Perspectives of postpartum women on intermittent presumptive treatment in Uganda: implications for malaria prevention: a qualitative study

Abstract Background Malaria during pregnancy leads to many deaths in Africa. COVID-19 contributed to more malaria cases due to interruptions in prevention efforts. Intermittent presumptive treatment (IPTP) is an effective malaria prevention strategy for pregnant women, but adoption barriers still ex...

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Main Authors: Fatuma Namusoke, Allan Lugaajju, William Buwembo, Mpungu Steven Kiwuuwa, Mark Kaddumukasa
Format: Article
Language:English
Published: BMC 2024-11-01
Series:Malaria Journal
Subjects:
Online Access:https://doi.org/10.1186/s12936-024-05135-2
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author Fatuma Namusoke
Allan Lugaajju
William Buwembo
Mpungu Steven Kiwuuwa
Mark Kaddumukasa
author_facet Fatuma Namusoke
Allan Lugaajju
William Buwembo
Mpungu Steven Kiwuuwa
Mark Kaddumukasa
author_sort Fatuma Namusoke
collection DOAJ
description Abstract Background Malaria during pregnancy leads to many deaths in Africa. COVID-19 contributed to more malaria cases due to interruptions in prevention efforts. Intermittent presumptive treatment (IPTP) is an effective malaria prevention strategy for pregnant women, but adoption barriers still exist. The study aim was to explore barriers to the adoption of IPTP at Kawempe National Referral Hospital (KNRH) Uganda. Methods In a qualitative study design, data was collected using focus group discussions. A total of 37 postpartum mothers were interviewed in six focus group discussions. The interviews were conducted using a structured guide to explore barriers to IPTP implementation at KNRH. The data was transcribed, coded, and analysed using NVivo 10. Results The study found that mothers lacked adequate knowledge about IPTP, faced socioeconomic and cultural constraints, fear of side effects, a high pill burden, and experience of health system challenges as major themes of barriers to optimal IPTP use. Conclusions and recommendations Challenges in the service delivery and inadequate information in regard to importance and expected side effects were identified by the users as the major barriers to IPTP delivery in public health care setting. Improving delivery of focused health education talks and health work attitude and delivery chain for IPTP in the health facilities are recommended to increase its uptake.
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issn 1475-2875
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spelling doaj-art-afbcf2a48da24e56a5f32e9f88dfffb22025-08-20T02:13:35ZengBMCMalaria Journal1475-28752024-11-0123111010.1186/s12936-024-05135-2Perspectives of postpartum women on intermittent presumptive treatment in Uganda: implications for malaria prevention: a qualitative studyFatuma Namusoke0Allan Lugaajju1William Buwembo2Mpungu Steven Kiwuuwa3Mark Kaddumukasa4Makerere University, College of Health SciencesMakerere University, College of Health SciencesMakerere University, College of Health SciencesMakerere University, College of Health SciencesMakerere University, College of Health SciencesAbstract Background Malaria during pregnancy leads to many deaths in Africa. COVID-19 contributed to more malaria cases due to interruptions in prevention efforts. Intermittent presumptive treatment (IPTP) is an effective malaria prevention strategy for pregnant women, but adoption barriers still exist. The study aim was to explore barriers to the adoption of IPTP at Kawempe National Referral Hospital (KNRH) Uganda. Methods In a qualitative study design, data was collected using focus group discussions. A total of 37 postpartum mothers were interviewed in six focus group discussions. The interviews were conducted using a structured guide to explore barriers to IPTP implementation at KNRH. The data was transcribed, coded, and analysed using NVivo 10. Results The study found that mothers lacked adequate knowledge about IPTP, faced socioeconomic and cultural constraints, fear of side effects, a high pill burden, and experience of health system challenges as major themes of barriers to optimal IPTP use. Conclusions and recommendations Challenges in the service delivery and inadequate information in regard to importance and expected side effects were identified by the users as the major barriers to IPTP delivery in public health care setting. Improving delivery of focused health education talks and health work attitude and delivery chain for IPTP in the health facilities are recommended to increase its uptake.https://doi.org/10.1186/s12936-024-05135-2Malaria during pregnancyIntermittent presumptive treatment (IPTP)Adoption barriers
spellingShingle Fatuma Namusoke
Allan Lugaajju
William Buwembo
Mpungu Steven Kiwuuwa
Mark Kaddumukasa
Perspectives of postpartum women on intermittent presumptive treatment in Uganda: implications for malaria prevention: a qualitative study
Malaria Journal
Malaria during pregnancy
Intermittent presumptive treatment (IPTP)
Adoption barriers
title Perspectives of postpartum women on intermittent presumptive treatment in Uganda: implications for malaria prevention: a qualitative study
title_full Perspectives of postpartum women on intermittent presumptive treatment in Uganda: implications for malaria prevention: a qualitative study
title_fullStr Perspectives of postpartum women on intermittent presumptive treatment in Uganda: implications for malaria prevention: a qualitative study
title_full_unstemmed Perspectives of postpartum women on intermittent presumptive treatment in Uganda: implications for malaria prevention: a qualitative study
title_short Perspectives of postpartum women on intermittent presumptive treatment in Uganda: implications for malaria prevention: a qualitative study
title_sort perspectives of postpartum women on intermittent presumptive treatment in uganda implications for malaria prevention a qualitative study
topic Malaria during pregnancy
Intermittent presumptive treatment (IPTP)
Adoption barriers
url https://doi.org/10.1186/s12936-024-05135-2
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