A new strategy and its effect on adherence to intermittent preventive treatment of malaria in pregnancy in Uganda

by Anthony K Mbonye, Stephanie Yanow, Josephine Birungi et al.
BMC Pregnancy and Childbirth 2013, 13:178 (21 September 2013)

13 pp. 144 kB:
http://www.biomedcentral.com/content/pdf/1471-2393-13-178.pdf

Few women in Uganda access intermittent preventive treatment of malaria in pregnancy (IPTp) with sulfadoxine-pyrimethamine (SP). Previous studies have shown that high costs, frequent stock-out of drugs, supplies and poor quality of care are the greatest hindrance for women to access health services. In order to increase adherence to IPTp, the authors conceptualised an intervention that offset delivery care costs through providing a mama kit, created awareness on health benefits of IPTp and built trust between the provider and the client. The new strategy was a good incentive for women to attend scheduled ANC visits, adhere to IPTp and deliver at the study facilities. Policy implications include the urgent need for developing a motivation package based on the Health-Trust Model to increase access and adherence to IPTp.

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