hygiene·Annika Launiala, Marja-Liisa Honkasalo
Mar 3, 2010·PloS One·Clara MenéndezPedro L Alonso
Dec 24, 2013·Malaria Journal·UNKNOWN WHO Malaria Policy Advisory Committee and Secretariat

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