Last Updated: 19/12/2024

Factors affecting the delivery, access, and use of interventions to prevent malaria in pregnancy in Sub-Saharan Africa: A systematic review and meta-analysis

Objectives

To conduct a systematic review to explore factors affecting delivery, access, and use of IPTp and ITNs among healthcare providers and women.

Rationale and Abstract

Malaria in pregnancy has important consequences for mother and baby. Coverage with the World Health Organization–recommended prevention strategy for pregnant women in sub-Saharan Africa of intermittent preventive treatment in pregnancy (IPTp) and insecticide-treated nets (ITNs) is still very low.

Study Design

Systematic review and meta-analysis: search in the Malaria in Pregnancy Library and Global Health Database from 1 January 1990 to 23 April 2013, without language restriction. Data extraction was performed by two investigators independently, and data was appraised for quality and content. Data on barriers and facilitators, and the effect of interventions, were explored using content analysis and narrative synthesis. A meta-analysis of determinants of IPTp and ITN uptake was conducted using random effects models, and subgroup analysis was performed to evaluate consistency across interventions and study populations, countries, and enrolment sites.

Date

Apr 2013 — Jul 2013

Funding Details
Gates Foundation (GF), United States

Master Service Agreement (contract # 20762)
Project Site

United Kingdom

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