Access and barriers to measures targeted to prevent malaria in pregnancy in rural Kenya
2008

Barriers to Malaria Prevention in Pregnant Women in Kenya

Sample size: 4549 publication 10 minutes Evidence: moderate

Author Information

Author(s): Gikandi Priscilla W, Noor Abdisalan M, Gitonga Carol W, Ajanga Antony A, Snow Robert W

Primary Institution: Kenya Medical Research Institute/Wellcome Trust Research Programme

Hypothesis

What barriers prevent pregnant women from using insecticide-treated nets and intermittent presumptive treatment for malaria in Kenya?

Conclusion

Despite significant increases in the use of insecticide-treated nets and intermittent presumptive treatment, coverage among pregnant women remains low in Kenya.

Supporting Evidence

  • 68% of pregnant women used a net during their pregnancy.
  • 52% of women used an insecticide-treated net.
  • 84% attended an antenatal care clinic at least once.
  • 74% attended at least twice.
  • 53% took at least one dose of IPT-SP.

Takeaway

The study found that many pregnant women in Kenya are not using the tools available to prevent malaria, even though more women are using them than before.

Methodology

Women aged 15-49 were interviewed in a community survey across four districts in Kenya about their use of malaria prevention measures.

Potential Biases

Potential biases may arise from self-reported data and the exclusion of currently pregnant women from some analyses.

Limitations

The study did not examine provider awareness or perceptions about the provision of IPT to pregnant women.

Participant Demographics

Women aged 15-49, with varying levels of education and wealth status.

Statistical Information

P-Value

p<0.05

Confidence Interval

1.36–4.68

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1111/j.1365-3156.2007.01992.x

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