Sokoine University of Agriculture

Accessibility, availability and utilisation of malaria interventions among women of reproductive age in Kilosa district in central Tanzania

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dc.contributor.author Rumisha, Suzan F
dc.contributor.author Zinga, Maria M
dc.contributor.author Fahey, Carolyn A
dc.contributor.author Wey, Dorothy
dc.contributor.author Bwana, Veneranda M
dc.contributor.author Mlozi, Malongo R.S
dc.contributor.author Shayo, Elizabeth H
dc.contributor.author Malima, Robert C
dc.contributor.author Mayala, Benjamin K
dc.contributor.author Stanley, Grades
dc.contributor.author Mlacha, Tabitha
dc.contributor.author Mboera, Leonard E. G
dc.date.accessioned 2018-05-25T06:30:19Z
dc.date.available 2018-05-25T06:30:19Z
dc.date.issued 2014
dc.identifier.uri http://www.suaire.sua.ac.tz/handle/123456789/2186
dc.description Research article en_US
dc.description.abstract Background: Universal access to and utilization of malaria prevention measures is defined as every person at malaria risk sleeping under a quality insecticide-treated mosquito net (ITN) and every pregnant woman at risk receiving at least two doses of sulfadoxine-pyrimethamine (SP). This study aimed to determine factors affecting accessibility, availability and utilisation of malaria interventions among women of reproductive age in Kilosa district in central Tanzania. Methods: Women of reproductive age with children <5 years old or those who had been pregnant during the past 5 years were included in the study. A structured questionnaire was used to seek information on malaria knowledge, accessibility and utilization of malaria interventions during pregnancy. Results: A total of 297 women (mean age=29±6.8 years) were involved. Seventy percent of the women had attained primary school education. About a quarter of women had two children of <5 years while over 58% had ≥3 children. Most (71.4%) women had medium general knowledge on malaria while only eight percent of them had good knowledge on malaria in pregnancy. A significant proportion of women were not aware of the reasons for taking SP during pregnancy (35%), timing for SP (18%), and the effect of malaria on pregnancy (45.8%). Timing for first dose of SP for intermittent preventive treatment in pregnancy (IPTp) was 1-3 months (28.4%) and 4-6 months (36.8%). Some 78.1% were provided with SP under supervision of the health provider. Knowledge on malaria in pregnancy had a significant association with levels of education (p=0.024). Ninety-eight percent had an ITN, mostly (87.1%) received free from the government. All women attended the ANC during their last pregnancy. The coverage of IPT1 was 53.5% and IPTp2 was 41.1%. The proportion of women making more ANC visits decreased with increasing parity. Conclusion: This study showed that the knowledge of the pregnant women on malaria in pregnancy and IPTp was average and is likely to have an impact on the low IPTp coverage. Campaigns that provide educational massages on the risk of malaria during pregnancy and the usefulness of IPTp need to be emphasised. en_US
dc.description.sponsorship National Institute for Medical Research en_US
dc.language.iso en en_US
dc.publisher BMC Health Services Research en_US
dc.relation.ispartofseries BMC Health Services Research;14
dc.subject malaria en_US
dc.subject Pregnancy en_US
dc.subject Interventions en_US
dc.subject Mosquito nets en_US
dc.subject Preventive treatment en_US
dc.subject Tanzania en_US
dc.title Accessibility, availability and utilisation of malaria interventions among women of reproductive age in Kilosa district in central Tanzania en_US
dc.type Article en_US


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