The effect of health care worker training on the use of intermittent preventive treatment for malaria in pregnancy in rural western Kenya.
In: Tropical medicine & international health : TM & IH, Jg. 12 (2007-08-01), Heft 8, S. 953-61
Online
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Zugriff:
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.
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The effect of health care worker training on the use of intermittent preventive treatment for malaria in pregnancy in rural western Kenya.
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Autor/in / Beteiligte Person: | Ouma, PO ; Van Eijk, AM ; Hamel, MJ ; Sikuku, E ; Odhiambo, F ; Munguti, K ; Ayisi, JG ; Kager, PA ; Slutsker, L |
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Zeitschrift: | Tropical medicine & international health : TM & IH, Jg. 12 (2007-08-01), Heft 8, S. 953-61 |
Veröffentlichung: | Oxford : Blackwell Scientific Publications ; <i>Original Publication</i>: Oxford, UK : Blackwell Science Ltd, c1996-, 2007 |
Medientyp: | academicJournal |
ISSN: | 1360-2276 (print) |
DOI: | 10.1111/j.1365-3156.2007.01876.x |
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