Evidence map›Paper›PMID 41088198›Full record

ArticleMalaria journal2025

Facilitators and barriers of malaria prevention and treatment services to pregnant women in Ethiopia: a multi-level health system analysis, 2025.

Kassawmar Angaw Bogale, Muluken Azage Yenesew, Kassahun Alemu, Kindie Fentahun Muchie, Mulusew Andualem Asemahagn, Wendemagegn Enbiale

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Article in Malaria journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

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3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

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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.

Kassawmar Angaw BogaleDepartment of Epidemiology and Biostatistics, School of Public Health, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia. kassawmarbogale@gmail.com.
Muluken Azage YenesewDepartment of Environmental Health, School of Public Health, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.
Kassahun AlemuDepartment of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Kindie Fentahun MuchieDepartment of Epidemiology and Biostatistics, School of Public Health, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.
Mulusew Andualem AsemahagnDepartment of Health System and Health Economics, School of Public Health, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.
Wendemagegn EnbialeSelam Global Health Consultancy, Wageningen, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMalaria continues to pose a significant public health challenge for pregnant women in Ethiopia. This study explores the facilitators and barriers influencing malaria prevention and treatment services to this vulnerable group, emphasizing systemic, policy, and community-level factors within Ethiopia's healthcare framework.

methodsA qualitative study engaged 49 multi-level stakeholders in the prevention and treatment services, including policymakers, programme managers, advocacy groups, and healthcare service providers from diverse geographic, socio-economic, and epidemiological contexts. Data from interviews and field notes were analysed using Open Code 4.03, with inductive thematic analysis.

resultsThe study identified key to facilitators and barriers, reflecting multi-level influences on malaria service delivery for pregnant women. The facilitators included prioritization of pregnant women in bed net distribution, active partnerships with non-governmental organizations, increased antenatal care contact time, expanded diagnostic infrastructure, community engagement, and local leadership participation, However, barriers were multifaceted: chloroquine shortages, fragmented service delivery, staff shortages, and bed net misuse hindered prevention and care. Policy gaps, such as the absence of targeted interventions and delayed adoption of WHO-recommended intermittent preventive treatment (IPTp), further impeded progress. Critical systemic gaps included inadequate data surveillance and underreporting of asymptomatic cases, which hindered targeted resource allocation and programme evaluation.

conclusionWhile Ethiopia demonstrates progress towards maternal services through decentralization of diagnostic services, increased antenatal care contact time, and community engagement. Persistent challenges in resource allocation, staffing, disintegrated service delivery and data surveillance hinder malaria care for pregnant women. Strengthening supply chains, adopting "one-stop-shop" ANC models, and piloting IPTp are essential. Improving digital surveillance with pregnancy-specific indicators and routine screening can guide equitable, evidence-based responses.

Indexed as

MalariaPregnancy Complications, ParasiticPrenatal CareAntimalarialsAsymptomatic InfectionsChloroquineEpidemiological MonitoringEthiopiaFemaleHealth Care RationingHealth PersonnelHumansInterviews as TopicMaleMosquito NetsPregnancyAntimalarialsChloroquineCommunity engagementEthiopiaHealth system strengtheningMalaria in pregnancyOne-stop shopWHO guidelines

Identifiers

PMID41088198
PMCPMC12522862

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LicenceCC BY-NC-ND
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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.