bottlenecks for high coverage of intermittent preventive treatment in pregnancy the case of adolescent pregnancies in rural burkina faso瓶颈的高覆盖率的间歇性预防治疗妊娠青少年怀孕的情况下在农村布基纳法索.pdfVIP

Bottlenecks for High Coverage of Intermittent Preventive Treatment in Pregnancy: The Case of Adolescent Pregnancies in Rural Burkina Faso 1,2 . 1. 3,4 4 4 Koen Peeters Grietens * , Sabine Gies , Sheick Oumar Coulibaly , Clotilde Ky , Judith Somda , 2 2 1 Elizabeth Toomer , Joan Muela Ribera , Umberto D’Alessandro ´ ´ 1 Prince Leopold Institute for Tropical Medicine, Antwerp, Belgium, 2 PASS International, Tessenderlo, Belgium, 3 UFR Sciences de la Sante, Universite de Ouagadougou, ´ Ouagadougou, Burkina Faso, 4 Laboratoire National de Sante Publique, Ouagadougou, Burkina Faso Abstract Background: While IPTp-SP is currently being scaled up in sub-Saharan Africa (SSA), the coverage with the required $2 doses of SP remains considerably short of the Roll Back Malaria (RBM) goal of 80%, not to mention of the recently advocated universal coverage. Methods: The study triangulates quantitative data from a health center randomized community-based trial on IPTp-SP effectiveness and the additional benefit of a promotional campaign with qualitative data from focused ethnography. Findings: In rural Burkina Faso, despite the significantly higher risk of malaria infection among adolescent primigravidae (PG) (OR 2.44 95%CI 1.81–3.28, p,0.001), making them primary target beneficiaries of IPTp-SP, adolescents adhered to the required three or more ANC visits significantly less (PG: 46.6%; SG 43.7%) than adults (PG: 61.