Skip to main content
Erschienen in: Journal of Public Health 2/2008

01.04.2008 | Original Article

Perceptions of the causes of malaria and of its complications, treatment and prevention among midwives and pregnant women of Eastern Sudan

verfasst von: Ishag Adam, El sir M. Omer, Amel Salih, Ammar H. Khamis, Elfatih M. Malik

Erschienen in: Journal of Public Health | Ausgabe 2/2008

Einloggen, um Zugang zu erhalten

Abstract

Background

Malaria infection during pregnancy is a big burden in Sudan and has many adverse effects on both mother and fetus. There are no data concerning the local socio-cultural knowledge of malaria, its complications and prevention during pregnancy.

Aim

This study was conducted to assess the perceptions of the causes of malaria, its complications, treatment and prevention among midwives and pregnant women of Eastern Sudan so as to provide policy makers and malaria programme managers with information needed to improve the design of malaria control.

Subject and methods

Interviews were conducted with 87 midwives and 168 pregnant women.

Results

More than three-quarters (78.2%) of the midwives and (82.7%) pregnant women perceived that mosquitoes were the transmitters of malaria. The coverage of insecticide-treated bed nets (ITNs) was 65.5% among the interviewed pregnant women. There was poor knowledge about the complications of malaria during pregnancy and the effect of malaria treatment on the fetus among the interviewed midwives and pregnant women. More than 60% of the midwives (n = 59, 67.8%) and almost all of the pregnant women (n = 162, 96.4%) had no knowledge about intermittent preventive treatment (IPT).

Conclusion

Thus, in spite of good knowledge about symptoms of malaria during pregnancy, there was a lack of perception of prevention and the safety of IPT.
Literatur
Zurück zum Zitat A/Rahman SH, Mohamedani AA, Mirgani EM, Ibrahim AM (1996) Gender aspects and women’s participation in the control and management of malaria in central Sudan. Soc Sci Med 42:1433–1446PubMedCrossRef A/Rahman SH, Mohamedani AA, Mirgani EM, Ibrahim AM (1996) Gender aspects and women’s participation in the control and management of malaria in central Sudan. Soc Sci Med 42:1433–1446PubMedCrossRef
Zurück zum Zitat Adam I, Khamis AH, Elbashir MI (2005a) Prevalence and risk factors for Plasmodium falciparum malaria in pregnant women of eastern Sudan. Malar J 4(1):18PubMedCrossRef Adam I, Khamis AH, Elbashir MI (2005a) Prevalence and risk factors for Plasmodium falciparum malaria in pregnant women of eastern Sudan. Malar J 4(1):18PubMedCrossRef
Zurück zum Zitat Adam I, Khamis AH, Elbashir MI (2005b) Prevalence and risk factors for anaemia in pregnant women of eastern Sudan. Trans R Soc Trop Med Hyg 99:739–743PubMedCrossRef Adam I, Khamis AH, Elbashir MI (2005b) Prevalence and risk factors for anaemia in pregnant women of eastern Sudan. Trans R Soc Trop Med Hyg 99:739–743PubMedCrossRef
Zurück zum Zitat AFRO (2002) Strategic framework for malaria control during pregnancy in the WHO African region, 1 November AFRO (2002) Strategic framework for malaria control during pregnancy in the WHO African region, 1 November
Zurück zum Zitat Alaii JA, van den Borne HW, Kachur SP, Shelley K, Mwenesi H, Vulule JM, Hawley WA, Nahlen BL, Phillips-Howard PA (2003) Community reactions to the introduction of permethrin-treated bed nets for malaria control during a randomized controlled trial in western Kenya. Am J Trop Med Hyg 68(4 Suppl):128–136PubMed Alaii JA, van den Borne HW, Kachur SP, Shelley K, Mwenesi H, Vulule JM, Hawley WA, Nahlen BL, Phillips-Howard PA (2003) Community reactions to the introduction of permethrin-treated bed nets for malaria control during a randomized controlled trial in western Kenya. Am J Trop Med Hyg 68(4 Suppl):128–136PubMed
Zurück zum Zitat Cot M, Deloron P (2003) Malaria during pregnancy: consequences and interventional perspectives (in French). Med Trop (Mars) 63:369–380 Cot M, Deloron P (2003) Malaria during pregnancy: consequences and interventional perspectives (in French). Med Trop (Mars) 63:369–380
Zurück zum Zitat Dafallah SE, El-Agib FH, Bushra GO (2003) Maternal mortality in a teaching hospital in Sudan. Saudi Med J 24:369–373PubMed Dafallah SE, El-Agib FH, Bushra GO (2003) Maternal mortality in a teaching hospital in Sudan. Saudi Med J 24:369–373PubMed
Zurück zum Zitat Elghazali G, Adam I, Hamad AA, Elbashir MI (2003) Plasmodium falciparum infection during pregnancy in an unstable transmission area in eastern Sudan. East Mediterr Health J 9:570–580PubMed Elghazali G, Adam I, Hamad AA, Elbashir MI (2003) Plasmodium falciparum infection during pregnancy in an unstable transmission area in eastern Sudan. East Mediterr Health J 9:570–580PubMed
Zurück zum Zitat Govere J, Durrheim D, la Grange K, Mabuza A, Booman M (2000) Community knowledge and perceptions about malaria and practices influencing malaria control in Mpumalanga Province, South Africa. S Afr Med J 90:611–616PubMed Govere J, Durrheim D, la Grange K, Mabuza A, Booman M (2000) Community knowledge and perceptions about malaria and practices influencing malaria control in Mpumalanga Province, South Africa. S Afr Med J 90:611–616PubMed
Zurück zum Zitat Himeidan YE, Elbashir MI, Adam I (2004) Attractiveness of pregnant Sudanese women to the malaria vector, Anopheles arabiensis, in Sudan. Ann Trop Med Parasitol 98:631–633PubMedCrossRef Himeidan YE, Elbashir MI, Adam I (2004) Attractiveness of pregnant Sudanese women to the malaria vector, Anopheles arabiensis, in Sudan. Ann Trop Med Parasitol 98:631–633PubMedCrossRef
Zurück zum Zitat Himeidan YE, Malik EM, Adam I (2005) Epidemiology and seasonal pattern of malaria in an irrigated area of eastern Sudan. Am J Infect Dis 1:75–78CrossRef Himeidan YE, Malik EM, Adam I (2005) Epidemiology and seasonal pattern of malaria in an irrigated area of eastern Sudan. Am J Infect Dis 1:75–78CrossRef
Zurück zum Zitat Launiala A, Kulmala T (2006) The importance of understanding the local context: women’s perceptions and knowledge concerning malaria in pregnancy in rural Malawi. Acta Trop 98:111–117PubMedCrossRef Launiala A, Kulmala T (2006) The importance of understanding the local context: women’s perceptions and knowledge concerning malaria in pregnancy in rural Malawi. Acta Trop 98:111–117PubMedCrossRef
Zurück zum Zitat Malik EM, Khalafalla OM (2004) Malaria in Sudan: past, present and the future. Gezira J Health Sci 1(Suppl):47–51 Malik EM, Khalafalla OM (2004) Malaria in Sudan: past, present and the future. Gezira J Health Sci 1(Suppl):47–51
Zurück zum Zitat Mbonye AK, Neema S, Magnussen P (2006a) Preventing malaria in pregnancy: a study of perceptions and policy implications in Mukono district, Uganda. Health Policy Plan 21:17–26PubMedCrossRef Mbonye AK, Neema S, Magnussen P (2006a) Preventing malaria in pregnancy: a study of perceptions and policy implications in Mukono district, Uganda. Health Policy Plan 21:17–26PubMedCrossRef
Zurück zum Zitat Mbonye AK, Neema S, Magnussen P (2006b) Treatment-seeking practices for malaria in pregnancy among rural women in Mukono district, Uganda. J Biosoc Sci 38:221–237PubMedCrossRef Mbonye AK, Neema S, Magnussen P (2006b) Treatment-seeking practices for malaria in pregnancy among rural women in Mukono district, Uganda. J Biosoc Sci 38:221–237PubMedCrossRef
Zurück zum Zitat Mbonye AK, Neema S, Magnussen P (2006c) Perceptions on use of sulfadoxine-pyrimethamine in pregnancy and the policy implications for malaria control in Uganda. Health Policy 77:279–289PubMedCrossRef Mbonye AK, Neema S, Magnussen P (2006c) Perceptions on use of sulfadoxine-pyrimethamine in pregnancy and the policy implications for malaria control in Uganda. Health Policy 77:279–289PubMedCrossRef
Zurück zum Zitat Nuwaha F (2002) People’s perception of malaria in Mbarara, Uganda. Trop Med Int Health 7:462–470PubMedCrossRef Nuwaha F (2002) People’s perception of malaria in Mbarara, Uganda. Trop Med Int Health 7:462–470PubMedCrossRef
Zurück zum Zitat Parise ME, Ayisi JG, Nahlen BL (1998) Efficacy of sulfadoxine-pyrimethamine for prevention of placental malaria in an area of Kenya with a high prevalence of malaria and human immunodeficiency virus infection. Am J Trop Med Hyg 59:813–822PubMed Parise ME, Ayisi JG, Nahlen BL (1998) Efficacy of sulfadoxine-pyrimethamine for prevention of placental malaria in an area of Kenya with a high prevalence of malaria and human immunodeficiency virus infection. Am J Trop Med Hyg 59:813–822PubMed
Zurück zum Zitat Steketee RW, Nahlen BL, Parise ME, Menendez C (2001) The burden of malaria in pregnancy in malaria-endemic areas. Am J Trop Med Hyg 64:28–35PubMed Steketee RW, Nahlen BL, Parise ME, Menendez C (2001) The burden of malaria in pregnancy in malaria-endemic areas. Am J Trop Med Hyg 64:28–35PubMed
Zurück zum Zitat Ter Kuile FO, Terlouw DJ, Phillips-Howard PA, Hawley WA, Friedman JF, Kariuki SK, Shi YP, Kolczak MS, Lal AA, Vulule JM, Nahlen BL (2003) Reduction of malaria during pregnancy by permethrin-treated bed nets in an area of intense perennial malaria transmission in western Kenya. Am J Trop Med Hyg 68(4 Suppl):50–60PubMed Ter Kuile FO, Terlouw DJ, Phillips-Howard PA, Hawley WA, Friedman JF, Kariuki SK, Shi YP, Kolczak MS, Lal AA, Vulule JM, Nahlen BL (2003) Reduction of malaria during pregnancy by permethrin-treated bed nets in an area of intense perennial malaria transmission in western Kenya. Am J Trop Med Hyg 68(4 Suppl):50–60PubMed
Zurück zum Zitat Verhoeff FH, Brabin BJ, Chimsuku L, Kazembe P, Russell WN, Broadhead R (1998) An evaluation of the effects of intermittent sulfadoxine-pyrimethamine treatment in pregnancy on parasite clearance and risk of low birthweight in rural Malawi. Ann Trop Med Parasitol 92:141–150PubMedCrossRef Verhoeff FH, Brabin BJ, Chimsuku L, Kazembe P, Russell WN, Broadhead R (1998) An evaluation of the effects of intermittent sulfadoxine-pyrimethamine treatment in pregnancy on parasite clearance and risk of low birthweight in rural Malawi. Ann Trop Med Parasitol 92:141–150PubMedCrossRef
Metadaten
Titel
Perceptions of the causes of malaria and of its complications, treatment and prevention among midwives and pregnant women of Eastern Sudan
verfasst von
Ishag Adam
El sir M. Omer
Amel Salih
Ammar H. Khamis
Elfatih M. Malik
Publikationsdatum
01.04.2008
Verlag
Springer-Verlag
Erschienen in
Journal of Public Health / Ausgabe 2/2008
Print ISSN: 2198-1833
Elektronische ISSN: 1613-2238
DOI
https://doi.org/10.1007/s10389-007-0124-2

Weitere Artikel der Ausgabe 2/2008

Journal of Public Health 2/2008 Zur Ausgabe