Ogba Patricia, Baumann Andrea, Chidwick Hanna, Banfield Laura, DiLiberto Deborah D
Faculty of Health Sciences, Global Health Office, McMaster University, Main St. W, Hamilton, Ontario, Canada.
Health Sciences Library, McMaster University, Main St. W, Hamilton, Ontario, Canada.
Malariaworld J. 2022 Feb 1;13:4. eCollection 2022.
Malaria in pregnancy is a significant public health concern in Nigeria. It threatens pregnant women and their unborn babies and undermines the achievement of Sustainable Development Goal 3. The World Health Organization has recommended intermittent preventive treatment with sulfadoxine-pyrimethamine [IPTp-SP] for its control, but there are challenges to its access and uptake.
Using the Arksey and O'Malley framework and the cascade of care model, we conducted a scoping review to investigate barriers and facilitators of IPTp-SP access and uptake, including their influence on pregnant women's health-seeking behaviour for the control of malaria in pregnancy in Nigeria. We searched seven scientific databases for papers published from 2005 to date.
We included a total of 31 out of 2149 articles in the review. Poor provider knowledge of the IPTp-SP protocol and lack of essential commodities for sulphadoxine-pyrimethamine administration in clinics are significant barriers to IPTp-SP use. Staff shortages and poor remuneration of health care professionals are obstacles to IPTp-SP utilisation.
To improve IPTp-SP access and uptake, the government should ensure a continuous supply to clinics and support the employment of additional health care professionals who should be well paid and trained on using the IPTp-SP protocol.
妊娠疟疾是尼日利亚一个重大的公共卫生问题。它威胁着孕妇及其未出生的婴儿，并妨碍可持续发展目标3的实现。世界卫生组织建议采用磺胺多辛-乙胺嘧啶间歇性预防治疗（IPTp-SP）来控制该病，但在获取和采用该治疗方法方面存在挑战。
我们使用阿克西和奥马利框架以及照护级联模型，进行了一项范围综述，以调查IPTp-SP获取和采用的障碍及促进因素，包括它们对尼日利亚孕妇控制妊娠疟疾的就医行为的影响。我们在七个科学数据库中检索了2005年至今发表的论文。
我们在综述中纳入了2149篇文章中的31篇。医疗服务提供者对IPTp-SP方案的了解不足以及诊所缺乏磺胺多辛-乙胺嘧啶给药的基本药品是IPTp-SP使用的重大障碍。医护人员短缺和薪酬低是IPTp-SP使用的障碍。
为改善IPTp-SP的获取和采用情况，政府应确保持续向诊所供应药品，并支持雇佣额外的医护人员，这些人员应获得优厚薪酬并接受IPTp-SP方案使用方面的培训。
