Factors promoting and preventing the utilization and uptake of IPT among pregnant women in the Mampong Municipality.Ghana

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June 2016
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Background: One of the interventions the MOH and the Ghana National Malaria Control Programme have adopted to control malaria in pregnancy is Intermittent Preventive Treatment (IPT) with sulphadoxine-pyrimethamine (SP), which has several brand names including Fansidar and Malafan. . According to this policy, from the second trimester of pregnancy (after quickening), pregnant women attending antenatal clinics are expected to be given three doses of SP as directly observed therapy (DOT), at monthly intervals. The objective of this study is to assess the level of utilization of IPTp and the barriers and enabling factors of the uptake of IPT among pregnant women in the Mampong Municipality. Methods: The study was conducted in August 2014 in Mampong Municipality, Ghana. A multistage sampling technique was used. At the first stage 2 sub districts were selected out of the 5 sub districts, which is Mampong sub and Kofiase. Each is made up of 16 communities. At the second stage, 4 communities were randomly selected out of each sub district selected. Finally a sample size of 442 pregnant women were selected from the communities. For the health providers and the facilities, after the randomization of the sub districts all the health facilities in each sub district were visited which were a hospital in Mampong sub and 3 health centres. All health providers at post at the time of visit were selected. Data analysis involved the use of Chi-Square (χ2) for associations and multivariate analysis was performed using multinomial logistic regression. Results: The study found that the use of IPTp among pregnant women was high that is 78.6%, where most pregnant women have either used it for one to three times. The high rate of IPTp use among the pregnant women could be attributed to marital status, level of education, easy access to services, availability, low cost of ANC services and counselling on the dangers of malaria. Conclusion: From this study, the level of utilization of IPTp is high that is 78.6% as compared to the national target of 44.0% in the GDHS, 2008 and 65.0% in the MICS ,2011. Some of the barriers and enablers factors of the uptake of IPTp in the Mampong Municipality are increased in the level of education of the pregnant women, being counselled on the dangers of malaria in pregnancy, access to services, availability, cost of ANC services and time spent at the ANC. It is recommended that health education and counselling on the dangers of malaria in pregnancy during ANC attendance should be enhanced to promote the uptake of IPTp.
A thesis submitted to the Department of Population, Family and Reproductive Health, College of Health Sciences, School of Public Health, in partial fulfillment of the requirements for the degree of the award of Master of Sciences in Population & Reproductive Health,
Malaria, Pregnancy, IPTp, SP, Mampong Municipal