Factors Associated with Malaria Preventive Measures among Pregnant Women in Guinea

Abdourahamane Diallo; Almamy Amara Touré; Abdoulaye Doumbouya; Aboubacar Sidiki Magassouba; Falaye Traoré; Mamady Cissé; Ibrahima Barry; Ibrahima Conté; Diao Cissé; Abdourahim Cissé; Gnoume Camara; Alpha Oumar Bérété; Alsény Yarie Camara; Naby Yaya Conté; Abdoul Habib Beavogui

doi:10.1155/2021/9914424

Factors Associated with Malaria Preventive Measures among Pregnant Women in Guinea

Infect Dis Obstet Gynecol. 2021 Jul 1:2021:9914424. doi: 10.1155/2021/9914424. eCollection 2021.

Authors

Affiliations

¹ Centre Hospitalo-Universitaire Ignace Deen, Service de Gynécologie, Conakry, Guinea.
² Centre National de Formation et de Recherche en Santé Rurale de Mafèrinyah, Forécariah, Guinea.
³ Department of Public Health, Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University, Conakry, Guinea.
⁴ Departement des Sciences Pharmaceutiques et Biologiques, Faculté des Sciences et Techniques de la Santé, Université Gamal Abdel Nasser de Conakry, Guinea.
⁵ Direction Nationale Des Grandes Endemies et de la Lutte Contre la Maladie, Ministère de la santé, Conakry, Guinea.
⁶ Sightsavers, Conakry, Guinea.

Abstract

Background: Malaria control interventions have been scaled up, particularly those in pregnant women in Guinea. Despite that, coverage of key malaria preventive measure (MPM) indicators remains low. Therefore, it is vital to understand the reasons behind that, especially for the low coverage of sulfadoxine-pyrimethamine (SP) and long-lasting insecticide-treated bed nets (LLIN).

Methods: We conducted a cross-sectional survey in nine district hospitals in Guinea. Pregnant women received for delivery were interviewed to collect sociodemographic and obstetrical parameters. Associated factors with MPMs were investigated through univariate analysis and classification and regression tree (CART).

Results: A total of 2248 parturients participated in this study. Among pregnant women using mosquito nets (63.5% (61.4%, 65.5%)), only 41.2% (39.1%, 43.3%) had used it regularly during the last two weeks preceding delivery. Similarly, most pregnant women (57.9% (55.8%, 59.9%)) had received less than three doses of SP, and only a few pregnant women (23.9% (22.1%, 25.7%)) have benefited from full MPMs. Parturient's age, marital status, time spent in residence, place of residence, level of education, distance from home to the health centre, health conditions, occupation, head of the household's occupation, the presence of garbage and stagnant water in the neighbourhood, source of running water, and the number of pregnancies were significantly statistically associated with MPMs in pregnant women. However, the number of antenatal care visits (ANC), means of transportation used by the pregnant woman to accomplish ANCs, and stagnant water in the neighbourhood were the three preponderant factors.

Conclusion: The low coverage of SP and LLINs among pregnant women requires revitalising some strategies, especially improving ANC coverage and more efforts to reduce inequalities in access to those services due to sociodemographic status. Education on the benefits of these MPMs should also be emphasised.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Antimalarials* / therapeutic use
Cross-Sectional Studies
Female
Guinea / epidemiology
Humans
Insecticide-Treated Bednets*
Malaria* / epidemiology
Malaria* / prevention & control
Pregnancy
Pregnancy Complications, Parasitic* / epidemiology
Pregnancy Complications, Parasitic* / prevention & control
Pregnant Women

Substances

Antimalarials