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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
immunology and microbiology
The effect of health care worker training on the use of intermittent preventive treatment for malaria in pregnancy in rural western Kenya
Tropical Medicine and International Health, Volume 12, No. 8, Year 2007
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Description
Background: In 1998, Kenya adopted intermittent preventive treatment (IPTp) with sulphadoxine-pyrimethamine (SP) for malaria prevention during pregnancy. We conducted a survey in 2002 among women who had recently delivered in the rural neighbouring areas Asembo and Gem and reported coverage of 19% of at least one dose and 7% of two or more doses of SP. Health care workers (HCW) in Asembo were retrained on IPTp in 2003. Objectives: To evaluate if IPTp coverage increased and if the training in Asembo led to better coverage than in Gem, and to identify barriers to the effective implementation of IPTp. Methods: Community-based cross-sectional survey among a simple random sample of women who had recently delivered in April 2005, interviews with HCW of antenatal clinics (ANC) in Asembo and Gem. Results: Of the 724 women interviewed, 626 (86.5%) attended the ANC once and 516 (71.3%) attended two or more times. Overall IPTp coverage was 41% for at least one dose, and 21% for at least two doses of SP. In Asembo, coverage increased from 19% in 2002 to 61% in 2005 for at least one dose and from 7% to 17% for two doses of SP. In Gem, coverage increased from 17% to 28% and 7% to 11%, respectively. Interviews of HCW in both Asembo and Gem revealed confusion about appropriate timing, and lack of direct observation of IPTp. Conclusion: Training of HCW and use of simplified IPTp messages may be a key strategy in achieving Roll Back Malaria targets for malaria prevention in pregnancy in Kenya. © 2007 Blackwell Publishing Ltd.
Authors & Co-Authors
Ouma, Peter O.
Kenya, Nairobi
Kenya Medical Research Institute
United States, Atlanta
National Center for Infectious Diseases
van Eijk, Anna Maria
Netherlands, Amsterdam
Universiteit Van Amsterdam
Hamel, Mary J.
Kenya, Nairobi
Kenya Medical Research Institute
United States, Atlanta
National Center for Infectious Diseases
Sikuku, Evallyne S.
Kenya, Nairobi
Kenya Medical Research Institute
Odhiambo, Frank Akoth
Kenya, Nairobi
Kenya Medical Research Institute
Munguti, Kaendi J.
United States, Baltimore
Jhpiego Corporation
Ayisi, John G.
Kenya, Nairobi
Kenya Medical Research Institute
Kager, Petrus A.
Netherlands, Amsterdam
Universiteit Van Amsterdam
Slutsker, Laurence
United States, Atlanta
National Center for Infectious Diseases
Statistics
Citations: 65
Authors: 9
Affiliations: 4
Identifiers
Doi:
10.1111/j.1365-3156.2007.01876.x
ISSN:
13602276
e-ISSN:
13653156
Research Areas
Health System And Policy
Infectious Diseases
Maternal And Child Health
Sexual And Reproductive Health
Study Design
Cross Sectional Study
Study Approach
Quantitative
Study Locations
Kenya
Participants Gender
Female