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Enhancing IPTp Program Implementation: Provider Practices, Challenges, and Malaria Prevalence among Pregnant Women in Uganda
Author: Harbart Kanobere
Publisher: IDOSR JOURNAL OF SCIENCE AND TECHNOLOGY
Published: 2024
Section: Faculty of Business and Management
Abstract
Malaria remains a formidable public health threat, particularly in sub-Saharan Africa, where pregnant women
face heightened vulnerability. Intermittent Preventive Treatment in pregnancy with Sulfadoxine-
Pyrimethamine (IPTp-SP) stands as a pivotal strategy in malaria prevention efforts. However, its full potential
is hindered by challenges in implementation. This study, conducted at Bushenyi Health Centre IV in Uganda,
scrutinized provider practices, challenges encountered, and malaria prevalence among pregnant women
attending antenatal care services. Through a descriptive cross-sectional approach involving 151 pregnant
mothers and 15 antenatal care providers, analysis revealed noteworthy insights. While a majority of pregnant
women received IPTp-SP, adherence to WHO guidelines regarding administration timing and frequency was
suboptimal. Notably, over half of the providers reported stockouts of IPTp-SP, leading to significant delays in
replenishment and impeding service delivery. Moreover, providers identified a crucial link between women's
knowledge and IPTp uptake. The study also uncovered a malaria prevalence of 7.9% among pregnant women.
These findings underscore the urgent need to address implementation challenges, particularly in supply chain
management and health education, to fortify malaria prevention strategies for pregnant women in Uganda.
Keywords: Malaria, Pregnant women, IPTp-SP, Antenatal care, Implementation challenges, Supply chain
management, Health education, Uganda.