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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Field evaluation of the intermittent preventive treatment of malaria during pregnancy (IPTp) in Benin: Evolution of the coverage rate since its implementation
Parasites and Vectors, Volume 4, No. 1, Article 108, Year 2011
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Description
Background: Malaria is an important public health problem in Africa. Pregnant women are a vulnerable population and this disease can underlie an increased risk of low-birth weight newborns (< 2500 g); these women therefore need management during pregnancy. This was previously provided by chloroquine treatment, which, because of compliance problems and drug resistance, was replaced by intermittent preventive treatment with sulfadoxine-pyrimethamine (ITPp-SP) with two single doses taken after 16 weeks of amenorrhea, at least 4 weeks apart. This protocol was recommended by the World Health Organization (WHO) in 1998 and was initiated in Benin in 2006 after its political adoption in 2004. A retrospective longitudinal study was conducted in eight maternity hospitals in two geographical areas in Benin (in the south and north). The study investigated 2420 women who gave birth from 2005 to 2009. The antenatal cards of those women were randomly selected over 5 years with the aim of analyzing the IPT coverage in the study's maternity hospitals. Results: The rate of IPT-SP coverage evolved from 3.7% in 2005 to 87.8% in 2009 for women who had received at least one dose and from 2.7% to 68.4% from 2005 to 2009 for those who had received complete ITP (two doses). Variability in the results was observed depending on the geographical area (north/south) and the type of area (rural/urban). Conclusions: In total, application of IPT-SP 2-doses has rapidly evolved since 2005, but the objective of 80% IPT coverage has not yet been achieved throughout the country. Moreover, problems of drug shortage recurring in the field (reported by health staff) remain to be resolved. © 2011 d'Almeida et al; licensee BioMed Central Ltd.
Authors & Co-Authors
D'Almeida, Tania C.D.A.
Benin, Cotonou
University of Abomey-calavi
Benin
Institut Des Sciences Biomédicales Appliquées
Benin
Centre D'etudes et de Recherche Sur le Paludisme Asosscié la Grossesse et L'enfant Cerpage
Agboton-Zoumenou, Marie Agnès
Benin, Cotonou
Ministère de la Santé
Garcia, André
France, Marseille
Ird Institut de Recherche Pour le Developpement
France, Paris
Université Paris Cité
Massougbodji, Achille
Benin, Cotonou
University of Abomey-calavi
Benin
Centre D'etudes et de Recherche Sur le Paludisme Asosscié la Grossesse et L'enfant Cerpage
Briand, Valérie
France, Marseille
Ird Institut de Recherche Pour le Developpement
France, Paris
Université Paris Cité
Imorou, Yacoubou
Benin, Cotonou
Ministère de la Santé
Cottrell, Gilles
Benin
Institut Des Sciences Biomédicales Appliquées
Benin
Centre D'etudes et de Recherche Sur le Paludisme Asosscié la Grossesse et L'enfant Cerpage
France, Paris
Université Paris Cité
Statistics
Citations: 18
Authors: 7
Affiliations: 6
Identifiers
Doi:
10.1186/1756-3305-4-108
e-ISSN:
17563305
Research Areas
Health System And Policy
Infectious Diseases
Maternal And Child Health
Sexual And Reproductive Health
Study Design
Cross Sectional Study
Cohort Study
Study Approach
Quantitative
Study Locations
Benin
Participants Gender
Female