Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
BMC Pregnancy and Childbirth
Published in: BMC Pregnancy and Childbirth 1/2013

Open Access 01-12-2013 | Research article

Antenatal care visit attendance, intermittent preventive treatment and bed net use during pregnancy in Gabon

Authors: Marielle Karine Bouyou-Akotet, Denise Patricia Mawili-Mboumba, Maryvonne Kombila

Published in: BMC Pregnancy and Childbirth | Issue 1/2013

Login to get access

Abstract

Background

The World Health Organization (WHO) recommends that intermittent preventive treatment with sulfadoxine-pyrimethamine (IPTp-SP) and insecticide treated bed nets (ITNs) must be provided during antenatal care (ANC) visits for malaria prevention during pregnancy. The aim of this study was to determine the level of ANC attendance and its relationship with IPTp-SP and bed net coverage in Gabonese pregnant women.

Methods

This was a cross-sectional survey performed in 2011 in sentinel sites for malaria: two ANC units (Melen and Owendo) and one delivery unit (CHL). A validated structured questionnaire was used to collect the following data: age, parity, history of the current pregnancy including gestational age at the interview, number of ANC visits already performed, date of first visit, use of malaria preventive measure and details on IPTp-SP administration.

Results

During the study, 1030 women were interviewed, 735 at their ANC visit and 295 at the delivery. Their median age was 24[20–29] years and 21.0% were primigravidae. More than 70.0% attended their first ANC visit during the second trimester. Among the 442 women who were at the end of their pregnancy, 71.5% had a correct attendance, at least four ANC visits, most frequently women with no education and older women; IPTp-SP was offered to 84.1% of them and 57.4% received at least two doses. The number of SP doses was correlated to the number of ANC visits. Bed net coverage was 59.0%, not associated with ANC attendance. Among the women with correct ANC attendance, only 49.5% had a complete IPTp-SP course associated with bed net use during pregnancy. In the site where SP administration was supervised, 80% had four ANC visits and 97.4% received a full 2-dose course of IPTp-SP.

Conclusions

Despite a high level of correct ANC attendance in Gabon, the goal of 80% of women with 2-dose IPTp-SP during pregnancy is not achieved. Evaluations, training of health workers, as well as surveys from other areas of the country are needed to further measure the implementation and the impact of these strategies.
Literature
1.
Dellicour S, Tatem AJ, Guerra CA, Snow RW, ter Kuile FO: Quantifying the number of pregnancies at risk of malaria in 2007: a demographic study. PLoS Med. 2010, 7 (1): e1000221-10.1371/journal.pmed.1000221.CrossRefPubMedPubMedCentral
2.
World Health Organization: A Strategic Framework for Malaria Prevention and Control during Pregnancy in the Africa Region. Brazzaville, Republic of the Congo: WHO Regional Office for Africa
3.
4.
Ministère de Santé Publique: Traitement Préventif Intermittent contre le Paludisme chez la Femme Enceinte. Rapport de l’atelier national de consensus sur les perspectives thérapeutiques du paludisme. 2003, Libreville, Gabon: Programme National de Lutte contre le Paludisme, 1–4 Juillet
5.
Villar J, Bergsjo P: WHO antenatal care randomized trial: Manual for the implementation of the new model. 2002, Geneva: World Health Organ
6.
Hill J, Kazembe P: Reaching the Abuja target for intermittent preventive treatment of malaria in pregnancy in African women: a review of progress and operational challenges. Trop Med Int Health. 2006, 11: 409-18. 10.1111/j.1365-3156.2006.01585.x.CrossRefPubMed
7.
Holtz TH, Kachur SP, Roberts JM, Marum LH, Mkandala C, Chizani N, Macheso A, Parise ME: Use of antenatal care services and intermittent preventive treatment for malaria among pregnant women in Blantyre District, Malawi. Trop Med Int Health. 2004, 9: 77-82. 10.1046/j.1365-3156.2003.01170.x.CrossRefPubMed
8.
Kiwuwa MS, Mufubenga P: Use of antenatal care, maternity services, intermittent presumptive treatment and insecticide treated bed nets by pregnant women in Luwero district. Uganda Malar J. 2008 Mar 1, 7: 44-49.CrossRefPubMed
9.
Ndyomugyenyi R, Katamanywa J: Intermittent preventive treatment of malaria in pregnancy (IPTp): do frequent antenatal care visits ensure access and compliance to IPTp in Ugandan rural communities?. Trans R Soc Trop Med Hyg. 2010, 104: 536-40. 10.1016/j.trstmh.2010.02.003.CrossRefPubMed
10.
Ramharter M, Schuster K, Bouyou-Akotet MK, Adegnika AA, Schmits K, Mombo-Ngoma G, Agnandji ST, Nemeth J, Afène SN, Issifou S, Onnas IN, Kombila M, Kremsner PG: Malaria in pregnancy before and after the implementation of a national IPTp program in Gabon. Am J Trop Med Hyg. 2007, 77: 418-22.PubMed
11.
Mubyazi G, Bloch P, Kamugisha M, Kitua A, Ijumba J: Intermittent preventive treatment of malaria during pregnancy: a qualitative study of knowledge, attitudes and practices of district health managers, antenatal care staff and pregnant women in Korogwe District, North-Eastern Tanzania. Malar J. 2005, 4: 31-40. 10.1186/1475-2875-4-31.CrossRefPubMedPubMedCentral
12.
Brabin BJ, Warsame M, Uddenfeldt-Wort U, Dellicour S, Hill J, Gies S: Monitoring and evaluation of malaria in pregnancy - developing a rational basis for control. Malar J. 2008, 7: S6-10.1186/1475-2875-7-S1-S6.CrossRefPubMedPubMedCentral
13.
Carlson M, Smith Paintain L, Bruce J, Webster J, Lines J: Who attends antenatal care and expanded programme on immunization services in Chad, Mali and Niger? The implications for insecticide-treated net delivery. Malar J. 2011, 10: 341-55. 10.1186/1475-2875-10-341.CrossRefPubMedPubMedCentral
14.
Mourou JR, Coffinet T, Jarjaval F, Cotteaux C, Pradines E, Godefroy L, Kombila M, Pagès F: Malaria transmission in Libreville: results of a one year survey. Malar J. 2012, 11: 40-50. 10.1186/1475-2875-11-40.CrossRefPubMedPubMedCentral
15.
Oduro AR, Fryauff DJ, Koram KA, Rogers WO, Anto F, Atuguba F, Anyorigiya T, Adjuik M, Ansah P, Hodgson A, Nkrumah F: Sulfadoxine-pyrimethamine-based intermittent preventive treatment, bed net use, and antenatal care during pregnancy: demographic trends and impact on the health of newborns in the Kassena Nankana District, northeastern Ghana. Am J Trop Med Hyg. 2010, 83: 79-89. 10.4269/ajtmh.2010.10-0066.CrossRefPubMedPubMedCentral
16.
Sangaré LR, Stergachis A, Brentlinger PE, Richardson BA, Staedke SG, Kiwuwa MS, Weiss NS: Determinants of use of intermittent preventive treatment of malaria in pregnancy: Jinja, Uganda. PLoS One. 2010, 5: e15066-10.1371/journal.pone.0015066.CrossRefPubMedPubMedCentral
17.
d’Almeida TC, Agboton-Zoumenou MA, Garcia A, Massougbodji A, Briand V, Imorou Y, Cottrell G: Field evaluation of the intermittent preventive treatment of malaria during pregnancy (IPTp) in Benin: evolution of the coverage rate since its implementation. Parasit Vectors. 2011, 4: 108-10.1186/1756-3305-4-108.CrossRefPubMedPubMedCentral
18.
Onoka CA, Hanson K, Onwujekwe OE: Low coverage of intermittent preventive treatment for malaria in pregnancy in Nigeria: demand-side influences. Malar J. 2012, 11: 82-10.1186/1475-2875-11-82.CrossRefPubMedPubMedCentral
19.
Magadi MA, Agwanda AO, Obare FO: A comparative analysis of the use of maternal health services between teenagers and older mothers in sub-Saharan Africa: evidence from Demographic and Health Surveys (DHS). Soc Sci Med. 2007, 64: 1311-25. 10.1016/j.socscimed.2006.11.004.CrossRefPubMed
20.
Kurth F, Bélard S, Mombo-Ngoma G, Schuster K, Adegnika AA, Bouyou-Akotet MK, Kremsner PG, Ramharter M: Adolescence as risk factor for adverse pregnancy outcome in Central Africa–a cross-sectional study. PLoS One. 2010, 5 (12): e14367-10.1371/journal.pone.0014367.CrossRefPubMedPubMedCentral
21.
Ouma PO, Van Eijk AM, Hamel MJ, Sikuku E, Odhiambo F, Munguti K, Ayisi JG, Kager PA, Slutsker L: The effect of health care worker training on the use of intermittent preventive treatment for malaria in pregnancy in rural western Kenya. Trop Med Int Health. 2007, 12 (8): 953-61. 10.1111/j.1365-3156.2007.01876.x.CrossRefPubMed
22.
Gies S, Coulibaly SO, Ky C, Ouattara FT, Brabin BJ, D’Alessandro U: Community-based promotional campaign to improve uptake of intermittent preventive antimalarial treatment in pregnancy in Burkina Faso. Am J Trop Med Hyg. 2009, 80 (3): 460-9.PubMed
23.
Nganda RY, Drakeley C, Reyburn H, Marchant T: Knowledge of malaria influences the use of insecticide treated nets but not intermittent presumptive treatment by pregnant women in Tanzania. Malar J. 2004, 3: 42-8. 10.1186/1475-2875-3-42.CrossRefPubMedPubMedCentral
24.
Anders K, Marchant T, Chambo P, Mapunda P, Reyburn H: Timing of intermittent preventive treatment for malaria during pregnancy and the implications of current policy on early uptake in north-east Tanzania. Malar J. 2008, 7: 79-10.1186/1475-2875-7-79.CrossRefPubMedPubMedCentral
25.
Gross K, Alba S, Schellenberg J, Kessy F, Mayumana I, Obrist B: The combined effect of determinants on coverage of intermittent preventive treatment of malaria during pregnancy in the Kilombero Valley, Tanzania. Malar J. 2011, 10: 140-51. 10.1186/1475-2875-10-140.CrossRefPubMedPubMedCentral
Metadata
Title
Antenatal care visit attendance, intermittent preventive treatment and bed net use during pregnancy in Gabon
Authors
Marielle Karine Bouyou-Akotet
Denise Patricia Mawili-Mboumba
Maryvonne Kombila
Publication date
01-12-2013
Publisher
BioMed Central
Published in
BMC Pregnancy and Childbirth / Issue 1/2013
Electronic ISSN: 1471-2393
DOI
https://doi.org/10.1186/1471-2393-13-52

Other articles of this Issue 1/2013

BMC Pregnancy and Childbirth 1/2013 Go to the issue

Case report

4thStage Transvaginal omental herniation during VBAC complicated by shoulder dystocia: a unique presentation of uterine rupture

Study protocol

Induction of labour with a Foley catheter or oral misoprostol at term: the PROBAAT-II study, a multicentre randomised controlled trial

Study protocol

Financial incentives for smoking cessation in pregnancy: protocol for a single arm intervention study

Study protocol

Surgical versus expectant management in women with an incomplete evacuation of the uterus after treatment with misoprostol for miscarriage: the MisoREST trial

Research article

How effective are the components of active management of the third stage of labor?

Research article

Impact of prenatal care provider on the use of ancillary health services during pregnancy