Table 3 Level of knowledge, treatment and prevention of malaria in pregnancy at private health facilities
Knowledge, treatment and prevention of malaria in pregnancy | Registered drug shops N = 170 | Private clinics N = 59 | Pharmacy N = 12 |
|---|---|---|---|
Knowledge about of people at risk of malaria | |||
All people | 24 (14.1) | 10 (17.0) | 9 (41.7) |
Children (0–5) | 58 (43.1) | 30 (50.9) | 5 (41.7) |
Children (6–15) | 61 (35.9) | 10 (17.0) | 1 (8.3) |
Adults | 8 (4.7) | 4 (6.8) | 0 (0.0) |
Pregnant women | 19 (11.2) | 4 (6.8) | 0 (0.0) |
Treatment given to pregnant women with fever according to the guideline | |||
First trimester give quinine and second trimester give (ACT) as recommended by the guideline | 48 (28.2) | 24 (40.7) | 2 (16.7) |
Drugs given to pregnant women who present with fever | |||
ACT | 5 (2.9) | 4 (6.8) | 1 (8.3) |
SP | 78 (45.9) | 11 (18.6) | 3 (25.0) |
Quinine | 12 (7.1) | 7 (11.9) | 2 (16.7) |
Paracetamol | 12 (7.1) | 4 (6.8) | 2 (16.7) |
Other (amoxicillin, folic acid, iron) | 15 (8.8) | 9 (15.3) | 2 (16.7) |
Anti-malarial drug given to for malaria prevention | |||
Quinine | 5 (3.0) | 0 (0.0) | 1 (8.3) |
ACT | 14 (8.3) | 4 (6.9) | 1 (8.3) |
SP | 128 (76.2) | 52 (89.2) | 9 (75.0) |
Other (amoxicillin, chloroquine, vitamin B-complex) | 21 (12.5) | 2 (3.5) | 1 (8.3) |
Malaria prevention interventions providers recommend to pregnant women | |||
Insecticide treated nets (ITNs) | 152 (91.0) | 52 (89.7) | 12 (100) |
In-door residual spray (IRS) | 2 (2.4) | 2 (3.5) | 0 (0.0) |
Advice on good nutrition | 3 (1.8) | 2 (3.5) | 0 (0.0) |
Close windows early | 3 (1.8) | 1 (1.7) | 0 (0.0) |
Factors associated with treatment (according to guideline) given to pregnant women with fever | Statistical significance |
|---|---|
Drug shop | P = 0.04 |
Private clinic | P = 0.10 |
Availability of malaria treatment guideline | P = 0.03 |
Presence of a functional laboratory | P = 0.90 |
Presence of a functional microscope | P = 0.80 |
Knowledge of people vulnerable to malaria | P = 0.02 |
Professional qualification of the provider | P = 0.70 |
Having attended a course on malaria management | P = 0.80 |
Having an RDT | P = 0.04 |