Different Approaches for Delivery of Intermittent Preventive Treatment (IPT) to Pregnant Women in Burkina Faso
Different Approaches for Delivery of Intermittent Preventive Treatment (IPT) to Pregnant Women in Burkina Faso Alphonse Ouédraogo*1, Sheick O. Coulibaly*3,4, Amidou Diarra1, Abdoulaye Traoré1, Sodiomon B. Sirima1,2, Pascal Magnussen5 Affiliation :1Centre National de Recherche et de Formation sur le Paludisme 2Groupe de Recherche Action en Santé 3Laboratoire National de Santé Publique 4Université de Ouagadougou 5Université de Copenhague Introduction In Africa, the burden of malaria in pregnancy is highest in rural areas. Many publications showed a very poor coverage and compliance with CQ chemoprophylaxis among pregnant women and might explain the failure of this preventive strategy rather than increased levels of CQ resistance. In many sub-Saharan African countries, Intermittent Preventive Treatment/Sulfadoxine Pyrimethamine (IPTp/SP) has been adopted to replace chloroquine chemoprophylaxis. Introduction The new strategy is being implemented, but no delivery approach was defined, and IPTp/SP is only delivered to pregnant women presenting at antenatal clinic (ANC) visits. Weak health services may limit the effectiveness of this strategy. In this study, we compare three approaches of IPTp/SP delivery to pregnant women in term of improving coverage. These three approaches are: i) Passive health centre services, ii) Extended delivery outreach services, iii) Community based distribution delivery approach. Objectives To assess different IPTp/SP delivery approaches in rural Burkina Faso with the aim of improving coverage among pregnant women. 1.To implement three approaches of IPTp/SP delivery to pregnant women based on health centre distribution, and in addition community based distribution either by health services or by community members; 2.To compare the effects of the approaches on coverage of IPTp/SP; 3.To assess the effects of the approaches on malaria burden.
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