Perception of Health Care Workers on Prevention and Treatment of Uncomplicated Malaria in Pregnancy

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DOI: 10.21522/TIJPH.2013.04.04.Art015

Authors : Vakkai Dominic Esther


Introduction: Malaria is the commonest endemic disease, and the most vulnerable group of persons affected by malaria is the pregnant women. This has posed serious public health challenge in Nigeria; it is with these considerations that the Nigerian Government in the past few years has renewed efforts towards controlling malaria. Several interventions have been introduced amongst which were the introductions of Artemisinin-based combination therapies (ACTs) and massive distribution of long lasting insecticidal nets. Statistic has shown that 8 million women are pregnant every year in Nigeria and about 545 women out of every 100,000 die as a result of pregnancy-related complications.

Objectives: This study was done to ascertain the Diagnosis and treatment characteristics of malaria in pregnant women and assessed the training, work experience, knowledge, and perception of health workers regarding malaria in pregnancy, in North Western Nigeria.

Method: Arandom sampling method was carried out across 10 local governments and 15 health facilities in North Western Nigeria. Two participants from each facility gave a total of 300 health care workers recruited into this study.

Results: 91% of the participant believe that RDT /microscopy is the appropriate test for malaria; 38% of them agree that the test miss malaria cases while 14% believe that treatment should be given to a client that test Negative to either of the test. 37% of the participant prescribed Quinine, while 48% of the participant will prefer ACT and the least 2% will still go for Chloroquine.

Conclusion: This study exposed the under-diagnosis as well as miss treatment of malaria in pregnancy and the need for training and retraining of health care workers as well as establishing the malaria diagnosis quality assurance program to ensure the accuracy of malaria microscopy and RDT results at all levels.


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