Assessment of the impact of availability and readiness of malaria services on uptake of intermittent preventive treatment in pregnancy (IPTp) provided during ANC visits in Tanzania.

摘要: Intermittent preventive treatment during pregnancy (IPTp) is a highly-recommended intervention to prevent maternal and neonatal complications associated with malaria infection. Despite fairly high antenatal care (ANC) coverage in Tanzania, low IPTp uptake rates represent gap efforts decrease attributed pregnancy. The objective of this study was examine if availability, readiness managing authority are ANC. Data for analysis come from cross-sectional survey, the Tanzania Service Provision Assessment conducted between 2014 2015. Principal component used create scores availability services provision services. Generalized estimating equation models logit link binomial distribution assessed factors that impact by pregnant women attending Higher fraction their third trimester than second (68% versus 49%, OR = 2.6; 95% CI (2.1–3.3)), had received at least one dose IPTp. There wide variation diagnostic tools authorities. Public facilities were more likely private offer rapid test, providers public diagnosed and/or treated malaria. Women who attended where direct observation therapy practiced have (64% 46% none; p < 0.001). ANC facility score take those (OR = 2.1; (1.4–3.3)). Reported stock out on day interview negatively (OR 0.09; 0.07–0.1). Readiness health provide related services, number visits gestational age among disparities service across geographical location These findings could be assist programme policymakers appropriately decide when planning deliveries interventions.