ArticleMalaria journal2025
Initiating community intermittent preventive treatment of malaria in pregnancy in Senegal: qualitative evaluation of stakeholder acceptability and experience.
Article in Malaria journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 1 paper.
What it found
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Who cites it
1 citing paper in PubMed.
Corrections and comments
- Erratum issued
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundUptake of community delivery of intermittent preventive treatment for malaria in pregnancy (c-IPTp) with sulfadoxine-pyrimethamine (SP) has increased in Senegal, but further gains are needed. This qualitative study aimed to identify modifiable factors to enhance c-IPTp uptake and improve health outcomes for pregnant women in Senegal.
methodsThe study employed 111 semi-structured interviews and 16 focus group discussions to explore stakeholders' perspectives on c-IPTp in Senegal. Purposive sampling was used to select high malaria-endemic districts in Kolda and Kedougou. Inclusion criteria were experience of c-IPTp as a patient, caregiver, beneficiary, decision maker, or communicator/advocate (e.g., community leader). Individuals without experience in c-IPTp were excluded. Following thematic analysis, findings were synthesized into strengths, weaknesses, opportunities, and threats to inform the production of recommendations to promote and expand c-IPTp uptake in Senegal.
resultsHealth providers perceived c-IPTp positively, reducing their workload, allowing midwives to focus on other consultations, and addressing access issues in remote villages. However, some healthcare providers perceived that c-IPTp undermined attendance at antenatal care visits. Stockouts of SP and the unavailability of pregnancy tests were key barriers to uptake. Appropriate incentivization of community health workers was also a key factor for service delivery. Pregnant women found c-IPTp acceptable, appreciating the risks of malaria in pregnancy and perceiving SP to be effective. However, they expressed concerns regarding adverse events and socio-cultural issues around unplanned pregnancies. Key recommendations to strengthen c-IPTp delivery include ensuring supplies of SP and pregnancy tests, improving reporting mechanisms, incentivising community health workers, gaining acceptance from pregnant women, and securing consistent funding. It is also key that patient's individual needs are prioritized and that communities are fully involved in decision-making.
conclusionThe study identifies and addresses challenges to optimal deployment of c-IPTp in Senegal. Continued efforts to overcome these challenges will be crucial in realising the full potential of c-IPTp to improve maternal and child health outcomes in malaria-endemic regions.
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