Individual, facility and policy level influences on national coverage estimates for intermittent preventive treatment of malaria in pregnancy in Tanzania
2008

Malaria Prevention in Pregnancy in Tanzania

Sample size: 6199 publication 10 minutes Evidence: moderate

Author Information

Author(s): Tanya Marchant, Nathan Rose, Caroline Jones, Hadji Mponda, Jane Bruce, Yovitha Sedekia, Joanna Schellenberg, Hassan Mshinda, Kara Hanson

Primary Institution: London School of Hygiene and Tropical Medicine

Hypothesis

What factors influence the national coverage estimates for intermittent preventive treatment of malaria in pregnancy in Tanzania?

Conclusion

Improving stock availability and revising guidelines could enhance the coverage of malaria prevention treatments for pregnant women in Tanzania.

Supporting Evidence

  • IPTp coverage declined from 71% in 2005 to 65% in 2007 for the first dose.
  • Second dose coverage dropped from 38% in 2005 to 30% in 2007.
  • Availability of the drug at clinics decreased from 85% in 2005 to 60% in 2007.
  • Women in urban areas had higher IPTp coverage than those in rural areas.

Takeaway

This study looked at how many pregnant women in Tanzania got the medicine to prevent malaria, and found that many didn't get it because the clinics ran out of medicine or the rules about when to give it were too strict.

Methodology

The study used three national household and linked reproductive and child health facility surveys conducted in 2005, 2006, and 2007 across 21 districts in Tanzania.

Potential Biases

Respondent bias may affect the accuracy of reported IPTp coverage.

Limitations

The study relies on self-reported data, which may be subject to bias.

Participant Demographics

Women aged 15-49 who reported a live birth in the previous year.

Statistical Information

P-Value

0.05

Confidence Interval

95% CI

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1475-2875-7-260

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