Social and Cultural Factors Affecting Uptake of Interventions for Malaria in Pregnancy in Africa: A Systematic Review of the Qualitative Research

摘要: Background Malaria during pregnancy (MiP) results in adverse birth outcomes and poor maternal health. MiP-related morbidity mortality is most pronounced sub-Saharan Africa, where recommended MiP interventions include intermittent preventive treatment, insecticide-treated bednets appropriate case management. Besides their clinical efficacy, the effectiveness of these depends on attitudes behaviours pregnant women wider community, which are shaped by social cultural factors. Although factors have been studied largely using quantitative methods, qualitative research also offers important insights. This article provides a comprehensive overview relevant to uptake Africa. Methods Findings A systematic search strategy was employed: literature searches were undertaken several databases (OVID SP, IS Web Knowledge, Consortium library). original research, social/cultural interventions, with findings derived from methods included. Non-English language articles excluded. meta-ethnographic approach taken analysing synthesizing findings. Thirty-seven studies identified. Fourteen concentrated MiP. Others focused malaria treatment prevention, antenatal care (ANC), anaemia or reproductive loss. Themes identified included concepts risk pregnancy, towards structural affecting delivery uptake, perceptions ANC. Conclusions associated women's vulnerability often considered less disease-specific interpreted locally defined categories. Furthermore, local discourses health workers' ideas comments influence concerns about interventions. Understandings ANC, worker-client interactions, household decision-making, gender relations, cost distance facilities affect access lack healthcare infrastructure limits provision Further however required: many principally descriptive an in-depth comparative recommended.