Evidence map›Paper›PMID 40684198›Full record

ArticleInfectious diseases of poverty2025

Bridging urban-rural disparities in malaria care during pregnancy in Senegal: evidence from household and health facility surveys.

Yongsheng Jiang, Di Liang, Jinkou Zhao, Shailendra Prasad, Medoune Ndiop, Serigne Amdy Thiam, Ibrahima Diallo, Doudou Sene, Rose Mpembeni, Jiayan Huang

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Article in Infectious diseases of poverty, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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10 authors.

Yongsheng Jiang *School of Public Health, Global Health Institute, Fudan University, Shanghai, 200032, China.
Di Liang *School of Public Health, Global Health Institute, Fudan University, Shanghai, 200032, China.
Jinkou ZhaoProgrammatic Monitoring Department, The Global Fund to Fight AIDS, Tuberculosis and Malaria, Geneva, 1218, Switzerland.
Shailendra PrasadCenter for Global Health and Social Responsibility, University of Minnesota, Minneapolis, 55455, Minnesota, United States.
Medoune NdiopHead of Monitoring Evaluation at National Malaria Control Program (NMCP), Rue FN 20, Dakar, 25270, Senegal.
Serigne Amdy ThiamResearch Officer at National Malaria Control Program (NMCP), Rue FN 20, Dakar, 25270, Senegal.
Ibrahima DialloDeputy Coordinator at National Malaria Control Program (NMCP), Rue FN 20, Dakar, 25270, Senegal.
Doudou SeneCoodinator at National Malaria Control Program (NMCP), Rue FN 20, Dakar, 25270, Senegal.
Rose MpembeniSchool of Public Health and Social Sciences, Muhimbili University of Health and Allied Sciences, Dar Es Salaam, 65001, Tanzania.
Jiayan HuangSchool of Public Health, Global Health Institute, Fudan University, Shanghai, 200032, China. jiayanhuang@fudan.edu.cn.ORCID http://orcid.org/0000-0003-4166-6119

Funding

Major Program of National Fund of Philosophy and Social Science of China 20VMG027
6 · The paper itself

Abstract

backgroundDespite the World Health Organization's recommendations, the uptake of Intermittent Preventive Treatment in pregnancy with sulfadoxine-pyrimethamine (IPTp-SP) in Senegal remains suboptimal, with disparities observed between urban and rural areas. More remains to be known about how malaria service readiness would affect the utilization of IPTp-SP.

methodsData were obtained from seven annual rounds of Demographic and Health Surveys (DHS) and Service Provision Assessments (SPA) in Senegal from 2012 to 2019. Using sample domain linkage to link the databases at the regional level. A malaria service readiness index was calculated to quantify the malaria service delivery capacity within the service environment where women reside. The Heckman selection model was utilized to analyze the relationship between malaria service readiness and IPTp-SP utilization.

resultsFrom 2012 to 2019, the average number of IPTp-SP doses received in Senegal was 1.66 (95% CI: 1.65-1.68), higher in urban areas [1.73 (95% CI: 1.71-1.75)] than rural areas [1.63 (95% CI: 1.62-1.65)]. Each one-point increase in malaria service readiness led to a rise of 0.251 doses in IPTp-SP. The significant interaction (Coef. = - 0.523, P < 0.001) indicated that women in rural areas received fewer doses of IPTp-SP (0.089) than in urban areas (0.612) for every unit increase in malaria service readiness.

conclusionsLinking household and health facility surveys revealed significant room for improvement in malaria service readiness and IPTp-SP utilization in rural areas in Senegal. For better IPTp-SP coverage, differential strategies are required for urban and rural settings. Urban areas need to enhance malaria service readiness, while rural areas should focus on improving service readiness alongside infrastructure and community engagement to bridge the urban-rural disparities.

Indexed as

AntimalarialsHealthcare DisparitiesMalariaPregnancy Complications, ParasiticPyrimethamineRural PopulationSulfadoxineUrban PopulationAdolescentAdultDrug CombinationsFamily CharacteristicsFemaleHealth FacilitiesHumansPregnancyAntimalarialsDrug Combinationsfanasil, pyrimethamine drug combinationPyrimethamineSulfadoxineIntermittent preventive treatmentMalaria service readinessPregnancySenegalUrban-rural disparities

Identifiers

PMID40684198
PMCPMC12276681

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