Preventing malaria in pregnancy through community-directed interventions: evidence from Akwa Ibom State, Nigeria
2011

Community Interventions to Prevent Malaria in Pregnancy in Nigeria

Sample size: 2652 publication 10 minutes Evidence: high

Author Information

Author(s): Okeibunor Joseph C, Orji Bright C, Brieger William, Ishola Gbenga, Otolorin Emmanuel 'Dipo, Rawlins Barbara, Ndekhedehe Enobong U, Onyeneho Nkechi, Fink Günther

Primary Institution: Jhpiego

Hypothesis

Can community-directed interventions improve access to malaria prevention for pregnant women in Nigeria?

Conclusion

Community-based programs can significantly increase access to malaria prevention among pregnant women.

Supporting Evidence

  • An additional 7.4% of women in treatment areas slept under a net during pregnancy.
  • 8.5% more women in treatment areas slept under an ITN after delivery.
  • IPTp adherence increased by 35.3 percentage points in treatment areas.

Takeaway

This study shows that getting help from local community members can help pregnant women get the medicine and nets they need to avoid malaria.

Methodology

The study used a pre-post parallel group design with random samples of pregnant women interviewed before and after the intervention.

Potential Biases

Potential biases may arise from differences in baseline characteristics between treatment and control groups.

Limitations

The assignment of treatment and control areas was not random, which may affect the generalizability of the results.

Participant Demographics

The mean age of respondents was 25.5 years, with a majority belonging to the Ibibio ethnicity.

Statistical Information

P-Value

< 0.001

Confidence Interval

[0.035, 0.115]

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1186/1475-2875-10-227

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