加纳沃尔特地区使用磺胺多辛-乙胺嘧啶间歇性预防治疗妊娠疟疾的服务使用者的知识和态度。
Knowledge, and attitude of service user of intermittent preventive treatment of malaria in pregnancy using sulfadoxine pyrimethamine in the Volta Region of Ghana.
机构信息
Department of Public Administration and Health Services Management, Business School, University of Ghana, Accra, Ghana.
Department of Health Policy Planning and Management, School of Public Health, University of Health Allied Sciences, Ho, Ghana.
出版信息
PLoS One. 2024 Sep 6;19(9):e0309340. doi: 10.1371/journal.pone.0309340. eCollection 2024.
BACKGROUND
Malaria in pregnancy (MiP) is a condition that can be prevented by using intermittent preventive treatment using Sulfadoxine-pyrimethamine. However, despite all the effort to reduce the consequences of MiP for the woman, the unborn child, and the neonate, the knowledge of Intermittent Preventive Treatment of Malaria in pregnancy using sulfadoxine-pyrimethamine (IPTp-SP) is low in most malaria-endemic countries, including Ghana. Thus, the need to examine knowledge, and attitude of service users of intermittent preventive treatment of malaria in pregnancy using sulfadoxine-pyrimethamine.
METHODS
The study was a cross-sectional survey of two selected districts in the Volta Region of Ghana. The study participants were randomly selected from communities within Nkwanta North and North Tongu District. In all a total of 438 mothers who have delivered in the past 24 months were selected for the study. The women were interviewed using a structured questionnaire and the bivariate and multivariable logistic regression results presented in tables.
RESULTS
The level of knowledge, and attitude were reported as 45.9% and 58.9% respectively. Knowledge of the service user is determined by the level of education of the women. The attitude of the service user is determined by making 4-7 visits during ANC, Gestational age at booking for ANC is 4-7 weeks, income level between 100 to 999, partner educational level above Middle/JHS/JSS, and age of a partner is above 40 years.
CONCLUSION
The findings from the present studies highlighted important factor such as number of antenatal visits that affect both knowledge of services and attitude to use IPTp-SP. Therefore, a community-based health promotion programmes to help to increase knowledges and improved attitude on timely and regular antenatal attendance to promote the benefit of IPTp-SP should be encouraged.
背景
妊娠疟疾（MiP）可通过使用磺胺多辛-乙胺嘧啶间歇性预防治疗来预防。然而，尽管为减轻 MiP 对妇女、胎儿和新生儿的影响付出了一切努力，但包括加纳在内的大多数疟疾流行国家对使用磺胺多辛-乙胺嘧啶的间歇性预防治疗疟疾（IPTp-SP）的知识仍然很低。因此，有必要检查妊娠疟疾间歇性预防治疗磺胺多辛-乙胺嘧啶的服务使用者的知识和态度。
方法
这项研究是在加纳沃尔特地区的两个选定地区进行的横断面调查。研究参与者是从 Nkwanta North 和 North Tongu 区的社区中随机选择的。共有 438 名在过去 24 个月内分娩的母亲被选入研究。妇女们接受了结构化问卷访谈，双变量和多变量逻辑回归结果以表格形式呈现。
结果
知识和态度的报告水平分别为 45.9%和 58.9%。服务使用者的知识取决于妇女的教育水平。服务使用者的态度取决于在 ANC 期间进行 4-7 次访问、ANC 预约的胎龄为 4-7 周、收入水平在 100 至 999 之间、伴侣的教育水平高于中级/JHS/JSS 以及伴侣的年龄超过 40 岁。
结论
本研究的结果强调了一些重要因素，如产前检查次数，这些因素会影响对服务的知识和使用 IPTp-SP 的态度。因此，应该鼓励开展基于社区的健康促进计划，以帮助增加知识，改善对及时和定期产前就诊的态度，促进 IPTp-SP 的益处。
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