Malaria in children and women of childbearing age: prevalence and knowledge in the province of Nyanga, Gabon

Abstract Background: There is little information on the social perception of malaria and the use of preventative measures in Gabon, especially in rural areas. Adequate knowledge of malaria prevention and control can help in reducing the burden of malaria among vulnerable groups, particularly pregnant women and children aged under 5 years old living in malaria endemic settings. This study was designed to assess the prevalence of malaria and the knowledge and attitude towards this disease in households in the Nyanga Province. Methods: A cross-sectional study was conducted to assess malaria knowledge, prevention practices and prevalence of the infection in five departments of the Nyanga Province. Malaria infection was confirmed using rapid diagnostic tests. A questionnaire was administered randomly to 535 households during a two weeks period in March 2018. Overall, the respondents’ socio-demographic characteristics, knowledge on malaria, malaria prevention practices and malaria prevalence were evaluated and compared across the five departments. Results: Data was collected on 1,307 participants were included in this study, 631 women of childbearing age (including 61 pregnant women) and 676 children. Practically the entire (97.7%) interviewed population had already heard about malaria and attributed the cause of malaria to a mosquito bite (95.7%). This survey revealed that the bed net coverage rate was 73.3%. The study observed an average malaria parasite prevalence of 13.9%. All departments of Nyanga province had significant level of malaria infection except for the Mayumba department where no plasmodial infection was found. The overall prevalence of the plasmodial infection was significantly higher in children and pregnant women compared to adults in the cities of Tchibanga and Moabi. Conclusion: Malaria is highly prevalent in the province of Nyanga. Our findings show that children under five and pregnant women are more vulnerable to malaria in this area of the country. This study reveals that respondents have a high knowledge of mode of transmission, malaria symptoms and preventive measures. Despite this high level of knowledge of the disease and its preventive measures, the incidence of malaria remains relatively high in this rural community highlighting the need for continuous strategic interventions particularly health awareness and educational programs

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Malaria in children and women of childbearing age: prevalence and knowledge in the province of Nyanga, Gabon

10.21203/rs.2.22550/v1 ◽

2020 ◽

Author(s):

Roméo Karl IMBOUMY-LIMOUKOU ◽

Sydney MAGHENDJI-NZONDO ◽

Pater Noster SIR-ONDO-ENGUIER ◽

Nathalie Pernelle TSAFACK TEGOMO ◽

Alain Prince OKOUGA ◽

...

Keyword(s):

Pregnant Women ◽

Rural Areas ◽

Malaria Infection ◽

Preventive Measures ◽

Malaria Prevention ◽

Vulnerable Groups ◽

Women Of Childbearing Age ◽

Childbearing Age ◽

Cross Sectional ◽

Plasmodial Infection

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Malaria in children and women of childbearing age: infection prevalence, knowledge and use of malaria prevention tools in the province of Nyanga, Gabon

Malaria Journal ◽

10.1186/s12936-020-03411-5 ◽

2020 ◽

Vol 19 (1) ◽

Author(s):

Roméo Karl Imboumy-Limoukou ◽

Sydney Maghendji-Nzondo ◽

Pater Noster Sir-Ondo-Enguier ◽

Julie Niemczura De Carvalho ◽

Nathalie Pernelle Tsafack-Tegomo ◽

...

Keyword(s):

Rural Areas ◽

Malaria Infection ◽

Preventive Measures ◽

Malaria Prevention ◽

Malaria Prevalence ◽

Vulnerable Groups ◽

Infection Prevalence ◽

Women Of Childbearing Age ◽

Childbearing Age ◽

Plasmodial Infection

Abstract Background There is little information on the social perception of malaria and the use of preventative measures in Gabon, especially in rural areas. Adequate knowledge of malaria prevention and control can help in reducing the burden of malaria among vulnerable groups, particularly pregnant women and children under 5 years old living in malaria-endemic settings. This study was designed to assess the prevalence of malaria and the knowledge and attitude towards this disease in households in Nyanga Province. Methods A cross-sectional study was conducted to assess malaria knowledge, prevention practices and prevalence of the malaria infection in five departments of Nyanga Province. Plasmodial infection was diagnosed in children ≤ 5 years of age and women aged 15-49 years using rapid diagnostic tests. A questionnaire was administered randomly to women aged 15–49 years and to the parents or guardians of children aged ≤ 5 years in 535 households during a 2-week period in March 2018. Overall, the respondents’ socio-demographic characteristics, knowledge of malaria, malaria prevention practices and malaria prevalence were evaluated and compared across the five departments. Results Data from a total of 1,307 participants were included in this study, including 631 women of childbearing age (61 of them pregnant) and 676 children. Practically the entire (97.7%) interviewed population had heard about malaria and attributed the cause of malaria to a mosquito bite (95.7%). This survey revealed that the reported rate of reported bed-net use was 73.3%. The study observed an average malaria parasite prevalence of 13.9%. All departmental capitals of Nyanga Province had a significant level of malaria infection except for Mayumba where no plasmodial infection was found. Conclusion High malaria prevalence is found in the departmental capital cities of Nyanga Province. This study reveals that respondents have a high knowledge of the malaria symptoms, its mode of transmission and preventive measures. Despite this high level of knowledge of the disease and its preventive measures, the incidence of malaria remains relatively high in this rural community highlighting the need for other types of interventions.

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Malaria in children and women of childbearing age: infection prevalence, knowledge and use of malaria prevention tools in the province of Nyanga, Gabon

10.21203/rs.2.22550/v4 ◽

2020 ◽

Author(s):

Roméo Karl IMBOUMY-LIMOUKOU ◽

Sydney MAGHENDJI-NZONDO ◽

Pater Noster SIR-ONDO-ENGUIER ◽

Julie NIEMCZURA DE CARVALHO ◽

Nathalie Pernelle TSAFACK TEGOMO ◽

...

Keyword(s):

Rural Areas ◽

Malaria Infection ◽

Preventive Measures ◽

Malaria Prevention ◽

Malaria Prevalence ◽

Vulnerable Groups ◽

Infection Prevalence ◽

Women Of Childbearing Age ◽

Childbearing Age ◽

Plasmodial Infection

Abstract Background There is little information on the social perception of malaria and the use of preventative measures in Gabon, especially in rural areas. Adequate knowledge of malaria prevention and control can help in reducing the burden of malaria among vulnerable groups, particularly pregnant women and children under five years old living in malaria-endemic settings. This study was designed to assess the prevalence of malaria and the knowledge and attitude towards this disease in households in Nyanga Province. Methods A cross-sectional study was conducted to assess malaria knowledge, prevention practices and prevalence of the malaria infection in five departments of Nyanga Province. Plasmodial infection was diagnosed in children ≤5 years of age and women aged 15-49 years using rapid diagnostic tests. A questionnaire was administered randomly to women aged 15-49 years and to the parents or guardians of children aged ≤5 years in 535 households during a 2-week period in March 2018. Overall, the respondents’ socio-demographic characteristics, knowledge of malaria, malaria prevention practices and malaria prevalence were evaluated and compared across the five departments.Results Data from a total of 1,307 participants were included in this study, including 631 women of childbearing age (61 of them pregnant) and 676 children. Practically the entire (97.7%) interviewed population had heard about malaria and attributed the cause of malaria to a mosquito bite (95.7%). This survey revealed that the reported rate of reported bed-net use was 73.3%. The study observed an average malaria parasite prevalence of 13.9%. All departmental capitals of Nyanga Province had a significant level of malaria infection except for Mayumba where no plasmodial infection was foundConclusion High malaria prevalence is found in the departmental capital cities of Nyanga Province. This study reveals that respondents have a high knowledge of the malaria symptoms, its mode of transmission and preventive measures. Despite this high level of knowledge of the disease and its preventive measures, the incidence of malaria remains relatively high in this rural community highlighting the need for other types of interventions.

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Malaria in children and women of childbearing age: infection prevalence, knowledge and use of malaria prevention tools in the province of Nyanga, Gabon

10.21203/rs.2.22550/v3 ◽

2020 ◽

Author(s):

Roméo Karl IMBOUMY-LIMOUKOU ◽

Sydney MAGHENDJI-NZONDO ◽

Pater Noster SIR-ONDO-ENGUIER ◽

Julie NIEMCZURA DE CARVALHO ◽

Nathalie Pernelle TSAFACK TEGOMO ◽

...

Keyword(s):

Pregnant Women ◽

Malaria Infection ◽

Preventive Measures ◽

Malaria Prevention ◽

Malaria Prevalence ◽

Vulnerable Groups ◽

Infection Prevalence ◽

Women Of Childbearing Age ◽

Childbearing Age ◽

Plasmodial Infection

Abstract Background: There is little information on the social perception of malaria and the use of preventative measures in Gabon, especially in rural areas. Adequate knowledge of malaria prevention and control can help in reducing the burden of malaria among vulnerable groups, particularly pregnant women and children under five year old living in malaria endemic settings. This study was designed to assess the prevalence of malaria and the knowledge and attitude towards this disease in households in the Nyanga Province. Methods: A cross-sectional study was conducted to assess malaria knowledge, prevention practices and prevalence of the malaria infection in five departments of the Nyanga Province. Plasmodial infection was diagnosed in children ≤ 5 years of age and women aged 15-49 years using rapid diagnostic tests. A questionnaire was administered randomly to women aged 15-49 years and to the parents or guardians of children aged ≤ 5 years in 535 households during a two weeks period in March 2018. Overall, the respondents’ socio-demographic characteristics, knowledge on malaria, malaria prevention practices and malaria prevalence were evaluated and compared across the five departments.Results: Data from a total of 1,307 participants were included in this study, including 631 women of childbearing age (including 61 pregnant women) and 676 children. Practically the entire (97.7%) interviewed population had already heard about malaria and attributed the cause of malaria to a mosquito bite (95.7%). This survey revealed that the reported rate of reported bednet use was 73.3%. The study observed an average malaria parasite prevalence of 13.9%. All departmental capitals of the Nyanga province had a significant level of malaria infection except for the Mayumba where no plasmodial infection was foundConclusion: High malaria prevalence is found in the departmental capital cities of the Nyanga province. This study reveals that respondents have a high knowledge of the malaria symptoms, its mode of transmission and preventive measures. Despite this high level of knowledge of the disease and its preventive measures, the incidence of malaria remains relatively high in this rural community highlighting the need for other types of interventions.

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Utilization of key preventive measures for pregnancy complications and malaria among women in Jimma Zone, Ethiopia

BMC Public Health ◽

10.1186/s12889-019-7727-8 ◽

2019 ◽

Vol 19 (1) ◽

Cited By ~ 2

Author(s):

Mariame Ouedraogo ◽

Jaameeta Kurji ◽

Lakew Abebe ◽

Ronald Labonté ◽

Sudhakar Morankar ◽

...

Keyword(s):

Health Services ◽

Pregnant Women ◽

Malaria Infection ◽

Preventive Measures ◽

Health Sector ◽

Maternal Health Services ◽

Cross Sectional Survey ◽

Wealth Status ◽

Cross Sectional ◽

Jimma Zone

Abstract Background In Ethiopia, malaria infections and other complications during pregnancy contribute to the high burden of maternal morbidity and mortality. Preventive measures are available, however little is known about the factors influencing the uptake of maternal health services and interventions by pregnant women in Ethiopia. Methods We analyzed data from a community-based cross-sectional survey conducted in 2016 in three rural districts of Jimma Zone, Ethiopia, with 3784 women who had a pregnancy outcome in the year preceding the survey. We used multivariable logistic regression models accounting for clustering to identify the determinants of antenatal care (ANC) attendance and insecticide-treated net (ITN) ownership and use, and the prevalence and predictors of malaria infection among pregnant women. Results Eighty-four percent of interviewed women reported receiving at least one ANC visit during their last pregnancy, while 47% reported attending four or more ANC visits. Common reasons for not attending ANC included women’s lack of awareness of its importance (48%), distance to health facility (23%) and unavailability of transportation (14%). Important determinants of ANC attendance included higher education level and wealth status, woman’s ability to make healthcare decisions, and pregnancy intendedness. An estimated 48% of women reported owning an ITN during their last pregnancy. Of these, 55% reported to have always slept under it during their last pregnancy. Analysis revealed that the odds of owning and using ITNs were respectively 2.07 (95% CI: 1.62–2.63) and 1.73 (95% CI: 1.32–2.27) times higher among women who attended at least one ANC visit. The self-reported prevalence of malaria infection during pregnancy was low (1.4%) across the three districts. We found that young, uneducated, and unemployed women presented higher odds of malaria infection during their last pregnancy. Conclusion ANC and ITN uptake during pregnancy in Jimma Zone fall below the respective targets of 95 and 90% set in the Ethiopian Health Sector Transformation Plan for 2020, suggesting that more intensive programmatic efforts still need to be directed towards improving access to these health services. Reaching ANC non-users and ITN ownership and use as part of ANC services could be emphasized to address these gaps.

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Tingkat Pengetahuan Ibu Hamil tentang HIV/AIDS dengan Perilaku Pemeriksaan Test PITC (Provider Initiated Test and Counselling) di Puskesmas Sleman Yogyakarta

Jurnal Ners dan Kebidanan Indonesia ◽

10.21927/jnki.2015.3(1).48-52 ◽

2016 ◽

Vol 3 (1) ◽

pp. 48

Author(s):

Annisaa’ Nurmasari ◽

Fatimah Fatimah ◽

Febrina Suci Hati

Keyword(s):

Pregnant Women ◽

Sampling Technique ◽

P Value ◽

Knowledge Level ◽

Test Results ◽

Women Of Childbearing Age ◽

Childbearing Age ◽

Cross Sectional ◽

Cross Sectional Design ◽

Hiv Aids

<p>HIV infection in pregnant women can threaten the life of the mother and the mother can transmit the virus to their babies. Sleman PHC registered 2 people including one pregnant woman and one women of childbearing age in the year of 2014. Incidence of pregnant women suffering from HIV-AIDS in 2014 is 1 patients and detected from PITC test results for 7 weeks in a row is 1 patient. And in January year of 2015 found 1 patient with 3 times test and the results was positive. The purpose of this study was to determine relationship between Knowledge Level of Pregnant women about HIV/AIDS and Behaviour of PITC (Provider Initiated Test and Counselling) test. This study was a quantitative analysis of correlation with cross-sectional design. The population of this study were all pregnant women checkups at the health center in Yogyakarta Sleman. The sampling technique was used accidental sampling study which consisted of 72 respondents. The analysis used univariate and bivariate. The results showed that most respondents aged 20-35 (72.2%), senior high school education (47.2%) and work as a housewife (IRT) (38.9%). Most respondents have good knowledge about HIV/AIDS were 50 respondents (69.4%). Most respondents perform checks PITC were 71 respondents (98.6%). There was no relationship between knowledge level of pregnant women about HIV/AIDS and Behaviour of PITC (p-value=0.243>0.005). In Conclusion, There was no relationship between knowledge level of pregnant women about HIV/AIDS and Behaviour of PITC in Sleman, Yogyakarta.</p>

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Pregnant Women and Malaria Preventive Measures: A Case of Tamale Teaching Hospital, Ghana

Journal of Tropical Medicine ◽

10.1155/2021/6150172 ◽

2021 ◽

Vol 2021 ◽

pp. 1-9

Author(s):

Abdul Rauf Alhassan

Keyword(s):

Pregnant Women ◽

Teaching Hospital ◽

Preventive Measures ◽

Malaria Prevention ◽

Bivariate Analysis ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Preventive Practice ◽

Study Participants ◽

Tamale Teaching Hospital

Background. In Saharan Africa, an estimated 25 million pregnancies are all at risk of malaria every year, with substantial morbidity and death effects for both the mother and the fetus. Aim. To investigate the use of malaria preventive measures among pregnant women patronizing antenatal services of Tamale Teaching Hospital. Methodology. This study was conducted using a descriptive cross-sectional survey of 250 participants. Data analysis was done with SPSS version 20. Graphs and tables were used to present the study data. Bivariate analysis was done using Chi-square use to determine the relationships and binary logistics regression used for identification of predictor variables. Results. The mean age of the study participants was 30.0 ± 4.5 years and most of them (73.0%) were within the age group of 25–35 years. Respondents’ favorable knowledge, a favorable attitude, and favorable practice were 78.0%, 62.0%, and 57.6%, respectively. And the following variables were associated with malaria preventive practice: age of the respondent (X2 = 6.276, P = 0.043 ), religion (X2 = 6.904, P = 0.032 ), level of education (X2 = 41.482, P < 0.001 ), employment status (X2 = 20.533, P < 0.001 ), monthly income (X2 = 21.838, P < 0.001 ), and attitude level towards malaria prevention (X2 = 35.885, P < 0.001 ). Further analysis revealed educational level and attitude level as predictors of malaria preventive practice. Conclusion. This study recorded favorable knowledge, attitude, and practice with regards to malaria prevention among more than half of the study participants.

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The urban–rural differential in the association between household wealth index and anemia among women in reproductive age in Ethiopia, 2016

BMC Women s Health ◽

10.1186/s12905-021-01461-8 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Teshager Weldegiorgis Abate ◽

Biruk Getahun ◽

Mekuriaw Mesfin Birhan ◽

Getasew Mulatu Aknaw ◽

Sefealem Assefa Belay ◽

...

Keyword(s):

Public Health ◽

Pregnant Women ◽

Rural Areas ◽

Wealth Index ◽

Household Wealth ◽

Reproductive Age ◽

Women Of Childbearing Age ◽

Childbearing Age ◽

Wealth Status ◽

Urban Rural

Abstract Background Anemia is more prevalent among women, and it is a moderate public health problem in Ethiopia. The wealth status and place of residence of a woman have implications on the intervention of anemia. Studies that examined the relationship between women’s wealth index status and residency in Ethiopia are scarce. We aimed to identify the urban–rural differential in the association between household wealth index and anemia among women of childbearing age in Ethiopia. Method A cross-sectional design was employed with a nationally representative sample of 14,100 women aged 15–49-year-old from the Ethiopian demographic and health survey conducted in 2016. We used the two-stage sampling method to select the sample size. The primary outcome was anemia in women of childbearing age. A hemoglobin level of below 11 g/dl for pregnant women and 12 g/dl for non-pregnant women was the indicator of anemia. Using a three-level random intercept model to explore associated factors at the individual and household levels quantified the observed and unobserved variations between household wealth index and residence on anemia. Results Women belonging to a lower household wealth index category were more anemic (29.6%) than those middle and above wealth index categories. Women who lived in rural areas (25.5%) were prone to anemia than those who lived in urban areas (17.5%). The odds of anemia were significantly higher in women of the low household wealth category who living in rural compared to women of the middle and above household wealth category who living in urban (AOR = 1.37, 95% CI 1.14–1.65, P < 0.001). Conclusion In this study, anemia is more common among women who live in rural with the low house wealth category. Therefore, novel public health interventions should target women who live in rural areas with the lowest household wealth status.

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FACTORS INFLUENCING HIV KNOWLEDGE AMONG WOMEN OF CHILDBEARING AGE IN SOUTH SUMATRA, INDONESIA

Malaysian Journal of Public Health Medicine ◽

10.37268/mjphm/vol.20/no.1/art.552 ◽

2020 ◽

Vol 20 (1) ◽

pp. 150-159

Author(s):

Najmah ◽

Indah Purnama Sari ◽

Tri Novia Kumalasari ◽

Sharyn Graham Davies

Keyword(s):

Hiv Prevention ◽

Rural Areas ◽

Urban Areas ◽

Descriptive Analysis ◽

Dominant Factor ◽

Women Of Childbearing Age ◽

Childbearing Age ◽

Hiv Knowledge ◽

Cross Sectional ◽

Mother To Child

This study aims to provide detailed information on the role of the following social determinants (i.e. education, occupation, place of residence, marital and economic status) in the acquisition of HIV knowledge among women of childbearing age (15-49 years old). The study uses secondary data from the 2012 Indonesian Demographic and Health Survey (IDHS). The IDHS used a quantitative analytical approach with a cross-sectional study design and multi-stage stratified sampling. The sample included 1,335 women aged 15 to 49 years old living in South Sumatra Province, Indonesia. Descriptive analysis, ANOVA, and t-test and multiple logistic regressions were performed in this study. The results show one out of two women have little HIV knowledge. The more highly educated women were positively associated with a greater degree of knowledge related to comprehensive knowledge related to HIV (AOR: 3.7, 2.2-6.2, p.<0.05), HIV prevention (AOR:16.6, 1.8-153.9, p <0.05), transmission from mother to child (AOR:11.1, 3.3-36.9, p <0.05), HIV misconceptions (AOR:5.1, 1.1-23.1, p <0.05) and HIV services (AOR:5.7, 2.8-11.4, p < 0.05). In addition, the women lived in urban areas had more knowledge related to HIV prevention and transmission (AOR: 3.36, 1.8-6.2, p <0.05), and knowledge about mother-to-child of HIV transmission (AOR: 3.2, 1.8-5.5, p <0.05) compared to those who lived in rural areas. To conclude, education level was found to be the dominant factor associated with knowledge of HIV across all categories of knowledge after controlling by other determinants, age, marital status, working status and residence. HIV awareness and comprehensive HIV information among women who are considered to be in a low-risk group for HIV infection should be integrated with formal education as well as in maternal health services, particularly in rural areas.

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Knowledge of Malaria and Utilization of Its Preventive Measures among Pregnant Women Attending Antenatal Care at a Tertiary Hospital in Port-Harcourt, Nigeria

International Journal of TROPICAL DISEASE & Health ◽

10.9734/ijtdh/2020/v41i1930386 ◽

2020 ◽

pp. 34-46

Author(s):

P. A. Awoyesuku ◽

C. Ohaka ◽

B. Ngeri

Keyword(s):

Pregnant Women ◽

Preventive Measures ◽

Statistical Significance ◽

Malaria Prevention ◽

Tertiary Hospital ◽

Roll Back Malaria ◽

Insecticide Treated Nets ◽

Mosquito Net ◽

Cross Sectional ◽

Significant Difference

Background: Prevention of malaria is a major priority for the roll back malaria partnership which recommends three-pronged approach for reducing the burden of malaria among pregnant women. The WHO framework for malaria prevention during pregnancy in areas of stable malaria transmission recommends IPT, use of ITN, and case management of malaria illness. Objective: This study sought to determine the knowledge of malaria and its preventive measures among pregnant women, assess their utilization of malaria preventive measures and attitude to treatment. To ascertain whether there exists any relationship between their knowledge and practice of prevention. Methodology: An institutional based, cross-sectional study was carried out. 385 consenting participants, between 18-48 years, were interviewed using a structured questionnaire. Information on socio-demographic characteristics, knowledge of malaria and its preventive measures, use of IPT and ownership/use of ITN, and attitude to treatment were recorded. Data were entered into Excel spreadsheet and analyzed with SPSS version 20. Associations between different variables were determined using Fisher’s exact test or Chi-square test, as appropriate, and logistic regression used to test statistical significance at P<0.05. Results: Of the 385 women, 307 (79.7%) had excellent (18.7%) and good (61%) knowledge, while 78 (20.3%) had average (16.6%) and poor (3.6%) knowledge. There was no difference in association of Knowledge with age, marital status, education, occupation, and parity. Of the 385 women, 61.3% were using IPT for chemoprophylaxis, 66.2% were using insecticide spray or repellants and 71.4% owned mosquito net; of these, 84% owned insecticide treated nets, but only 65.8% were using it in this current pregnancy. Reasons for not using nets ranged from unavailable 49.0%, discomfort due to heat 32.9%, fear of suffocation 6.9%, Spouse’s disapproval 3.9% and 1.0% ineffective. There was statistically significant difference between knowledge and use of IPT, ITN and insecticide sprays. Conclusion: There was adequate knowledge of malaria in pregnancy and its preventive measures, but utilization of these measures needs improvement. Efforts should be made to address barriers to utilization.

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