Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 1 de 1
Filter
Add more filters










Database
Language
Publication year range
1.
Trop Med Int Health ; 17(3): 308-15, 2012 Mar.
Article in English | MEDLINE | ID: mdl-22128893

ABSTRACT

OBJECTIVE: Intermittent preventive treatment in infants (IPTi) is a malaria control strategy currently recommended by WHO for implementation at scale in Africa, consisting of administration of sulphadoxine-pyrimethamine (SP) coupled with routine immunizations offered to children under 1 year. In this study, we analysed IPTi acceptability by communities and health staff. METHODS: Direct observation, in-depth interviews (IDIs) and focus group discussions (FGDs) were conducted in Benin, Madagascar and Senegal during IPTi pilot implementation. Villages were stratified by immunization coverage. Data were transcribed and analysed using NVivo7 software. RESULTS: Communities' knowledge of malaria aetiology and diagnosis was good, although generally villagers did not seek treatment at health centres as their first choice. Perceptions and attitudes towards IPTi were very positive among communities and health workers. A misconception that SP was an antipyretic that prevents post-vaccinal fever contributed to IPTi's acceptability. No refusals or negative rumours related to IPTi coupling with immunizations were identified, and IPTi did not negatively influence attitudes towards other malaria control strategies. Healthcare decisions about children, normatively made by the father, are starting to shift to educated and financially independent mothers. DISCUSSION: Intermittent preventive treatment in infants is well accepted by providers and communities, showing a synergic acceptability when coupled with routine immunizations. However, a misconception that SP alleviates fever should be addressed when scaling up implementation.


Subject(s)
Antimalarials/therapeutic use , Attitude of Health Personnel , Health Knowledge, Attitudes, Practice , Immunization Programs , Malaria/prevention & control , Patient Acceptance of Health Care , Pyrimethamine/therapeutic use , Sulfadoxine/therapeutic use , Adolescent , Adult , Aged , Aged, 80 and over , Antimalarials/administration & dosage , Antipyretics , Bacterial Vaccines , Benin , Community Health Services/statistics & numerical data , Decision Making , Drug Combinations , Female , Humans , Infant , Madagascar , Male , Measles Vaccine , Middle Aged , Parents , Perception , Pyrimethamine/administration & dosage , Residence Characteristics , Senegal , Sulfadoxine/administration & dosage , Vaccination , World Health Organization , Young Adult
SELECTION OF CITATIONS
SEARCH DETAIL
...