Socio-economic behavioural indicators of falciparum malaria parasitaemia and moderate to severe anaemia among pregnant women attending antenatal clinics in Lagos, Southwest Nigeria
Abstract Background Incidence of malaria and anaemia are of public health importance especially in pregnant women in endemic regions, due to the negative health consequences to the mother and fetus. This study aimed to assess the pattern of falciparum malaria infection and anaemia, based on malaria...
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doaj-47035f10051f4bc1981a4a23f430cb8b2020-11-25T03:59:56ZengBMCMalaria Journal1475-28752020-11-0119111110.1186/s12936-020-03462-8Socio-economic behavioural indicators of falciparum malaria parasitaemia and moderate to severe anaemia among pregnant women attending antenatal clinics in Lagos, Southwest NigeriaAdeola Y. Olukosi0Abiodun Olakiigbe1Olusola Ajibaye2Bassey A. Orok3Olugbenga O. Aina4Samuel K. Akindele5Olajumoke O. Akinyele6Adebayo T. Onajole7Samson T. Awolola8Tolulope Arowolo9Bamigboye M. Afolabi10Nigerian Institute of Medical ResearchNigerian Institute of Medical ResearchNigerian Institute of Medical ResearchNigerian Institute of Medical ResearchNigerian Institute of Medical ResearchNigerian Institute of Medical ResearchNigerian Institute of Medical ResearchCollege of Medicine, University of LagosNigerian Institute of Medical ResearchNigerian Institute of Medical ResearchHealth, Environment and Development FoundationAbstract Background Incidence of malaria and anaemia are of public health importance especially in pregnant women in endemic regions, due to the negative health consequences to the mother and fetus. This study aimed to assess the pattern of falciparum malaria infection and anaemia, based on malaria prevention methods practiced by participants. Methods A semi-structured tool was used to capture information on demographic, socio-economic and malaria prevention practices from 113 pregnant women attending antenatal clinics in 2 peri-urban health facilities in Lagos, southwest Nigeria. Malaria microscopy was conducted and haematocrit was measured. Logistic regression analysis was performed on the data collated from the survey. Results The prevalence of anaemia among pregnant women was 87.2%. The mean (± sd) packed cell volume (PCV) (%) of the 22 (19.5%) infected subjects (26.8 ± 6.6), was significantly lower (t = −2.60, P value = 0.007) than that of the 91 (80.5%) uninfected subjects (30.8 ± 6.0). The prevalence of infection was highest in the 3rd trimester (n = 40, 35.4%) at 27.5% (11/40) and among those in their first pregnancy (n = 32, 28.3%) at 25.0% (8/32). There was a significant difference (t = −2.23, P-value = 0.01) in the mean PCV % of pregnant women who consumed herbal teas in pregnancy (28.2 ± 5.2) compared to those who did not (30.8 ± 6.6). Regression analysis showed that first pregnancy, anti-malarial use and insecticide-treated nets use the night before study had increased odds of malaria infection in participants (OR = 1.35, P = 0.006, 95% CI 0.52−2.49; OR = 2.3, P = 0.005, 95% CI 0.14−0.41; OR = 1.92, P = 0.001, 95% CI 0.62−5.98) while intermittent preventive treatment (IPT) participation and formal education were strongly and significantly associated with lower risk of parasitaemia (OR = 0.95, P = 0.025, 95% CI 0.41−2.26; OR = 0.44, P = 0.005, 95% CI 0.34−10.50). Conclusion Interventions that will reduce malaria and moderate to severe anaemia, especially in a first pregnancy, should include education on the correct use of long-lasting insecticide-treated bed nets (LLIN), IPT and the dangers of herbal teas in pregnancy.http://link.springer.com/article/10.1186/s12936-020-03462-8MalariaAnaemiaPregnancyBehavioural factorsSouthwest Nigeria |
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DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Adeola Y. Olukosi Abiodun Olakiigbe Olusola Ajibaye Bassey A. Orok Olugbenga O. Aina Samuel K. Akindele Olajumoke O. Akinyele Adebayo T. Onajole Samson T. Awolola Tolulope Arowolo Bamigboye M. Afolabi |
spellingShingle |
Adeola Y. Olukosi Abiodun Olakiigbe Olusola Ajibaye Bassey A. Orok Olugbenga O. Aina Samuel K. Akindele Olajumoke O. Akinyele Adebayo T. Onajole Samson T. Awolola Tolulope Arowolo Bamigboye M. Afolabi Socio-economic behavioural indicators of falciparum malaria parasitaemia and moderate to severe anaemia among pregnant women attending antenatal clinics in Lagos, Southwest Nigeria Malaria Journal Malaria Anaemia Pregnancy Behavioural factors Southwest Nigeria |
author_facet |
Adeola Y. Olukosi Abiodun Olakiigbe Olusola Ajibaye Bassey A. Orok Olugbenga O. Aina Samuel K. Akindele Olajumoke O. Akinyele Adebayo T. Onajole Samson T. Awolola Tolulope Arowolo Bamigboye M. Afolabi |
author_sort |
Adeola Y. Olukosi |
title |
Socio-economic behavioural indicators of falciparum malaria parasitaemia and moderate to severe anaemia among pregnant women attending antenatal clinics in Lagos, Southwest Nigeria |
title_short |
Socio-economic behavioural indicators of falciparum malaria parasitaemia and moderate to severe anaemia among pregnant women attending antenatal clinics in Lagos, Southwest Nigeria |
title_full |
Socio-economic behavioural indicators of falciparum malaria parasitaemia and moderate to severe anaemia among pregnant women attending antenatal clinics in Lagos, Southwest Nigeria |
title_fullStr |
Socio-economic behavioural indicators of falciparum malaria parasitaemia and moderate to severe anaemia among pregnant women attending antenatal clinics in Lagos, Southwest Nigeria |
title_full_unstemmed |
Socio-economic behavioural indicators of falciparum malaria parasitaemia and moderate to severe anaemia among pregnant women attending antenatal clinics in Lagos, Southwest Nigeria |
title_sort |
socio-economic behavioural indicators of falciparum malaria parasitaemia and moderate to severe anaemia among pregnant women attending antenatal clinics in lagos, southwest nigeria |
publisher |
BMC |
series |
Malaria Journal |
issn |
1475-2875 |
publishDate |
2020-11-01 |
description |
Abstract Background Incidence of malaria and anaemia are of public health importance especially in pregnant women in endemic regions, due to the negative health consequences to the mother and fetus. This study aimed to assess the pattern of falciparum malaria infection and anaemia, based on malaria prevention methods practiced by participants. Methods A semi-structured tool was used to capture information on demographic, socio-economic and malaria prevention practices from 113 pregnant women attending antenatal clinics in 2 peri-urban health facilities in Lagos, southwest Nigeria. Malaria microscopy was conducted and haematocrit was measured. Logistic regression analysis was performed on the data collated from the survey. Results The prevalence of anaemia among pregnant women was 87.2%. The mean (± sd) packed cell volume (PCV) (%) of the 22 (19.5%) infected subjects (26.8 ± 6.6), was significantly lower (t = −2.60, P value = 0.007) than that of the 91 (80.5%) uninfected subjects (30.8 ± 6.0). The prevalence of infection was highest in the 3rd trimester (n = 40, 35.4%) at 27.5% (11/40) and among those in their first pregnancy (n = 32, 28.3%) at 25.0% (8/32). There was a significant difference (t = −2.23, P-value = 0.01) in the mean PCV % of pregnant women who consumed herbal teas in pregnancy (28.2 ± 5.2) compared to those who did not (30.8 ± 6.6). Regression analysis showed that first pregnancy, anti-malarial use and insecticide-treated nets use the night before study had increased odds of malaria infection in participants (OR = 1.35, P = 0.006, 95% CI 0.52−2.49; OR = 2.3, P = 0.005, 95% CI 0.14−0.41; OR = 1.92, P = 0.001, 95% CI 0.62−5.98) while intermittent preventive treatment (IPT) participation and formal education were strongly and significantly associated with lower risk of parasitaemia (OR = 0.95, P = 0.025, 95% CI 0.41−2.26; OR = 0.44, P = 0.005, 95% CI 0.34−10.50). Conclusion Interventions that will reduce malaria and moderate to severe anaemia, especially in a first pregnancy, should include education on the correct use of long-lasting insecticide-treated bed nets (LLIN), IPT and the dangers of herbal teas in pregnancy. |
topic |
Malaria Anaemia Pregnancy Behavioural factors Southwest Nigeria |
url |
http://link.springer.com/article/10.1186/s12936-020-03462-8 |
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