Using Andersen’s behavioral model of health care use for intermittent preventive treatment of malaria in pregnancy in Nigeria
Abstract Background Studies in Nigeria and elsewhere in sub-Saharan Africa (sSA) have explored factors influencing usage of intermittent preventive treatment of malaria in pregnancy (IPTp). Most studies, however, are not model or theory-based, which provides less satisfactory guidance to malaria con...
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| Format: | Article |
| Language: | English |
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BMC
2023-05-01
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| Series: | BMC Pregnancy and Childbirth |
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| Online Access: | https://doi.org/10.1186/s12884-023-05648-9 |
| _version_ | 1797831799875829760 |
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| author | Bola Lukman Solanke Rasheed Adebayo Yinusa Olaoye James Oyeleye Omolayo Bukola Oluwatope Benjamin Bukky Ilesanmi Tosin Olajide Oni |
| author_facet | Bola Lukman Solanke Rasheed Adebayo Yinusa Olaoye James Oyeleye Omolayo Bukola Oluwatope Benjamin Bukky Ilesanmi Tosin Olajide Oni |
| author_sort | Bola Lukman Solanke |
| collection | DOAJ |
| description | Abstract Background Studies in Nigeria and elsewhere in sub-Saharan Africa (sSA) have explored factors influencing usage of intermittent preventive treatment of malaria in pregnancy (IPTp). Most studies, however, are not model or theory-based, which provides less satisfactory guidance to malaria control programming. This study fills the knowledge gap by adapting Andersen’s behavioral model of health care use to IPTp usage in Nigeria. Methods This study adopted a cross-sectional design that utilized secondary data extracted from the 2018 Nigeria Demographic and Health Survey (NDHS). A weighted sample of 4,772 women who had given birth in the past year preceding the survey, was analyzed. Outcome variable was usage of IPTp, dichotomized into optimal or otherwise. Explanatory variables cut across individual and community levels and were divided into predisposing, enabling and need factors in line with the theoretical constructs of the Andersen model. Two multilevel mixed-effects logistic regression models were fitted to identify factors which influenced optimal usage of IPTp. Analyses were performed using STATA 14. Statistical significance was set at 5%. Results Realised level of optimal IPTp usage was 21.8%. Factors that either predispose or enable pregnant women to take optimal doses of IPTp were maternal education, being employed, being autonomous in their own healthcare, health insurance enrolment, partner education, receiving antenatal care in public health facilities, rural residence, being resident in northern geo-political zones, community literacy level and community perception of the consequences of malaria. Two significant need factors affecting optimal usage of IPTp were timing of the first antenatal care visit and sleeping under mosquito bed nets. Conclusion Optimal usage of IPTp is low among pregnant women in Nigeria. There is a need to devise additional public health educational programs promoting IPTp usage through the formation of Advocacy, Communication and Social Mobilisation (ACSM) in every ward in all local government areas, particularly in the rural and northern parts of the country. In addition, health planners should adopt the Andersen model for assessing key determinants of IPTp usage among childbearing women in Nigeria. |
| first_indexed | 2024-04-09T13:58:34Z |
| format | Article |
| id | doaj.art-1c1e7e2d9b024460abf756fc3165efc7 |
| institution | Directory Open Access Journal |
| issn | 1471-2393 |
| language | English |
| last_indexed | 2024-04-09T13:58:34Z |
| publishDate | 2023-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pregnancy and Childbirth |
| spelling | doaj.art-1c1e7e2d9b024460abf756fc3165efc72023-05-07T11:26:39ZengBMCBMC Pregnancy and Childbirth1471-23932023-05-0123111010.1186/s12884-023-05648-9Using Andersen’s behavioral model of health care use for intermittent preventive treatment of malaria in pregnancy in NigeriaBola Lukman Solanke0Rasheed Adebayo Yinusa1Olaoye James Oyeleye2Omolayo Bukola Oluwatope3Benjamin Bukky Ilesanmi4Tosin Olajide Oni5Department of Demography and Social Statistics, Obafemi Awolowo UniversityDepartment of Demography and Social Statistics, Federal UniversityDepartment of Demography and Social Statistics, Obafemi Awolowo UniversityDepartment of Demography and Social Statistics, Obafemi Awolowo UniversityDepartment of Demography and Social Statistics, Obafemi Awolowo UniversityDepartment of Demography and Social Statistics, Obafemi Awolowo UniversityAbstract Background Studies in Nigeria and elsewhere in sub-Saharan Africa (sSA) have explored factors influencing usage of intermittent preventive treatment of malaria in pregnancy (IPTp). Most studies, however, are not model or theory-based, which provides less satisfactory guidance to malaria control programming. This study fills the knowledge gap by adapting Andersen’s behavioral model of health care use to IPTp usage in Nigeria. Methods This study adopted a cross-sectional design that utilized secondary data extracted from the 2018 Nigeria Demographic and Health Survey (NDHS). A weighted sample of 4,772 women who had given birth in the past year preceding the survey, was analyzed. Outcome variable was usage of IPTp, dichotomized into optimal or otherwise. Explanatory variables cut across individual and community levels and were divided into predisposing, enabling and need factors in line with the theoretical constructs of the Andersen model. Two multilevel mixed-effects logistic regression models were fitted to identify factors which influenced optimal usage of IPTp. Analyses were performed using STATA 14. Statistical significance was set at 5%. Results Realised level of optimal IPTp usage was 21.8%. Factors that either predispose or enable pregnant women to take optimal doses of IPTp were maternal education, being employed, being autonomous in their own healthcare, health insurance enrolment, partner education, receiving antenatal care in public health facilities, rural residence, being resident in northern geo-political zones, community literacy level and community perception of the consequences of malaria. Two significant need factors affecting optimal usage of IPTp were timing of the first antenatal care visit and sleeping under mosquito bed nets. Conclusion Optimal usage of IPTp is low among pregnant women in Nigeria. There is a need to devise additional public health educational programs promoting IPTp usage through the formation of Advocacy, Communication and Social Mobilisation (ACSM) in every ward in all local government areas, particularly in the rural and northern parts of the country. In addition, health planners should adopt the Andersen model for assessing key determinants of IPTp usage among childbearing women in Nigeria.https://doi.org/10.1186/s12884-023-05648-9Malaria in pregnancyIPTpAndersen modelChildbearing womenNigeria |
| spellingShingle | Bola Lukman Solanke Rasheed Adebayo Yinusa Olaoye James Oyeleye Omolayo Bukola Oluwatope Benjamin Bukky Ilesanmi Tosin Olajide Oni Using Andersen’s behavioral model of health care use for intermittent preventive treatment of malaria in pregnancy in Nigeria BMC Pregnancy and Childbirth Malaria in pregnancy IPTp Andersen model Childbearing women Nigeria |
| title | Using Andersen’s behavioral model of health care use for intermittent preventive treatment of malaria in pregnancy in Nigeria |
| title_full | Using Andersen’s behavioral model of health care use for intermittent preventive treatment of malaria in pregnancy in Nigeria |
| title_fullStr | Using Andersen’s behavioral model of health care use for intermittent preventive treatment of malaria in pregnancy in Nigeria |
| title_full_unstemmed | Using Andersen’s behavioral model of health care use for intermittent preventive treatment of malaria in pregnancy in Nigeria |
| title_short | Using Andersen’s behavioral model of health care use for intermittent preventive treatment of malaria in pregnancy in Nigeria |
| title_sort | using andersen s behavioral model of health care use for intermittent preventive treatment of malaria in pregnancy in nigeria |
| topic | Malaria in pregnancy IPTp Andersen model Childbearing women Nigeria |
| url | https://doi.org/10.1186/s12884-023-05648-9 |
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