Evidence map›Paper›PMID 41362397›Full record

ArticleIJID regions2025

Spatial heterogeneities in women's adherence to sulfadoxine pyrimethamine prophylaxis in Tanzania: Findings from the 2022 TDHS-MIS.

Mbwiga Sote Aloni

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Article in IJID regions, 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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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

1 author.

Mbwiga Sote AloniDepartment of Mathematics, Physics and Informatics, Mkwawa University College of Education, Iringa, Tanzania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Most pregnant women in Tanzania do not adhere to the recommended use of SP/Fansidar for malaria prevention, posing a significant challenge to malaria control efforts. The study examines zonal heterogeneities in the uptake of SP/Fansidar doses in Tanzania. Methods: This cross-sectional study analyzed 2022 TDHS-MIS data to examine sociodemographic and geographic determinants of sufficient SP/Fansidar uptake among pregnant women in Tanzania. Results: Among 4157 women aged 15-49, those with secondary or higher education were 1.37 times more likely to take three or more SP/Fansidar doses, while women aged 35-39 were 34% less likely than those aged 15-19. SP/Fansidar doses uptake was higher in the Northern (adjusted odds ratio [aOR] = 1.78), Lake (aOR = 1.57), Southern (aOR = 1.44), and Eastern (aOR = 1.38) zones but 73% lower in Zanzibar (aOR = 0.27). Conclusions: Uptake of ≥3 SP/Fansidar doses among women in Tanzania remains generally low, with significant disparities across geographic zones and sociodemographic groups. The Northern, Southern, Lake, and Eastern zones show higher coverage, while Zanzibar lags substantially behind. Factors such as place of residence, education, maternal age, wealth status, and parity are key determinants, underscoring the need for carefully designed, geographically targeted interventions to improve SP/Fansidar adherence in the most affected zones.

Indexed as

Currently pregnant womenMalariaSpatial heterogeneitiesSP/FansidarTanzanian zoneTDHS-MIS

Identifiers

PMID41362397
PMCPMC12681915

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