Antenatal care visit attendance, intermittent preventive treatment during pregnancy (IPTp) and malaria parasitaemia at delivery.

摘要: The determinants and barriers for delivery uptake of IPTp vary with different regions in sub-Saharan Africa. This study evaluated the ANC clinic attendance IPTp-SP among parturient women from Mount Cameroon Area hypothesized that time first could influence IPTp-SP/dosage consequently malaria parasite infection status at delivery. Two cross sectional surveys were carried out Government Medical Centre Mutengene Health Area, Mt March to October 2007 June 2008 April 2009. Consented consecutively enrolled both surveys. In 2007, socio-demographic data, attendance, gestational age, fever history reported use/dosage documented using a structured questionnaire. second survey only IPT-SP usage/dosage was recorded. Malaria parasitaemia determined by blood smear microscopy placental histology. 287 interviewed, 2.2%, 59.7%, 38.1% first, third trimester respectively. About 90% received least one dose SP but 53% two doses 2009 IPTp-two coverage increased 64%. Early associated (P = 0.016) while being unmarried (OR = 2.2; 95% CI: 1.3-3.8) significantly fewer visits (<4visits). Women who (OR = 3.7; 2.0-6.8) more likely not have attended ≥ 4visits. A higher proportion (P < 0.001) visit during dose, meanwhile, those had an early (OR = 0.4; CI = 0.2 - 0.7) receive or doses. Microscopic frequent (P = 0.007) than area, late enrolment may prevent education on regular can increase coverage.