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Bottlenecks for High Coverage of Intermittent Preventive Treatment in Pregnancy: The Case of Adolescent Pregnancies in Rural Burkina Faso

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  • Koen Peeters Grietens
  • Sabine Gies
  • Sheick Oumar Coulibaly
  • Clotilde Ky
  • Judith Somda
  • Elizabeth Toomer
  • Joan Muela Ribera
  • Umberto D'Alessandro

Abstract

Background: While IPTp-SP is currently being scaled up in sub-Saharan Africa (SSA), the coverage with the required ≥2 doses of SP remains considerably short of the Roll Back Malaria (RBM) goal of 80%, not to mention of the recently advocated universal coverage. Methods: The study triangulates quantitative data from a health center randomized community-based trial on IPTp-SP effectiveness and the additional benefit of a promotional campaign with qualitative data from focused ethnography. Findings: In rural Burkina Faso, despite the significantly higher risk of malaria infection among adolescent primigravidae (PG) (OR 2.44 95%CI 1.81–3.28, p

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  • 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.
    • Handle: RePEc:plo:pone00:0012013
    DOI: 10.1371/journal.pone.0012013
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    References listed on IDEAS

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    1. Nikièma, Béatrice & Haddad, Slim & Potvin, Louise, 2008. "Women Bargaining to Seek Healthcare: Norms, Domestic Practices, and Implications in Rural Burkina Faso," World Development, Elsevier, vol. 36(4), pages 608-624, April.
    2. Joan Muela Ribera & Susanna Hausmann-Muela & Umberto D'Alessandro & Koen Peeters Grietens, 2007. "Malaria in Pregnancy: What Can the Social Sciences Contribute?," PLOS Medicine, Public Library of Science, vol. 4(4), pages 1-5, April.
    3. Magadi, Monica Akinyi & Madise, Nyovani Janet & Rodrigues, Roberto Nascimento, 2000. "Frequency and timing of antenatal care in Kenya: explaining the variations between women of different communities," Social Science & Medicine, Elsevier, vol. 51(4), pages 551-561, August.
    4. Sauerborn, R. & Nougtara, A. & Hien, M. & Diesfeld, H. J., 1996. "Seasonal variations of household costs of illness in Burkina Faso," Social Science & Medicine, Elsevier, vol. 43(3), pages 281-290, August.
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