Journal de la grossesse et de la santé infantile

Abstrait

Determinants of Adherence to Intermittent Preventive Treatment for Malaria with Sulfadoxine Pyrimethamine (IPTp-SP) in Pregnant Women in Parakou (BENIN)

Vodouhe MV, Obossou AAA, Sidi IR, Hounkponoun FM, Salifou K, Dah-Bolinon SY, Tonato-bagnan JA, Ouendo EM and Perrin RX

Objective: This study aimed to identify the determinants of adherence to intermittent preventive treatment of malaria with sulfadoxine pyrimethamine (IPTp-SP) in pregnant in Parakou. Method: We conducted a descriptive analytic study in 2015 from July to September. We conducted an exhaustive recruitment of all women from giving birth in major health facilities in the city of Parakou in the period. Results: A total of 387 delivered women aged 14 to 51 years participated in this study. 78.04% of them had benefitted from chemoprophylaxis with SP during pregnancy. But 50% of those who received this chemoprophylaxis were unaware of its purpose. In addition, 63.93% of patients attending ANC had to buy SP outside their counselling centre because of stock-out. The compliance rate was 44.70%. Good adherence significantly increased with the number of CPN (20.83% for one CPN versus 58.44 for 4 CPN p<0.05). Increase in age and gender also positively influenced compliance respectively (8.11% for the U19 vs. 53.49% for more than 20 years, p<0.05) and (23.53% for primiparous vs. 63.47% for multiparous, p<0.05). Conclusion: This study points out a low rate of good adherence to Intermittent Preventive Treatment of malaria with Sulfadoxine Pyrimethamine in pregnant women from Parakou. This result is due to their low level of information and frequent shortages of SP in health facilities.