Prevalenceof malaria and anaemiaamong pregnant women attending Antenatal Care Clinic in the Hohoe Municipality of Ghana
Journal Title: International Journal of Nursing Didactics (IJND) - Year 2017, Vol 7, Issue 7
Abstract
Background: Malaria infection during pregnancy is a major public health problem in the tropical and sub-tropical regions. This study determined the prevalence and factors associated with malaria and anaemia among pregnant women. Methods: A cross-sectional hospital-based study carried out from January to December 2016at the Hohoe Municipal Hospital. Pregnant women of all gravidities with gestational agebetween16-37weeks, attending focused antenatal care (Focused-ANC) were interviewed using asemi-structured questionnaire to obtainsocio-demographic, obstetric and medical history data. Blood samples were examined for Hemoglobin levels and malaria parasitaemia. Chi-square test and logistic regression were used to determine the association between dependent and independent variables. Linear regression was used to determine the association between the risk factors of the covariates and the log parasite density. A P-value <0.05 was considered as statistically significant. Results: Of 1200 women, malariaparasitaemia was present in 244 (20.3%), anaemia (Hb<11.0 g ⁄dl) in724 (60.3%).Ownership and usage of long-lasting insecticide treatednet(LLIN) were95.3% and 86.5% respectively. Women who were anaemic and those who visited focused-ANC 5-8 times were 1.70 and 2.08 times more likely to have malaria, (AOR=1.70, p<0.001)and (AOR=2.06, p=0.039) respectively. Women in their 3rd trimester were 41% times less likely to have malaria (AOR=0.59, p=0.033).Women aged between 30-39 years and those who took ≥ 3 doses of Sulphadoxine-pyrimethamine (SP-IPTp)were 42% and 54% times less likely to have anaemia [AOR=0.58; p=0.040] and[AOR=0.46; p=0.010] respectively. Women in their2ndtrimester were 1.39 times more likely to have anaemia [AOR=1.39; p=0.043]. Parasite density decreased with increasing age (r=-0.041, p=0.033).Conclusion: One out of every 5 pregnant women had malaria and 6 out of every 10 pregnant women had anaemia. Administration of ≥ 3 doses of SP-IPTp reduces anaemia. The presence of malaria results in anaemia and makes pregnant women increase the number of Focused-ANC visits. Age is arisk factor for parasite density. With the high prevalence, targeted interventions for younger women and women in their 2ndtrimesterare needed to reduce anaemiain pregnancy within Hohoe Municipality of Ghana.
Authors and Affiliations
Margaret Kweku, Michael Ofori, Wisdom Takramah, Wisdom Kudzo Axame, Richard Owusu, Phyllis Parbey, Martin Adjuik, Elvis Tarkang
Keywords
Related Articles
- EP ID EP320309
- DOI 10.15520/ijnd.2017.vol7.iss7.240.21-30
- Views 66
- Downloads 0
¨Análisis Crítico Metodológico del Programa de Farmacología para La Carrera de Enfermería.¨
Con la implementación de las mallas curriculares de los Nuevos Modelos Pedagógicos en formación y la Universalización de la Enseñanza, convirtiéndose en escenarios docentes los Policlínicos y Hospitales que posean las co...
TEAM-BASED LEARNING IN THE TEACHING OF PERIOPERATIVE CARE IN UNDERGRADUATE NURSING
Objective: To analyze the use of Team-based Learning from the perspective of an undergraduate nursing school of a public university in Brazil. Methods: This study used a mixed method with 127 students of the Undergraduat...
Nursing Practice In The Care Of Victims Of Cranioencephalic Trauma: An Integrative Review
Objective: to know the main nursing care provided to victims of cranioencephalic trauma. Methods: this is an integrative review, the search in the literature was carried out in the databases SciELO, LILACS, BDENF, CUMED...
Nursing Profession as Perceived by Staff Nurses and Its Relation to Their Career Commitment at Different Hospitals
Background: Hospitals face increasing pressure to control costs, reduce staff and redesign clinical settings. With these escalating pressures, it is important for hospitals and nursing administrators to understand the co...
Utilization of Different PartogramsinLabor Monitoring:its Effect on Maternity Nursing Students’ Performance
The Partogram is considered a valuable tool in the improvement of maternity service by displaying intrapartum details in a pictorial manner followed by an accurate decision for intervention to ensure safe delivery. Train...