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. 2024 Mar 26:5:1294893.
doi: 10.3389/fgwh.2024.1294893. eCollection 2024.

Experiences of young mothers with the uptake of Sulfadoxine-Pyrimethamine for intermittent preventive treatment of malaria in pregnancy: a cross-sectional study in the Lake endemic region, Kenya

Dennis Juma Matanda  1 , Tchaiwe Zulu  1 , George Odwe  1 , Oscar Okoth  2 , Zoe Nakuya  1
Affiliations

Experiences of young mothers with the uptake of Sulfadoxine-Pyrimethamine for intermittent preventive treatment of malaria in pregnancy: a cross-sectional study in the Lake endemic region, Kenya

Dennis Juma Matanda et al. Front Glob Womens Health. .

Abstract

Background: A substantial proportion of the world population is affected by malaria with 241 million malaria cases reported globally. Intermittent Preventive Treatment in pregnancy (IPTp) with Sulfadoxine-Pyrimethamine (SP) is an effective chemotherapy but its utilisation has not been optimised. Few studies focus on young mothers and their experiences regarding the optimal uptake of IPTp-SP.

Methods: The study design was cross-sectional with data derived from six focus group discussions with mothers aged 15-24 years who had a pregnancy and gave birth to a live baby within the last two years in Kisumu and Migori counties, Kenya. Inductive analysis was used to identify themes and patterns.

Results: Young mothers were motivated to take IPTp-SP during pregnancy if they had prior knowledge about SP and its associated benefits and if they were knowledgeable about the consequences of malaria infection during pregnancy. Perceived side effects of SP, lack of awareness of SP as a malaria prevention therapy, lack of knowledge on the benefits of SP, dosage and frequency of uptake, poor communication by health providers towards young mothers, and inconsistent supply of SP at health facilities inhibited young mothers from attaining the recommended 3+ doses of IPTp-SP.

Conclusions: There is a need for health literacy programmes that focus on increasing knowledge of IPTp-SP dosage, timing and benefits for both the young pregnant mother and her foetus. Community engagement through dialogue with mentor mothers and male partners will be an important complementary approach in establishing a support system for young women for positive health outcomes including attaining the recommended 3+ doses of IPTp-SP.

Keywords: Kenya; Sulfadoxine-Pyrimethamine; intermittent preventive treatment; malaria in pregnancy; young mothers.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

References

    1. WHO. World Malaria Report 2022. Geneva: World Health Organization; (2022).
    1. Maternal Health Task Force. Malaria in Pregnancy (2018). Available online at: https://www.mhtf.org/topics/malaria-in-pregnancy/ (cited July 20, 2023).
    1. KNBS. 2019 Kenya Population and Housing Census: Volume 1. Nairobi: Kenya National Bureau of Statistics; (2019).
    1. National Malaria Control Programme (NMCP). The Kenya Malaria Communication Strategy 2016–2021. Nairobi: Ministry of Health; (2016).
    1. Ministry of Public Health and Sanitation (MOPHS). National Malaria Strategy 2009–2017. Nairobi: Ministry of Public Health and Sanitation; (2009).

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