Knowledge of malaria influences the use of insecticide treated nets but not intermittent presumptive treatment by pregnant women in Tanzania.
Knowledge of malaria influences the use of insecticide treated nets but not intermittent presumptive treatment by pregnant women in Tanzania.
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DOI：
10.1186/1475-2875-3-42
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发表时间：
2004-11-12
期刊：
影响因子：
3
通讯作者：
Marchant T
中科院分区：
文献类型：
--
作者：
Nganda RY;Drakeley C;Reyburn H;Marchant T
为了减轻疟疾给怀孕妇女造成的无法忍受的负担，坦桑尼亚卫生部最近通过了一项政策，对怀孕妇女使用磺胺嘧啶-乙胺嘧啶进行间歇性假定治疗。此外，国家还大力承诺增加向孕妇分发驱虫蚊帐。这项研究探讨了孕妇使用驱虫蚊帐和IPTP-SP的决定因素，以及个人知识和社会经济地位对每一种蚊帐和IPTP-SP的作用。在东非海岸的基巴赫地区医院招募了293名产后妇女。测量每位妇女的血红蛋白水平并进行问卷调查。与未使用任何干预措施的女性相比，使用这两种干预措施与严重贫血（Hb<8 g/dL）的风险降低相关（OR 0.31，95% CI 0.14-0.67）。在逻辑回归模型中，发现参加妇幼保健健康教育课程是预测IPTp-SP使用的唯一因素（OR 1.8，95%CI 1.1-2.9），而对疟疾的高度了解可以预测驱虫蚊帐的使用（OR 2.3，95%CI 1.1-4.9）。个人对疟疾的了解是采用驱虫蚊帐的一个重要因素，但不是使用综合治疗方案----SP的一个重要因素，后者取决于妇幼保健系统提供的信息。当这两种干预措施同时使用时，产后严重贫血症比两者都不使用时减少了69%，从而提供了这些干预措施联合使用时有效性的证据。
To reduce the intolerable burden of malaria in pregnancy, the Ministry of Health in Tanzania has recently adopted a policy of intermittent presumptive treatment for pregnant women using sulphadoxine-pyrimethamine (IPTp-SP). In addition, there is strong national commitment to increase distribution of insecticide treated nets (ITNs) among pregnant women. This study explores the determinants of uptake for both ITNs and IPTp-SP by pregnant women and the role that individual knowledge and socio-economic status has to play for each. 293 women were recruited post-partum at Kibaha District Hospital on the East African coast. The haemoglobin level of each woman was measured and a questionnaire administered. Use of both interventions was associated with a reduced risk of severe anaemia (Hb<8 g/dL) compared to women who had used neither intervention (OR 0.31, 95% CI 0.14–0.67). In a logistic regression model it was found that attendance at MCH health education sessions was the only factor that predicted IPTp-SP use (OR 1.8, 95% CI 1.1–2.9) while high knowledge of malaria predicted use of ITNs (OR 2.3, 95% CI 1.1–4.9). Individual knowledge of malaria was an important factor for ITN uptake, but not for IPTp-SP use, which was reliant on delivery of information by MCH systems. When both these interventions were used, severe anaemia postpartum was reduced by 69% compared to use of neither, thus providing evidence of effectiveness of these interventions when used in combination.
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影响因子：
5.4
作者：
Nyamongo, IK
通讯作者：
Nyamongo, IK
影响因子：
168.9
作者：
Shulman, CE;Dorman, EK;Marsh, K
通讯作者：
Marsh, K
DOI：
10.1016/s0035-9203(03)90141-6
发表时间：
2003-05-01
影响因子：
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Njagi, JK;Magnussen, P;Mugo, B
通讯作者：
Mugo, B
DOI：
10.4269/ajtmh.2003.68.50
发表时间：
2003-04-01
影响因子：
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作者：
ter Kuile, FO;Terlouw, DJ;Nahlen, BL
通讯作者：
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影响因子：
168.9
作者：
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通讯作者：
Habicht, JP