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Table 4 Intermediate and cumulative system effectiveness for the delivery of IPTp with and without directly observed therapy (DOT) through the antenatal care platform

From: Effectiveness of the delivery of interventions to prevent malaria in pregnancy in Kenya

 

Level 4

Levels 3 and 2

n

Intermediate

Cumulative

n

Intermediate

Cumulative

% (95 % CI)

% (95 % CI)

% (95 % CI)

% (95 % CI)

With DOT

 

 IPTp eligiblea

304

  

242

  

 SP in stock

304

100.0

100.0

242

100.0

100.0

 Receive SP during visit

208

68.6 [60.2, 75.9]

68.6 [60.2, 75.9]

198

80.3 [61.7, 91.1]

80.3 [61.7, 91.1]

 Receive three doses SP during visit

206

99.0 [96.1, 99.7]

67.8 [60.6, 74.3]

187

94.1 [77.5, 98.7]

75.5 [55.4, 88.5]

 Took SP by DOT

121

64.6 [22.2, 92.1]

39.8 [12.5, 75.4]

129

70.1 [22.1, 95.1]

53.3 [21.0, 83.1]

With or without DOTb

 

 IPTp eligiblea

208

  

220

  

 SP in stock

208

100.0

100.0

220

100.0

100.0

 Being given SP during visit

140

67.5 [60.3, 74.0]

67.5 [60.3, 74.0]

181

79.7 [60.8, 90.9]

79.7 [60.8, 90.9]

 Being given three doses SP during visit

139

99.2 [96.2, 99.9]

67.0 [60.6, 72.8]

170

93.4 [74.5, 98.6]

74.5 [53.6, 88.1]

 Has SP on exit

52

88.0 [63.3, 96.9]

40.3 [18.2, 67.2]

50

93.4 [45.9, 99.6]

54.0 [17.6, 86.5]

 Knows to take three tablets SP

48

92.1 [78.1, 97.5]

37.2 [17.7, 61.9]

49

96.4 [59.6, 99.8]

52.5 [16.3, 86.2]

 SP by DOT

80

58.3 [19.3, 89.1]

39.1 [15.9, 68.6]

118

71.0 [22.9, 95.3]

52.9 [20.2, 83.2]

 Knows to take three tablets SP or took SP as DOT

128

92.1 [87.4, 95.1]

61.7 [55.7, 67.4]

167

97.1 [70.6, 99.8]

72.3 [46.9, 88.6]

  1. aIPTp eligibility according to Kenya national guidelines was women not taking cotrimoxazole (or being HIV positive as a proxy for cotrimoxazole use), having felt the baby move (i.e. past quickening) or being 16 weeks gestation or over
  2. bAnalysis limited to participants completing exit interviews where information on availability of SP at exit was collected
  3. ANC antenatal care; CI confidence interval, DOT directly observed therapy, IPTp intermittent preventive treatment SP sulfadoxine–pyrimethamine