Evidence map›Paper›PMID 40237102›Full record

Trial reportInternational health2025

Determinants of the use of insecticide-treated nets and intermittent preventive treatment of malaria among pregnant women in Angola.

Ai Aoki, Makoto Saito, Olukunmi O Balogun, Hirotsugu Aiga, Ketha R Francisco, Kenji Takehara

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in International health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Ai AokiDepartment of Health Policy, National Center for Child Health and Development, 2-10-1, Okura, Setagaya, Tokyo 157-8535, Japan.ORCID 0000-0002-7908-6454
Makoto SaitoWorldWide Antimalarial Resistance Network, Big Data Institute Building, Old Road Campus, Oxford OX3 7LF, UK.
Olukunmi O BalogunDepartment of Health Policy, National Center for Child Health and Development, 2-10-1, Okura, Setagaya, Tokyo 157-8535, Japan.
Hirotsugu AigaSchool of Tropical Medicine and Global Health, Nagasaki University, Sakamoto 1-12-4, Nagasaki 852-8523, Japan.
Ketha R FranciscoNational Directorate of Public Health, Ministry of Health, Rua 1º Congressodo MPLA Nº67, Luanda, Angola.
Kenji TakeharaDepartment of Health Policy, National Center for Child Health and Development, 2-10-1, Okura, Setagaya, Tokyo 157-8535, Japan.

Funding

Japan Health Research Promotion Bureau Research Fund 2019-(1)-4Japan International Cooperation AgencyNational Center Consortium in Implementation Science for Health Equity
6 · The paper itself

Abstract

backgroundThe determinants of insecticide-treated nets (ITNs) use and uptake of three doses or more of intermittent preventive treatment with sulfadoxine-pyrimethamine (IPTp 3+) among pregnant women can vary between regions and is not well studied in Angola.

methodsThis study analysed secondary data of a cluster-randomized controlled trial that evaluated the impact of the Maternal and Child Health Handbook (MCH-HB) on the continuum of care among pregnant women and mothers in Angola from 2019 to 2020. Those who received antenatal care (ANC) were analysed. Multivariable logistic regression analyses were performed to assess factors associated with ITN use and IPTp 3+ uptake.

resultsAmong 8336 participants, 62.7% used ITNs and 48.7% achieved IPTp 3+. Only 31.7% achieved both. Single women were less likely to use ITNs. Women who completed secondary education, were wealthier and achieved IPTp 3+ were more likely to use ITNs. Teenagers, multiparous mothers, rural area residents and those who attended ANC later were less likely to achieve IPTp 3+. Those who completed secondary education, were wealthier, had longer travel times to health facilities and were in the MCH-HB group were more likely to achieve IPTp 3+.

conclusionsThe identified risk groups can be targeted for interventions to improve coverage.

Indexed as

AntimalarialsInsecticide-Treated BednetsMalariaPregnancy Complications, ParasiticPyrimethamineSulfadoxineAdolescentAdultAngolaDrug CombinationsFemaleHumansPregnancyPregnant PeoplePrenatal CareYoung AdultAntimalarialsDrug Combinationsfanasil, pyrimethamine drug combinationPyrimethamineSulfadoxineAngolainsecticide-treated netsintermittent preventive treatmentmalaria infection during pregnancyMaternal and Child Health Handbook

Identifiers

PMID40237102
PMCPMC12585556

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.