Factors associated with the utilisation of malaria preventive services during pregnancy in primary healthcare facilities in Ile Ife, Nigeria.
| dc.contributor.author | NTIENO Inayangudo Gideon | |
| dc.date.accessioned | 2025-10-23T14:05:53Z | |
| dc.date.available | 2025-10-23T14:05:53Z | |
| dc.date.issued | 2023 | |
| dc.description | xvii, 133p | |
| dc.description.abstract | The study assessed the knowledge and level of utilisation of malaria preventive services during pregnancy among pregnant women attending antenatal clinics in primary healthcare facilities in Ile-Ife, Nigeria. It also explored the factors affecting utilisation of malaria preventive services during pregnancy among pregnant women attending antenatal clinics in primary health facilities in Ile-Ife, Nigeria. These were with the view to providing information on factors influencing utilisation of malaria preventive services during pregnancy among pregnant women in Ile-Ife, Nigeria. The study was a cross-sectional descriptive survey that employed mixed (quantitative and qualitative) data collection methods. A multistage sampling method was used to select 200 pregnant women from ten healthcare facilities in Ile-Ife for the quantitative survey. Also, two healthcare facilities each from Ife East and Ife Central LGAs were selected for the qualitative survey. The research instrument for the quantitative survey was a client exit questionnaire. This was used to assess the knowledge, level of utilisation and barriers to utilisation to of malaria preventive services. Focused group discussion and key informant interview were employed for the qualitative survey. Quantitative data were analysed using Statistical Package for Social Sciences (SPSS) version 20, while qualitative data were transcribed, coded, and analysed using thematic analysis. Values of p less than 0.05 were considered statistically significant. About one-third (34%) of pregnant women had good knowledge of malaria preventive services. The majority (62.5%) of the respondents owned long-lasting insecticide nets (LLINs), with only 47.5% of them sleeping under a LLIN the night before the survey. The highest proportion of women who used LLIN a night before the survey were between the ages of 30 and 34 years, and this was statistically significant (χ2 =10.70, p = 0.04). Similarly, the proportion of multigravida women who owned LLIN was statistically significantly high(χ2=10.48, p = 0.01). Furthermore, 50.8% of the respondents received at least one dose of IPTp-SP after booking for ANC, with only 7% receiving three doses of IPTp-SP. More (27.7%) multigravida women took at least one dose of IPTp-SP, and this was statistically significant (χ2 =5.76, p=0.02). The use of IPTp-SP was significantly higher (χ2=8.52, p = 0.01) among respondents with good knowledge of malaria preventive services. From the qualitative study, factors identified to influence utilisation of malaria preventive services include lack of stock of LLINs and IPTp-SP, lack of money, poor knowledge on the importance of IPTp-SP and LLINs, spouse's decision, adverse effects of IPTp and LLINs, and poor ANC attendance. The study concluded that both knowledge and utilisation of malaria preventive services were low among pregnant women. Stock-out of malaria preventive commodities and personal factors such as age and gravidity were observed to influence utilization of these services | |
| dc.identifier.citation | NTIENO I.G.(2023) Factors associated with the utilisation of malaria preventive services during pregnancy in primary healthcare facilities in Ile Ife, Nigeria, Nigeria.Department of Community Health, Faculty of Clinical Sciences Obafemi Awolowo University. | |
| dc.identifier.other | ror.org/04snhqa82 | |
| dc.identifier.uri | https://ir.oauife.edu.ng/handle/123456789/7126 | |
| dc.language.iso | en | |
| dc.publisher | Department of Community Health, Faculty of Clinical Sciences Obafemi Awolowo University. | |
| dc.title | Factors associated with the utilisation of malaria preventive services during pregnancy in primary healthcare facilities in Ile Ife, Nigeria. | |
| dc.type | Thesis |