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Awareness and Compliance with Intermittent Preventive Treatment of Malaria(Iptp) Among Pregnant Women in Parts of South Eastern Nigeria

Chukwuocha Uchechukwu M1* , Ihejirika Chigozirim O1 , Obasi Chidera C2 , Chinedu-Eleonu Pricella2 , Igwe Chidinma N2 , Ozoh Florence C3 , Akanazu Chidinma O1 , Ezelote Judith1

The WHO recommends intermittent preventive treatments (IPTp) for the reduction of malaria episodes and its attendant consequences among pregnant women in malaria endemic areas. This study was done to ascertain the awareness and compliance with IPTp among pregnant women in parts of South Eastern Nigeria. A cross-sectional design was adopted for this study. About 200 pregnant women of different gestational ages attending antenatal clinics in primary care health centres in Owerri, South Eastern Nigeria two randomly selected. Data on awareness and compliance with IPTp was collected from the consenting pregnant women using structured pre-tested questionnaire and analysed using SPSS. Generally, about 106(53%) of the study women were aware of IPTp whereas only 65(33%) complied with the malaria prevention strategy. Socio-obstetric factors such as parity, number of live births were significantly associated with awareness (P<0.05) whereas ethnic group and religion were significantly associated with compliance (P<0.05). This is an original study that investigated the level of awareness and compliance with IPTp for the prevention of malaria among pregnant women who attend antenatal clinics in primary care facilities in parts of South Eastern Nigeria. For there to be improved awareness and optimal compliance with IPTp among pregnant women in poor malaria endemic areas, it is very necessary enhance antenatal services in primary care facilities. This can be done through periodic training of health personnel particularly the nurses, adequate supply of necessary medicines and the use of the directly observed approach in ensuring compliance.