ASSOCIOATION BETWEEN SOCIO-DEMOGRAPHIC CHARACTERISTICS AND PATTERNS OF PREVENTION OF MALARIA IN PREGNANT WOMENN, ILISHAN-REMO, OGUN STATE, NIGERIA
DOI:
https://doi.org/10.51699/mjssh.vi.366Keywords:
Patterns of Prevention, Management, Malaria in Pregnancy, Pregnant WomenAbstract
Despite being a preventable and treatable infectious disease, malaria during pregnancy continues to be the leading cause of morbidity and mortality in mothers, unborn children, and infants. Due to their increased vulnerability, pregnant women employ various management and prevention strategies to safeguard against potential risks and consequences. However, this study was conducted to determine the socio-demographic and patterns of prevention of malaria in pregnant women in Ilishan-Remo Nigeria, Ogun State.
A cross-sectional survey design was used to determine the objectives of the study, this study also employed a purposive technique to select proportionate 271 consented pregnant women sample of average 440 monthly attendees at ante-natal care (ANC) facilities in four health care levels, Ilishan-Remo. A self-administered questionnaire was used to collect data on socio-demographic, patterns of prevention and management, and factors associated with prevention and management of malaria in pregnancy. And sections on prevention and management patterns were further categorized into conventions. Prior main study, it was pre-tested among 27 pregnant women at ANC facility, PHC Ward-five Iperu-Remo. Administered instrument ensured valid and reliable after data analysis for reliability and Cronbach’s alpha coefficient score of 0.78, 0.74, 0.69 as well face and content validity fulfilled. Data collected at ANC facilities based on clinic days from pregnant women. The retrieved data statistically analyzed with SPSS 23 for descriptive and hypothesis tested using chi-square at P-value ≤ 0.005.
Pregnant women age ranged 25 to 40 years, one-third (35.4%) were between ages 31-35years and one-third (38.4%) were trader, 24.4% civil servant and few (6.3%) apprentice. Predominantly Christian (80.8%) and had different educational levels, almost half (49.1%) tertiary education, and 5.5% no formal education. Two-third (64.6%) were Yoruba, and 6.6% minority tribes (Egun, Irobo). Monthly income in levels; 29.2% earned 51000 and above, 25.1% earned least income 11,000-20,000naira. Patterns of prevention and management measures at frequency; always, often and seldom. Slightly more than half (57.9%) seldom slept in the net. Majority (83.8%) seldom used herbs and 16.2% often used herbs as prevention. Above half (52.4%) seldom cleaned drainages. IPT-SP Fansidar used respectively by 37.6% and 19.2% pregnant women often and always, Majority (78.8%) seldom used it under DOT. On categorized pattern of prevention, 54.2% used convention, 39.1% both convention and non-convention and none of the associated factors was statistically significance to prevention. There were significant relationship between ANC facilities (χ2 =20.291), Beliefs (χ2 = 16.540) and pattern of prevention at p< 0.005. Nearly one-fifth (19.9%) and 16.6% pregnant women often and always used artemisinim combined therapy (ACT) for management of malaria in pregnancy. Majority (76.8%) seldom used faith homes measures including holy water, soap and oil while predominantly all seldom used herbal mixtures and herbal care of Moringa 99.6% and aleo-vera 95.2% were seldom used for management. On categorized management, 20.7% convention, 15.9% both convention and non-convention measures. Facilities and resources were statistically significant to Pattern of management used (p < 0.005). Conventional patterns of prevention and management used by the majority and influenced by health facilities. There is still a need to encourage pregnant women to the follow standard FMOH/WHO pattern of prevention and management.
References
Agnès, L.P., Gilles, C., Célia, D., Valérie, B., Aziz, B., & José, G. (2017). Prevention of Malaria during Pregnancy: Assessing the Effect of the Distribution of IPTp. American Journal of Tropical Medical Hyg, 84(2), 270-275.
Akaba, J., Otubu, E.T., Agida, O.,& Onafowokan.O. (2015). Knowledge and utilization of malaria preventive measures among pregnant women at a tertiary hospital in Nigeria Federal Capital Territory. Niger Journal of Clinical Practise,16:201-6.
Adeneye, A.K., A.S. Jegede, M.A., Mafe, E.E., & Nwokocha, (2015). "A Pilot Study to Evaluate Malaria Control Strategies in Ogun State, Nigeria." World Health and Population 9(2): 83-94.Retrieved from https://longwoods.com/content/19003.
Akanbi, O.M., Omonkhua, A.A., Cyril-Olutayo, C.A.,& Fasimoye, R.Y., (2009). The antiplasmodial activity of Anogeissus leiocarpus and its effect on oxidative stress and lipid profile in mice infected with Plasmodium berghei. Parasitology Research.110 (1), 219-226.
Abiodun, S. Adeniran, Moji, U., Mobolaji-Ojibara, Kikelomo, T., Adesina, Abiodun, P., Aboyeji, Munirdeen, A., Ijaiya, Olayinka, R.& Balogun. (2018).Intermittent preventive therapy in pregnancy with sulfadoxine/pyrimethamine for malaria prophylaxis among parturients in Ilorin, Nigeria. J Community Health Primary Care, 28:8–16.
Adebayo, A.M., Akinyemi, O.O.,& Cadmus, E.O. (2015). Knowledge of malaria prevention among pregnant women in rural southwest Nigeria. Peer Journal, 3, e792.
Barnes, K.I., Chanda, P., & Barnabas, G.A. (2018) Impact of the large-scale deployment ofartemether/lumefantrine on the malaria disease burden in Africa: case studies of South Africa, Zambia and Ethiopia. Malaria Journal 8 (1), S8.
Basiattai, A.M., Etukuma, E.A., & Umoiyoho, A.J., (2009). Awareness and practice of malaria preventive strategies among pregnant women in Uyo south-south Nigeria, The Internal Journal of Gynecology and Obstetrics, 11, pp. 1-6.10.
Bello, F.A., Morhason-Bello, I.O., Olayemi, O., & Adekunle, A.O. (2019). Patterns and predictors of self-medication amongst antenatal clients in Ibadan, Nigeria. Niger Medical Journal; 52(3),153–157.
Bercaw, J., Maheshwari, B., & Sangi-Haghpeykar, K. (2010). The use during pregnancy of prescription, over the counter and alternative medications among women. Birth, 37(3), 211-218.
Bekele, M., Tilahun, & Mekuria, A. (2016). Prevalence of Anemia and Its Associated Factors among Pregnant Women Attending Antenatal Care in Health Institutions of Arba Minch Town, Gamo Gofa Zone, Ethiopia: A Cross-Sectional Study,” Anemia, vol., Article ID 1073192.
Calvin, Ebai B., Clemence, & Meli, D. (2013). Utilization of malaria prevention methods by pregnant women: The Pan African Medical Journal.; 15:89.
Chukwuocha U.W., Dozie I.S., Onwuliri C.O., Ukaga C.N., Nwoke B., B.O., Nwoke E.A., Nwaokoro J.C., Nwoga K.S., Udujih O.G., Iwuala C.C., Ohaji E.T., Morakinyo O.M,& Adindu B.C. (2017). Perceptions on the use of insecticide treated nets in parts of the Imo River Basin, Nigeria: Implications for preventing malaria in pregnancy. African Journal of Reproductive Health; 14(1),117-128.
Curtis, C.F.,& Mnzava, A.E. (2010). Comparison of house spraying and insecticide Nwankwo -treated nets for malaria control. Bull. World Health Organization. 78, 1389—1400.
Desai, M., Gutman, J., L’lanziva, A., Otieno, K., Juma, E., & Kariuki, S. (2015). Intermittent screening and treatment or intermittent preventive treatment with dihydroartemisinin-piperaquine versus intermittent preventive treatment with sulfadoxine-pyrimethamine for the control of malaria during pregnancy in Western Kenya: An open-label, three-group, randomised controlled superiority trial. Lancet; 386:2507–19
Desai, M. Gutman, J., Taylor, S.M., Wiegand, R.E., Khairallah, C.,& Kayentao, K. (2016). Impact of sulfadoxine-pyrimethamine resistance on effectiveness of intermittent preventive therapy for malaria in pregnancy at clearing infections and preventing low birth weight, 62 (1), 323–33.
Desai, M. Terkuile, F.O., Nosten, F., Asamoa, K., Brabin, B.,& Newman, R.D. (2017). Epidemiology and burden of malaria in pregnancy. Lancet Infectious Disease. 7(2), 93–104.
Duru, C. B., Nnebue, C. C., Uwakwe, K. A., Diwe, K. L., Agunwa, C. C., Achigbu, K. I., Iwu, C. A., & Merenu, I. A. (2016). Prevalence and pattern of herbal medicine use in pregnancy among women attending clinics in tertiary hospital in Imo state, South East Nigeria. International Journal of Current Research in Biosciences and Plant Biology, 3(2), 5-14.
