Evidence map›Paper›PMID 42158355›Full record

ArticlePublic health action2026

Compliance with intermittent preventive malaria treatment in pregnancy at a tertiary hospital in Sierra Leone.

W K Lahai, A O Vandy, K C Prajitha, B D Fofanah, E M Kamau, H Owusu, J S Squire, H A Barrie, I F Kamara, A M Falama and 11 more

Abstract read
In one paragraph

Article in Public health action, 2026. 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

21 authors.

W K LahaiNational Malaria Control Programme, Ministry of Health, Freetown, Sierra Leone.
A O VandyWorld Health Organization Country Office, Freetown, Sierra Leone.
K C PrajithaCentre for Operational Research, International Union Against Tuberculosis and Lung Disease, Paris, France.
B D FofanahWorld Health Organization Country Office, Freetown, Sierra Leone.
E M KamauUNICEF, UNDP, World Bank, WHO Special Programme for Research and Training in Tropical Diseases (TDR), Geneva, Switzerland.
H OwusuKorlebu Teaching Hospital, Accra, Ghana.
J S SquireNational Public Health Agency, Freetown, Sierra Leone.
H A BarrieMinistry of Health, Freetown, Sierra Leone.
I F KamaraWorld Health Organization Country Office, Freetown, Sierra Leone.
A M FalamaNational Malaria Control Programme, Ministry of Health, Freetown, Sierra Leone.
N SesayMinistry of Health, Freetown, Sierra Leone.
A R Y KamaraNational Malaria Control Programme, Ministry of Health, Freetown, Sierra Leone.
F KanuMinistry of Health, Freetown, Sierra Leone.
M S KanuNational Malaria Control Programme, Ministry of Health, Freetown, Sierra Leone.
M M KamaraCollege of Medicine and Allied Health Sciences, University of Sierra Leone, Freetown, Sierra Leone.
M A SesayMinistry of Health, Freetown, Sierra Leone.
J A KoromaMinistry of Health, Freetown, Sierra Leone.
F MosesMinistry of Health, Freetown, Sierra Leone.
S LakohMinistry of Health, Freetown, Sierra Leone.
S KennehMinistry of Health, Freetown, Sierra Leone.
L F GrantMinistry of Health, Freetown, Sierra Leone.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo describe receipt of intermittent preventive treatment for malaria in pregnancy (IPTp) doses, assess compliance with the recommended minimum of three IPTp doses, and identify factors associated with non-compliance among antenatal care attendees. This was a non-concurrent cohort study using routinely collected hospital data in 2024 at the Princess Christian Maternity Hospital, a university-affiliated tertiary teaching hospital in Freetown, Sierra Leone.

resultsAmong the 733 pregnant antenatal care attendees, 682 (93%) registered after the first trimester, and only 30 (4%) had ≥4 antenatal contacts. Of the 733, 406 (55%) received first dose and only 62 (8%) received three doses. The maximum number of doses received was six by a single woman. In adjusted analysis, women with less than four antenatal contacts had three times higher risk of non-compliance (adjusted relative risk: 2.7, 95% confidence interval: 1.6-4.5) compared with those with ≥4 contacts. Receipt of IPTp doses and compliance with the recommended minimum of three doses were low and were associated with fewer antenatal care contacts.

conclusionOur findings underscore the need to understand the reasons for the gaps in treatment and to address them systematically. Strategies to increase the number of antenatal care contacts may improve compliance with the recommended minimum three doses.

Indexed as

antenatal careimplementationmalaria in pregnancypreventative treatment

Identifiers

PMID42158355
PMCPMC13182892

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LicenceCC BY
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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.