Intermittent Screening and Treatment versus Intermittent Preventive Treatment of Malaria in Pregnancy: Provider Knowledge and Acceptability
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{"title"=>"Intermittent screening and treatment versus intermittent preventive treatment of malaria in pregnancy: Provider knowledge and acceptability", "type"=>"journal", "authors"=>[{"first_name"=>"Lucy Smith", "last_name"=>"Paintain", "scopus_author_id"=>"47862153400"}, {"first_name"=>"Gifty D.", "last_name"=>"Antwi", "scopus_author_id"=>"35738609200"}, {"first_name"=>"Caroline", "last_name"=>"Jones", "scopus_author_id"=>"7408260020"}, {"first_name"=>"Esther", "last_name"=>"Amoako", "scopus_author_id"=>"50260888800"}, {"first_name"=>"Rose O.", "last_name"=>"Adjei", "scopus_author_id"=>"8291353400"}, {"first_name"=>"Nana A.", "last_name"=>"Afrah", "scopus_author_id"=>"35738566200"}, {"first_name"=>"Brian", "last_name"=>"Greenwood", "scopus_author_id"=>"36040863900"}, {"first_name"=>"Daniel", "last_name"=>"Chandramohan", "scopus_author_id"=>"7003426215"}, {"first_name"=>"Harry", "last_name"=>"Tagbor", "scopus_author_id"=>"23020383300"}, {"first_name"=>"Jayne", "last_name"=>"Webster", "scopus_author_id"=>"7402196821"}], "year"=>2011, "source"=>"PLoS ONE", "identifiers"=>{"scopus"=>"2-s2.0-80052015804", "sgr"=>"80052015804", "issn"=>"19326203", "doi"=>"10.1371/journal.pone.0024035", "pmid"=>"21887367", "isbn"=>"1475-2875", "pui"=>"362405475"}, "id"=>"d979be08-48d5-360a-a4fd-b885b9ea83e9", "abstract"=>"Malaria in pregnancy (MiP) is associated with increased risks of maternal and foetal complications. The WHO recommends a package of interventions including intermittent preventive treatment (IPT) with sulphadoxine-pyrimethamine (SP), insecticide-treated nets and effective case management. However, with increasing SP resistance, the effectiveness of SP-IPT has been questioned. Intermittent screening and treatment (IST) has recently been shown in Ghana to be as efficacious as SP-IPT. This study investigates two important requirements for effective delivery of IST and SP-IPT: antenatal care (ANC) provider knowledge, and acceptance of the different strategies. Structured interviews with 134 ANC providers at 67 public health facilities in Ashanti Region, Ghana collected information on knowledge of the risks and preventative and curative interventions against MiP. Composite indicators of knowledge of SP-IPT, and case management of MiP were developed. Log binomial regression of predictors of provider knowledge was explored. Qualitative data were collected through in-depth interviews with fourteen ANC providers with some knowledge of IST to gain an indication of the factors influencing acceptance of the IST approach. 88.1% of providers knew all elements of the SP-IPT policy, compared to 20.1% and 41.8% who knew the treatment policy for malaria in the first or second/third trimesters, respectively. Workshop attendance was a univariate predictor of each knowledge indicator. Qualitative findings suggest preference for prevention over cure, and increased workload may be barriers to IST implementation. However, a change in strategy in the face of SP resistance is likely to be supported; health of pregnant women is a strong motivation for ANC provider practice. If IST was to be introduced as part of routine ANC activities, attention would need to be given to improving the knowledge and practices of ANC staff in relation to appropriate treatment of MiP. Health worker support for any MiP intervention delivered through ANC clinics is critical.", "link"=>"http://www.mendeley.com/research/intermittent-screening-treatment-versus-intermittent-preventive-treatment-malaria-pregnancy-provider-1", "reader_count"=>62, "reader_count_by_academic_status"=>{"Professor > Associate Professor"=>2, "Librarian"=>1, "Researcher"=>6, "Student > Doctoral Student"=>2, "Student > Ph. D. Student"=>10, "Student > Postgraduate"=>8, "Student > Master"=>23, "Other"=>1, "Student > Bachelor"=>5, "Lecturer"=>3, "Lecturer > Senior Lecturer"=>1}, "reader_count_by_user_role"=>{"Professor > Associate Professor"=>2, "Librarian"=>1, "Researcher"=>6, "Student > Doctoral Student"=>2, "Student > Ph. D. Student"=>10, "Student > Postgraduate"=>8, "Student > Master"=>23, "Other"=>1, "Student > Bachelor"=>5, "Lecturer"=>3, "Lecturer > Senior Lecturer"=>1}, "reader_count_by_subject_area"=>{"Unspecified"=>2, "Nursing and Health Professions"=>7, "Medicine and Dentistry"=>35, "Agricultural and Biological Sciences"=>5, "Business, Management and Accounting"=>1, "Psychology"=>2, "Social Sciences"=>6, "Economics, Econometrics and Finance"=>4}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>35}, "Social Sciences"=>{"Social Sciences"=>6}, "Psychology"=>{"Psychology"=>2}, "Economics, Econometrics and Finance"=>{"Economics, Econometrics and Finance"=>4}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>5}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>7}, "Business, Management and Accounting"=>{"Business, Management and Accounting"=>1}, "Unspecified"=>{"Unspecified"=>2}}, "reader_count_by_country"=>{"United States"=>1, "United Kingdom"=>1, "Nigeria"=>2}, "group_count"=>2}

Scopus | Further Information

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Figshare

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  • {"files"=>["https://ndownloader.figshare.com/files/743669"], "description"=>"<p>Health worker knowledge of policy for intermittent preventive treatment of malaria in pregnancy (IPTp) in Ashanti Region, Ghana (N = 134 health workers).</p>", "links"=>[], "tags"=>["intermittent", "preventive", "malaria", "ashanti", "ghana"], "article_id"=>414032, "categories"=>["Biotechnology", "Cell Biology", "Infectious Diseases"], "users"=>["Lucy Smith Paintain", "Gifty D. Antwi", "Caroline Jones", "Esther Amoako", "Rose O. Adjei", "Nana A. Afrah", "Brian Greenwood", "Daniel Chandramohan", "Harry Tagbor", "Jayne Webster"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0024035.t003", "stats"=>{"downloads"=>1, "page_views"=>10, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Health_worker_knowledge_of_policy_for_intermittent_preventive_treatment_of_malaria_in_pregnancy_IPTp_in_Ashanti_Region_Ghana_N_8202_8202_134_health_workers_/414032", "title"=>"Health worker knowledge of policy for intermittent preventive treatment of malaria in pregnancy (IPTp) in Ashanti Region, Ghana (N = 134 health workers).", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-02-20 15:31:00"}
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  • {"files"=>["https://ndownloader.figshare.com/files/743504"], "description"=>"<p>*Note: the proportion of ANC staff that could report the correct duration of treatment with AS–AQ was higher than those that reported AS–AQ as the first-line drug for treatment of uncomplicated malaria in pregnancy; this is because questions on dose and duration of AS–AQ treatment for a pregnant woman in her second or third trimester were asked to all respondents, irrespective of their answer to the most appropriate drug.</p>", "links"=>[], "tags"=>["uncomplicated", "malaria", "trimesters", "ashanti", "ghana"], "article_id"=>413870, "categories"=>["Biotechnology", "Cell Biology", "Infectious Diseases"], "users"=>["Lucy Smith Paintain", "Gifty D. Antwi", "Caroline Jones", "Esther Amoako", "Rose O. Adjei", "Nana A. Afrah", "Brian Greenwood", "Daniel Chandramohan", "Harry Tagbor", "Jayne Webster"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0024035.t007", "stats"=>{"downloads"=>3, "page_views"=>4, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Health_worker_knowledge_of_policy_for_treatment_of_uncomplicated_malaria_in_the_second_and_third_trimesters_of_pregnancy_in_Ashanti_Region_Ghana_N_8202_8202_134_/413870", "title"=>"Health worker knowledge of policy for treatment of uncomplicated malaria in the second and third trimesters of pregnancy in Ashanti Region, Ghana (N = 134).", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-02-20 15:30:04"}
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Relative Metric

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