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Factors Influencing Anti-Malarial Prophylaxis and Iron Supplementation Non-Compliance among Pregnant Women in Simiyu Region, Tanzania.

Abstract

Malaria and iron-deficient anemia during pregnancy pose considerable risks for the mother and newborn. Intermittent Preventive Treatment during pregnancy with sulphadoxine-pyrimethamine (IPTp-SP) and iron supplement to prevent anemia to all pregnant women receiving antenatal care (ANC) services is highly recommended. However, their compliance remains low. This study aimed at identifying factors influencing non-compliance of medications among pregnant women. A descriptive cross-sectional study was conducted in Simiyu region in northwest Tanzania using a structured questionnaire to collect data from 430 women who were pregnant or gave birth 12 months prior to data collection. Data were analyzed using non-parametric statistical analysis with STATA 10. Overall, 284 (66%) and 195 (45%) of interviewed women received IPTp-SP and iron supplementation during their ANC visits, respectively. The majority (85%) of women whom received medications were aware if they had received IPTp-SP or iron supplementation. Of those received IPTp-SP, only 11% took all the three doses, while the remaining 89% took only two doses or one dose. For women who received iron supplementation, 29% reported that they did not take any dose at all. Reasons given for not complying with regiments included not liking the medications and disapproval from male partners. Our findings suggest that IPTp-SP and iron supplement compliance among pregnant women in Simiyu region is low. Intensification of community education, further qualitative research and administration of medication through directly-observed therapy (DOT) are recommended to address the problem.

Authors+Show Affiliations

Amref Health Africa Tanzania, P.O. Box 2773, Dar es Salaam, Tanzania. benatus.sambili@amref.org.Amref Health Africa Tanzania, P.O. Box 2773, Dar es Salaam, Tanzania. ronkimambo@gmail.com.Amref Health Africa Tanzania, P.O. Box 2773, Dar es Salaam, Tanzania. peng.y.annie@gmail.com.Amref Health Africa Tanzania, P.O. Box 2773, Dar es Salaam, Tanzania. elisonheslon@yahoo.com.Amref Health Africa Tanzania, P.O. Box 2773, Dar es Salaam, Tanzania. eahptanzania@gmail.com.Amref Health Africa Tanzania, P.O. Box 2773, Dar es Salaam, Tanzania. godfrey.matumu@amref.org.Amref Health Africa Tanzania, P.O. Box 2773, Dar es Salaam, Tanzania. rita.noronha@amref.org.Amref Health Africa Tanzania, P.O. Box 2773, Dar es Salaam, Tanzania. david.ngilangwa@amref.org.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

27347981

Citation

Sambili, Benatus, et al. "Factors Influencing Anti-Malarial Prophylaxis and Iron Supplementation Non-Compliance Among Pregnant Women in Simiyu Region, Tanzania." International Journal of Environmental Research and Public Health, vol. 13, no. 7, 2016.
Sambili B, Kimambo R, Peng Y, et al. Factors Influencing Anti-Malarial Prophylaxis and Iron Supplementation Non-Compliance among Pregnant Women in Simiyu Region, Tanzania. Int J Environ Res Public Health. 2016;13(7).
Sambili, B., Kimambo, R., Peng, Y., Ishunga, E., Matasha, E., Matumu, G., ... Ngilangwa, D. P. (2016). Factors Influencing Anti-Malarial Prophylaxis and Iron Supplementation Non-Compliance among Pregnant Women in Simiyu Region, Tanzania. International Journal of Environmental Research and Public Health, 13(7), doi:10.3390/ijerph13070626.
Sambili B, et al. Factors Influencing Anti-Malarial Prophylaxis and Iron Supplementation Non-Compliance Among Pregnant Women in Simiyu Region, Tanzania. Int J Environ Res Public Health. 2016 06 23;13(7) PubMed PMID: 27347981.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Factors Influencing Anti-Malarial Prophylaxis and Iron Supplementation Non-Compliance among Pregnant Women in Simiyu Region, Tanzania. AU - Sambili,Benatus, AU - Kimambo,Ronald, AU - Peng,Yun, AU - Ishunga,Elison, AU - Matasha,Edna, AU - Matumu,Godfrey, AU - Noronha,Rita, AU - Ngilangwa,David P, Y1 - 2016/06/23/ PY - 2016/04/04/received PY - 2016/05/16/revised PY - 2016/06/17/accepted PY - 2016/6/28/entrez PY - 2016/6/28/pubmed PY - 2017/7/1/medline KW - Tanzania KW - anti-malarial prophylaxis KW - iron supplementation KW - non-compliance KW - pregnant women JF - International journal of environmental research and public health JO - Int J Environ Res Public Health VL - 13 IS - 7 N2 - Malaria and iron-deficient anemia during pregnancy pose considerable risks for the mother and newborn. Intermittent Preventive Treatment during pregnancy with sulphadoxine-pyrimethamine (IPTp-SP) and iron supplement to prevent anemia to all pregnant women receiving antenatal care (ANC) services is highly recommended. However, their compliance remains low. This study aimed at identifying factors influencing non-compliance of medications among pregnant women. A descriptive cross-sectional study was conducted in Simiyu region in northwest Tanzania using a structured questionnaire to collect data from 430 women who were pregnant or gave birth 12 months prior to data collection. Data were analyzed using non-parametric statistical analysis with STATA 10. Overall, 284 (66%) and 195 (45%) of interviewed women received IPTp-SP and iron supplementation during their ANC visits, respectively. The majority (85%) of women whom received medications were aware if they had received IPTp-SP or iron supplementation. Of those received IPTp-SP, only 11% took all the three doses, while the remaining 89% took only two doses or one dose. For women who received iron supplementation, 29% reported that they did not take any dose at all. Reasons given for not complying with regiments included not liking the medications and disapproval from male partners. Our findings suggest that IPTp-SP and iron supplement compliance among pregnant women in Simiyu region is low. Intensification of community education, further qualitative research and administration of medication through directly-observed therapy (DOT) are recommended to address the problem. SN - 1660-4601 UR - https://www.unboundmedicine.com/medline/citation/27347981/Factors_Influencing_Anti_Malarial_Prophylaxis_and_Iron_Supplementation_Non_Compliance_among_Pregnant_Women_in_Simiyu_Region_Tanzania_ L2 - http://www.mdpi.com/resolver?pii=ijerph13070626 DB - PRIME DP - Unbound Medicine ER -