Esu Ekpereonne, Effa Emmanuel, Udoh Ekong, Oduwole Olabisi, Odey Friday, Chibuzor Moriam, Oyo-Ita Angela, Meremikwu Martin
Calabar Institute of Tropical Diseases Research and Prevention, University of Calabar Teaching Hospital, Calabar, Nigeria,
College of Medical Sciences, University of Calabar, Calabar, Nigeria,
Res Rep Trop Med. 2013 Sep 19;4:29-35. doi: 10.2147/RRTM.S47677. eCollection 2013.
This study assessed the utilization of intermittent preventive treatment with sulfadoxine-pyrimethamine for the prevention of malaria in pregnancy against the national treatment policy among women attending health care facilities in Cross River State, Nigeria.
A clinical audit was carried out between January 2012 and March 2012 using case records of pregnant women who received antenatal care in health facilities in the state. Facilities were selected by simple random sampling. Information on the frequency of antenatal clinic (ANC) visits by the women, as well as parity, age, and adherence to intermittent preventive treatment (IPTp) doses was obtained using an audit checklist.
A total of 322 pregnant women were assessed across 36 health care facilities. In addition, 246 (76%) of them attended the ANC in public health facilities. Age, parity, and gestational age at booking were recorded in more than 95% of the cases evaluated. The audit showed that 13.7% of the women did not utilize IPTp, 53.1% had one dose of IPTp (IPTp1), 24.2% had two doses of IPTp (IPTp2), while 3.1% had three doses of IPTp (IPTp3). The overall utilization of two doses or more of IPTp (IPTp2+) was 30.7%.
There was good documentation of the basic obstetric information of pregnant women in the health care facilities examined in this study, but the overall utilization of IPTp was very low. Efforts at ensuring early ANC booking and regular visits may be a potential means of increasing IPTp utilization in health care facilities in the state.
本研究评估了在尼日利亚克罗斯河州的医疗机构就诊的孕妇中，使用磺胺多辛-乙胺嘧啶进行间歇性预防治疗以预防疟疾的情况，与国家治疗政策进行对比。
2012年1月至2012年3月期间进行了一项临床审计，使用该州医疗机构中接受产前护理的孕妇的病例记录。通过简单随机抽样选择医疗机构。使用审计清单获取有关这些妇女产前检查（ANC）就诊频率以及产次、年龄和对间歇性预防治疗（IPTp）剂量的依从性的信息。
在36个医疗机构中总共评估了322名孕妇。此外，其中246名（76%）在公共卫生机构接受产前检查。在评估的病例中，超过95%记录了年龄、产次和登记时的孕周。审计显示，13.7%的妇女未使用IPTp预防，53.1%接受了一剂IPTp（IPTp1），24.2%接受了两剂IPTp（IPTp2），而3.1%接受了三剂IPTp（IPTp3）。两剂或更多剂IPTp（IPTp2+）的总体使用率为30.7%。
在本研究中检查的医疗机构中，孕妇的基本产科信息记录良好，但IPTp的总体使用率非常低。确保早期进行产前检查登记和定期就诊的努力可能是提高该州医疗机构中IPTp使用率的一种潜在手段。
