Atser Pauline N, Hayat Gommaa, Okafor Uchenna B
Department of Nursing Sciences, Faculty of Basic Medical Sciences, College of Health Sciences, Benue State University, Makurdi 970101, Nigeria.
Department of Nursing Sciences, Faculty of Allied Health Sciences, Ahmadu Bello University, Zaria 810211, Nigeria.
Healthcare (Basel). 2025 Jan 8;13(2):105. doi: 10.3390/healthcare13020105.
Malaria in pregnancy is a global health problem because it causes anemia in the mother and may result in abortion, stillbirth, uterine growth retardation, and low birth weight in the newborn. The purpose of this study was to assess the effects of HEI on knowledge and adherence to intermittent preventive treatment of malaria among pregnant women at secondary health facilities in Benue State, Nigeria. This quasi-experimental study included pre-, intervention, and post-intervention. The study recruited 871 pregnant women (436 study and 435 control) using multistage sampling. The study used a semi-structured questionnaire (pre- and post-test), follow-up checklist, and health education module. Participants self-administered the semi-structured questionnaire with 57 open-ended and closed-ended questions. : About 41% had high malaria awareness, but 93.9% did throughout pregnancy and intermittent preventive treatment (IPT) after health education intervention (HEI). The majority (93.8%) understood malaria transmission methods after HEI. 95.3% understood malaria symptoms after HEI. The HEI shows 95.6% of participants knew a lot about malaria during pregnancy. Post-HEI, 95% knew malaria prophylaxis. After HEI, 95.4% knew malaria-prevention drugs. Intermittent Preventive treatment (IPT) pregnancy dosages were known by 94.3% of respondents post-HEI. Post-HEI, 95.4% of responders knew the interval between IPT dosages, compared to 59.2% pre-HEI. After HEI, 95% of respondents were aware of IPT adverse effects, up from 29.2% pre-HEI. Pre-HEI showed. Results demonstrate HEI promotes malaria IPT adherence during pregnancy. A health education proves a veritable interventional strategy in influencing a mother's understanding of malaria IPT, level of adherence to IPT, and drug adherence to directly observed therapy of IP while pregnant. Thus, nurses and midwives should increase IPT health education during antenatal clinic visits to increase its uptake and adherence among pregnant women and reduce malaria burden and death. Sulfadoxine/pyrimethamine (SP) for malaria in pregnancy (MiP) IPT must be distributed by the state health ministry to all health facilities-tertiary, secondary, primary, faith-based, and private.
妊娠疟疾是一个全球性的健康问题，因为它会导致母亲贫血，并可能导致流产、死产、子宫发育迟缓以及新生儿低体重。本研究的目的是评估健康教育干预（HEI）对尼日利亚贝努埃州二级卫生机构中孕妇疟疾知识及间歇预防性治疗依从性的影响。这项准实验研究包括干预前、干预和干预后三个阶段。该研究采用多阶段抽样方法招募了871名孕妇（436名研究对象和435名对照）。该研究使用了半结构化问卷（干预前和干预后测试）、随访清单和健康教育模块。参与者自行填写包含57个开放式和封闭式问题的半结构化问卷。约41%的人对疟疾有较高的认知度，但在健康教育干预（HEI）后，93.9%的人在整个孕期都进行了间歇预防性治疗（IPT）。大多数人（93.8%）在接受HEI后了解了疟疾传播方式。95.3%的人在接受HEI后了解了疟疾症状。HEI显示，95.6%的参与者对孕期疟疾有很多了解。HEI后，95%的人知道疟疾预防措施。HEI后，95.4%的人知道预防疟疾的药物。94.3%的受访者在HEI后知道间歇预防性治疗（IPT）的孕期剂量。HEI后，95.4%的受访者知道IPT剂量之间的间隔，而干预前这一比例为59.2%。HEI后，95%的受访者知道IPT的不良反应，干预前这一比例为29.2%。干预前显示。结果表明，HEI可促进孕期疟疾IPT的依从性。健康教育被证明是一种切实可行的干预策略，可影响母亲对疟疾IPT的理解、IPT的依从水平以及孕期对IP直接观察治疗的药物依从性。因此，护士和助产士应在产前检查时增加IPT健康教育，以提高孕妇对其的接受度和依从性，减轻疟疾负担和死亡率。用于孕期疟疾（MiP）IPT的磺胺多辛/乙胺嘧啶（SP）必须由州卫生部分发给所有卫生机构——三级、二级、一级、宗教性质和私立机构。
