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Factors Influencing Anti-Malarial Prophylaxis and Iron Supplementation Non-Compliance among Pregnant Women in Simiyu Region, Tanzania

Author

Listed:
  • Benatus Sambili

    (Amref Health Africa Tanzania, P.O. Box 2773, Dar es Salaam, Tanzania)

  • Ronald Kimambo

    (Amref Health Africa Tanzania, P.O. Box 2773, Dar es Salaam, Tanzania)

  • Yun Peng

    (Amref Health Africa Tanzania, P.O. Box 2773, Dar es Salaam, Tanzania)

  • Elison Ishunga

    (Amref Health Africa Tanzania, P.O. Box 2773, Dar es Salaam, Tanzania)

  • Edna Matasha

    (Amref Health Africa Tanzania, P.O. Box 2773, Dar es Salaam, Tanzania)

  • Godfrey Matumu

    (Amref Health Africa Tanzania, P.O. Box 2773, Dar es Salaam, Tanzania)

  • Rita Noronha

    (Amref Health Africa Tanzania, P.O. Box 2773, Dar es Salaam, Tanzania)

  • David P. Ngilangwa

    (Amref Health Africa Tanzania, P.O. Box 2773, Dar es Salaam, Tanzania)

Abstract

Malaria and iron-deficient anemia during pregnancy pose considerable risks for the mother and newborn. Intermittent Preventive Treatment during pregnancy with sulphadoxine-pyrimethamine (IPTp-SP) and iron supplement to prevent anemia to all pregnant women receiving antenatal care (ANC) services is highly recommended. However, their compliance remains low. This study aimed at identifying factors influencing non-compliance of medications among pregnant women. A descriptive cross-sectional study was conducted in Simiyu region in northwest Tanzania using a structured questionnaire to collect data from 430 women who were pregnant or gave birth 12 months prior to data collection. Data were analyzed using non-parametric statistical analysis with STATA 10. Overall, 284 (66%) and 195 (45%) of interviewed women received IPTp-SP and iron supplementation during their ANC visits, respectively. The majority (85%) of women whom received medications were aware if they had received IPTp-SP or iron supplementation. Of those received IPTp-SP, only 11% took all the three doses, while the remaining 89% took only two doses or one dose. For women who received iron supplementation, 29% reported that they did not take any dose at all. Reasons given for not complying with regiments included not liking the medications and disapproval from male partners. Our findings suggest that IPTp-SP and iron supplement compliance among pregnant women in Simiyu region is low. Intensification of community education, further qualitative research and administration of medication through directly-observed therapy (DOT) are recommended to address the problem.

Suggested Citation

  • Benatus Sambili & Ronald Kimambo & Yun Peng & Elison Ishunga & Edna Matasha & Godfrey Matumu & Rita Noronha & David P. Ngilangwa, 2016. "Factors Influencing Anti-Malarial Prophylaxis and Iron Supplementation Non-Compliance among Pregnant Women in Simiyu Region, Tanzania," IJERPH, MDPI, vol. 13(7), pages 1-12, June.
    • Handle: RePEc:gam:jijerp:v:13:y:2016:i:7:p:626-:d:72586
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    References listed on IDEAS

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    1. Koen Peeters Grietens & Sabine Gies & Sheick Oumar Coulibaly & Clotilde Ky & Judith Somda & Elizabeth Toomer & Joan Muela Ribera & Umberto D'Alessandro, 2010. "Bottlenecks for High Coverage of Intermittent Preventive Treatment in Pregnancy: The Case of Adolescent Pregnancies in Rural Burkina Faso," PLOS ONE, Public Library of Science, vol. 5(8), pages 1-9, August.
    2. Galloway, Rae & McGuire, Judith, 1994. "Determinants of compliance with iron supplementation: Supplies, side effects, or psychology?," Social Science & Medicine, Elsevier, vol. 39(3), pages 381-390, August.
    3. Helitzer-Allen, Deborah L. & McFarland, Deborah A. & Wirima, Jack J. & Macheso, Allen P., 1993. "Malaria chemoprophylaxis compliance in pregnant women: A cost-effectiveness analysis of alternative interventions," Social Science & Medicine, Elsevier, vol. 36(4), pages 403-407, February.
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