Document Detail


Intermittent preventive treatment of malaria in pregnancy (IPTp): participation of community-directed distributors of ivermectin for onchocerciasis improves IPTp access in Ugandan rural communities.
MedLine Citation:
PMID:  19467686     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Access and compliance to sulfadoxine-pyrimethamine (SP) for intermittent preventive treatment of malaria in pregnancy (IPTp) when delivered by community-directed drug distributors (CDDs) of ivermectin for onchocerciasis control (intervention arm) and through delivery of SP-IPTp during antenatal care visit (control arm) was investigated in western Uganda. Every woman in both arms who delivered during the study period was interviewed on access and compliance to SP-IPT during her previous pregnancy. Overall, 926 women participated in the study (473 and 453 in the intervention and control arms, respectively). There were 467 (98.7%) women who accessed SP-IPTp at least once in the intervention arm and 401 (88.5%) in the control arm (P<0.001), and 424 (89.6%) women accessed at least two doses of SP-IPTp in the intervention arm compared with 237 (52.3%) in the control arm (P<0.001). The findings of this study suggest that a strategy using community resource people such as CDDs is an effective and feasible option to deliver SP-IPTp, because it uses existing community structures and volunteers, which creates easy access of the intervention, and should complement SP-IPTp access during antenatal care visit.
Authors:
Richard Ndyomugyenyi; Ephraim Tukesiga; James Katamanywa
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2009-05-20
Journal Detail:
Title:  Transactions of the Royal Society of Tropical Medicine and Hygiene     Volume:  103     ISSN:  1878-3503     ISO Abbreviation:  Trans. R. Soc. Trop. Med. Hyg.     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2009-11-09     Completed Date:  2010-12-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7506129     Medline TA:  Trans R Soc Trop Med Hyg     Country:  England    
Other Details:
Languages:  eng     Pagination:  1221-8     Citation Subset:  IM    
Affiliation:
Malaria Control Programme, Ministry of Health, P.O. Box 7272 or 1661, Kampala, Uganda. richardndyomugyenyi@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Antimalarials / administration & dosage*
Child
Community Health Services
Female
Humans
Ivermectin / administration & dosage*
Malaria / drug therapy,  epidemiology,  prevention & control*
Onchocerciasis / drug therapy,  epidemiology,  prevention & control*
Patient Acceptance of Health Care / statistics & numerical data*
Pregnancy
Pregnancy Complications, Parasitic / drug therapy,  epidemiology,  prevention & control*
Prenatal Care
Uganda / epidemiology
Young Adult
Chemical
Reg. No./Substance:
0/Antimalarials; 70288-86-7/Ivermectin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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