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Malaria Parasitaemia, Risk Perception, and Preventive Practices Among Women Attending Ante-Natal Clinics in Ogun State

Received: 17 January 2024    Accepted: 14 February 2024    Published: 7 March 2024
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Abstract

Malaria contributes over 10% of all deaths among pregnant women. The prevalence of malaria in pregnancy in Nigeria particularly in Ogun State is high. The coverage and uptake of Intermittent Preventive Treatment with Sulphodoxine Pyrimethamine (IPT-SP) and Long-Lasting Insecticidal Nets (LLINs) in Southwest Nigeria is still very low despite their proven cost effectiveness in improving maternal and infant health. This study therefore determined the malaria parasitaemia, risk perception, preventive practices and associated factors among women attending Ante-natal Clinics (ANCs) in Ogun state. A cross-sectional study was carried out using mixed methods. An estimated sample size of 426 was computed and selected from ANCs across the state through multistage sampling technique. Pre-tested semi-structured interviewer administered questionnaire was used to collect information. Also, focused group discussions (FGDs) were conducted among women attending ANC and blood samples were taken from asymptomatic women for laboratory analysis to determine prevalence of malaria parasitaemia. Measures of association between the dependent and independent variables were tested using Chi-square. All tests of significance were done based on a ɑ-level of 0.05. Response rate was 100% for this study. The mean age of respondents was 27.9 ±5.5 years. Risk perception of malaria was observed to be good. Malaria parasitaemia was 2.7% and was 100% due to Plasmodium falciparum. Maternal age was significantly associated with malaria parasitaemia. Therefore, it is recommended that malaria elimination programmes should be sustained; access and affordability of ANC care should be ensured by the Government.

Published in Central African Journal of Public Health (Volume 10, Issue 2)
DOI 10.11648/j.cajph.20241002.11
Page(s) 59-70
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Malaria, Pregnant Women, Parasitaemia, Risk Perception, Prevention Practices

References
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[3] A. Y. Isah, M. A. Amanabo, and B. A. Ekele, “Prevalence of malaria parasitemia amongst asymptomatic pregnant women attending a Nigerian teaching hospital.,” Ann. Afr. Med., vol. 10, no. 2, pp. 171–4, 2011, https://doi.org/10.4103/1596-3519.82070
[4] National malaria strategic plan 2009–2013. Abuja, Nigeria: Federal Ministry of Health National Malaria Elimination Programme & Roll Back Malaria. Retrieved from: https://extranet.who.int/countryplanningcycles/sites/default/files/country_docs/Nigeria/nigeria_draft_malaria_strategic_plan_2009-2013.pdf
[5] C. J. Uneke, “Impact of Placental Plasmodium falciparum Malaria on Pregnancy and Perinatal Outcome in Sub-Saharan Africa,” Yale J. Biol. Med., vol. 80, no. 3, pp. 95–103, 2007.
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[7] A. A. Amusa, O. A. Idowu, and C. F. Mafiana, “Assessment of HIV and Malaria Infections and Perception Among Antenatal Women in Ogun State, Nigeria,” J. Nat. Sci. Eng. Technol., vol. 9, no. 1, pp. 115–123, 2010.
[8] O. B. Yusuf, H. O. Dada-Adegbola, I. O. Ajayi, and C. O. Falade, “Malaria prevention practices among mothers delivering in an urban hospital in southwest Nigeria,” J. Vector Borne Dis., vol. 45, no. 3, pp. 217–224, 2008.
[9] N. B. National Malaria Elimination Programme (NMEP), National Population Commission (NPopC), and I. International. 2016. N. M. I. S. 2015: K. Indicators. A. of Statistics (NBS), and and I. International. Nigeria, and Rockville, Maryland, USA: NMEP, NPopC, “Nigeria Malaria Indicator Survey,” 2016.
[10] F. S. Ukpong, I. G., Opara, K. N., Usip, L. P. E., Ekpu, “Community perceptions of Malaria Nigeria.pdf,” Res. J. Parasitol., vol. 1, no. 2, pp. 13–22, 2007.
[11] A. K. Mbonye, S. M. Mohamud, and J. Bagonza, “Perceptions and practices for preventing malaria in pregnancy in a peri-urban setting in south-western Uganda.,” Malar. J., vol. 15, pp. 1–5, 2016, https://doi.org/10.1186/s12936-016-1246-1
[12] Kimbi, H. K. et al., “Knowledge and perceptions towards malaria prevention among vulnerable groups in the Buea Health District, Cameroon.,” BMC Public Health, vol. 14, no. 1, p. 883, 2014.
[13] Mbonye, A. K., Mohamud, S. M., and Bagonza, J., “Perceptions and practices for preventing malaria in pregnancy in a peri-urban setting in south-western Uganda.,” Malar. J., vol. 15, pp. 1–5, 2016.
[14] Adewole. A., “Factors associated with utilization of intermittent preventive treatment for malaria among pregnant women attending antenatal clinics in primary health care centres in Ogbomoso, Oyo state.,” university of Ibadan, 2015.
[15] C. O. Agomo and W. a Oyibo, “Factors associated with risk of malaria infection among pregnant women in Lagos, Nigeria.,” Infect. Dis. Poverty, vol. 2, no. 1, p. 19, 2013, https://doi.org/10.1186/2049-9957-2-19
[16] Yusuf, O. B. et al., “Malaria prevention practices among mothers delivering in an urban hospital in southwest Nigeria.,” J. Vector Borne Dis., vol. 45, no. 3, pp. 217–224, 2008.
[17] R. I. Anorlu, C. U. Odum, and E. E. Essien, “Asymptomatic malaria parasitaemia in pregnant women at booking in a primary health care facility in a periurban community in Lagos, Nigeria.,” Afr. J. Med. Med. Sci., vol. 30 Suppl, pp. 39–41, 2001.
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[19] O. A. Adefioye, O. A. Adeyeba, W. O. Hassan, and O. A. Oyeniran, “Prevalence of Malaria Parasite Infection among Pregnant Women in Osogbo, Southwest, Nigeria,” Am.-Eurasian J. Sci. Res., vol. 2, no. 1, pp. 43–45, 2007.
[20] S. A. Fana, M. Danladi, A. Bunza, S. A. Anka, and A. U. Imam, “Prevalence and risk factors associated with malaria infection among pregnant women in a semi-urban community of north-western Nigeria,” Infect. Dis. Poverty, pp. 4–8, 2015, https://doi.org/10.1186/s40249-015-0054-0
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Cite This Article
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    Yusuff, H. A., Ajayi, I., Adebowale, S., Ajumobi, O., Nguku, P., et al. (2024). Malaria Parasitaemia, Risk Perception, and Preventive Practices Among Women Attending Ante-Natal Clinics in Ogun State. Central African Journal of Public Health, 10(2), 59-70. https://doi.org/10.11648/j.cajph.20241002.11

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    ACS Style

    Yusuff, H. A.; Ajayi, I.; Adebowale, S.; Ajumobi, O.; Nguku, P., et al. Malaria Parasitaemia, Risk Perception, and Preventive Practices Among Women Attending Ante-Natal Clinics in Ogun State. Cent. Afr. J. Public Health 2024, 10(2), 59-70. doi: 10.11648/j.cajph.20241002.11

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    AMA Style

    Yusuff HA, Ajayi I, Adebowale S, Ajumobi O, Nguku P, et al. Malaria Parasitaemia, Risk Perception, and Preventive Practices Among Women Attending Ante-Natal Clinics in Ogun State. Cent Afr J Public Health. 2024;10(2):59-70. doi: 10.11648/j.cajph.20241002.11

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  • @article{10.11648/j.cajph.20241002.11,
      author = {Hakeem Abiola Yusuff and Ikeoluwapo Ajayi and Stephen Adebowale and Olufemi Ajumobi and Patrick Nguku and Quudus Yusuff},
      title = {Malaria Parasitaemia, Risk Perception, and Preventive Practices Among Women Attending Ante-Natal Clinics in Ogun State},
      journal = {Central African Journal of Public Health},
      volume = {10},
      number = {2},
      pages = {59-70},
      doi = {10.11648/j.cajph.20241002.11},
      url = {https://doi.org/10.11648/j.cajph.20241002.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cajph.20241002.11},
      abstract = {Malaria contributes over 10% of all deaths among pregnant women. The prevalence of malaria in pregnancy in Nigeria particularly in Ogun State is high. The coverage and uptake of Intermittent Preventive Treatment with Sulphodoxine Pyrimethamine (IPT-SP) and Long-Lasting Insecticidal Nets (LLINs) in Southwest Nigeria is still very low despite their proven cost effectiveness in improving maternal and infant health. This study therefore determined the malaria parasitaemia, risk perception, preventive practices and associated factors among women attending Ante-natal Clinics (ANCs) in Ogun state. A cross-sectional study was carried out using mixed methods. An estimated sample size of 426 was computed and selected from ANCs across the state through multistage sampling technique. Pre-tested semi-structured interviewer administered questionnaire was used to collect information. Also, focused group discussions (FGDs) were conducted among women attending ANC and blood samples were taken from asymptomatic women for laboratory analysis to determine prevalence of malaria parasitaemia. Measures of association between the dependent and independent variables were tested using Chi-square. All tests of significance were done based on a ɑ-level of 0.05. Response rate was 100% for this study. The mean age of respondents was 27.9 ±5.5 years. Risk perception of malaria was observed to be good. Malaria parasitaemia was 2.7% and was 100% due to Plasmodium falciparum. Maternal age was significantly associated with malaria parasitaemia. Therefore, it is recommended that malaria elimination programmes should be sustained; access and affordability of ANC care should be ensured by the Government.
    },
     year = {2024}
    }
    

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    AU  - Hakeem Abiola Yusuff
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    PB  - Science Publishing Group
    SN  - 2575-5781
    UR  - https://doi.org/10.11648/j.cajph.20241002.11
    AB  - Malaria contributes over 10% of all deaths among pregnant women. The prevalence of malaria in pregnancy in Nigeria particularly in Ogun State is high. The coverage and uptake of Intermittent Preventive Treatment with Sulphodoxine Pyrimethamine (IPT-SP) and Long-Lasting Insecticidal Nets (LLINs) in Southwest Nigeria is still very low despite their proven cost effectiveness in improving maternal and infant health. This study therefore determined the malaria parasitaemia, risk perception, preventive practices and associated factors among women attending Ante-natal Clinics (ANCs) in Ogun state. A cross-sectional study was carried out using mixed methods. An estimated sample size of 426 was computed and selected from ANCs across the state through multistage sampling technique. Pre-tested semi-structured interviewer administered questionnaire was used to collect information. Also, focused group discussions (FGDs) were conducted among women attending ANC and blood samples were taken from asymptomatic women for laboratory analysis to determine prevalence of malaria parasitaemia. Measures of association between the dependent and independent variables were tested using Chi-square. All tests of significance were done based on a ɑ-level of 0.05. Response rate was 100% for this study. The mean age of respondents was 27.9 ±5.5 years. Risk perception of malaria was observed to be good. Malaria parasitaemia was 2.7% and was 100% due to Plasmodium falciparum. Maternal age was significantly associated with malaria parasitaemia. Therefore, it is recommended that malaria elimination programmes should be sustained; access and affordability of ANC care should be ensured by the Government.
    
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Author Information
  • Ministry of Health, Abeokuta, Nigeria; Africa Field Epidemiology Network, Abuja, Nigeria

  • Department of Epidemiology and Medical Statistics, College of Medicine, University of Ibadan, Ibadan, Nigeria

  • Department of Epidemiology and Medical Statistics, College of Medicine, University of Ibadan, Ibadan, Nigeria

  • Africa Field Epidemiology Network, Abuja, Nigeria

  • Africa Field Epidemiology Network, Abuja, Nigeria

  • Ministry of Health, Abeokuta, Nigeria

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