Perceptions and experiences of intravenous iron treatment for anaemia in pregnancy in Malawi: a formative qualitative study [version 3; peer review: 2 approved, 1 approved with reservations]
Background: The study objective was to explore opinions, identify experiences, and describe perspectives on the acceptability of intravenous (IV) iron to treat anaemia in pregnancy and identify potential barriers and facilitators of introducing IV iron in the Malawian healthcare system. Methods: We...
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| Format: | Article |
| Language: | English |
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F1000 Research Ltd
2023-07-01
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| Series: | Gates Open Research |
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| Online Access: | https://gatesopenresearch.org/articles/6-66/v3 |
| _version_ | 1797271491765600256 |
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| author | Ricardo Ataíde Lucinda Manda-Taylor Gertrude Chatha Macdonald Kufankomwe Elisabeth Mamani-Mategula Effie Chipeta Magaret Kelaher Martin N. Mwangi Kamija Samuel Phiri Khic-Houy Prang Sant-Rayn Pasricha |
| author_facet | Ricardo Ataíde Lucinda Manda-Taylor Gertrude Chatha Macdonald Kufankomwe Elisabeth Mamani-Mategula Effie Chipeta Magaret Kelaher Martin N. Mwangi Kamija Samuel Phiri Khic-Houy Prang Sant-Rayn Pasricha |
| author_sort | Ricardo Ataíde |
| collection | DOAJ |
| description | Background: The study objective was to explore opinions, identify experiences, and describe perspectives on the acceptability of intravenous (IV) iron to treat anaemia in pregnancy and identify potential barriers and facilitators of introducing IV iron in the Malawian healthcare system. Methods: We conducted 15 in-depth interviews and two focus group discussions with pregnant women, and seven in-depth interviews with health workers at a community-based health centre in Blantyre and a tertiary hospital in Zomba. Results: Most women who used IV iron treatment during the second trimester of pregnancy reported feeling better and stronger after receiving the intervention. Women perceived that IV iron treatment worked faster and increased their haemoglobin count. However, cultural beliefs that IV iron treatment will cause miscarriage and the perception that study procedures involved Satanism and vampirism practices were barriers to acceptability. Health workers found IV iron treatment easy to administer because it is a single-dose treatment, simultaneously reducing the burden for pregnant women taking daily oral iron tablets. However, health workers expressed concerns about the costs and the need to train health workers before the large-scale implementation and integration of IV iron treatment into Malawi’s routine care. Conclusions: Despite the perceived concerns and challenges experienced in participating in the first IV iron infusion trial in Malawi, participants’ reflections suggest that IV iron infusion is acceptable for treating iron-deficiency anaemia in pregnancy. Participant advocate groups can offer a peer-to-peer education approach to sensitize and engage community members on the benefits of treatment and dispel concerns when the country contemplates integrating IV iron infusion for treating anaemia in pregnancy in Malawi. |
| first_indexed | 2024-03-07T14:04:23Z |
| format | Article |
| id | doaj.art-d31012844e974721b063d036e9c887d0 |
| institution | Directory Open Access Journal |
| issn | 2572-4754 |
| language | English |
| last_indexed | 2024-03-07T14:04:23Z |
| publishDate | 2023-07-01 |
| publisher | F1000 Research Ltd |
| record_format | Article |
| series | Gates Open Research |
| spelling | doaj.art-d31012844e974721b063d036e9c887d02024-03-07T01:00:00ZengF1000 Research LtdGates Open Research2572-47542023-07-01616157Perceptions and experiences of intravenous iron treatment for anaemia in pregnancy in Malawi: a formative qualitative study [version 3; peer review: 2 approved, 1 approved with reservations]Ricardo Ataíde0https://orcid.org/0000-0002-1014-0432Lucinda Manda-Taylor1https://orcid.org/0000-0001-8149-0897Gertrude Chatha2Macdonald Kufankomwe3https://orcid.org/0000-0002-6737-2218Elisabeth Mamani-Mategula4Effie Chipeta5Magaret Kelaher6Martin N. Mwangi7https://orcid.org/0000-0002-8358-4448Kamija Samuel Phiri8Khic-Houy Prang9Sant-Rayn Pasricha10Population Health and Immunity/Infection and Immunity Divisions, The Walter and Eliza Hall Institute of Medical, Research, 1G, Royal Parade, Parkville, Melbourne, VIC 3052, AustraliaSchool of Global and Public Health, Kamuzu University of Health Sciencies, Private Bag 360, Blantyre, 3, MalawiSchool of Global and Public Health, Kamuzu University of Health Sciencies, Private Bag 360, Blantyre, 3, MalawiSchool of Global and Public Health, Kamuzu University of Health Sciencies, Private Bag 360, Blantyre, 3, MalawiSchool of Global and Public Health, Kamuzu University of Health Sciencies, Private Bag 360, Blantyre, 3, MalawiSchool of Global and Public Health, Kamuzu University of Health Sciencies, Private Bag 360, Blantyre, 3, MalawiCentre for Health Policy, Melbourne School of Population and Global Health, The University of Melbourne,, Melbourne, Level 4, 207 Bouverie Street, Victoria 3010, AustraliaSchool of Global and Public Health, Kamuzu University of Health Sciencies, Private Bag 360, Blantyre, 3, MalawiSchool of Global and Public Health, Kamuzu University of Health Sciencies, Private Bag 360, Blantyre, 3, MalawiCentre for Health Policy, Melbourne School of Population and Global Health, The University of Melbourne,, Melbourne, Level 4, 207 Bouverie Street, Victoria 3010, AustraliaPopulation Health and Immunity/Infection and Immunity Divisions, The Walter and Eliza Hall Institute of Medical, Research, 1G, Royal Parade, Parkville, Melbourne, VIC 3052, AustraliaBackground: The study objective was to explore opinions, identify experiences, and describe perspectives on the acceptability of intravenous (IV) iron to treat anaemia in pregnancy and identify potential barriers and facilitators of introducing IV iron in the Malawian healthcare system. Methods: We conducted 15 in-depth interviews and two focus group discussions with pregnant women, and seven in-depth interviews with health workers at a community-based health centre in Blantyre and a tertiary hospital in Zomba. Results: Most women who used IV iron treatment during the second trimester of pregnancy reported feeling better and stronger after receiving the intervention. Women perceived that IV iron treatment worked faster and increased their haemoglobin count. However, cultural beliefs that IV iron treatment will cause miscarriage and the perception that study procedures involved Satanism and vampirism practices were barriers to acceptability. Health workers found IV iron treatment easy to administer because it is a single-dose treatment, simultaneously reducing the burden for pregnant women taking daily oral iron tablets. However, health workers expressed concerns about the costs and the need to train health workers before the large-scale implementation and integration of IV iron treatment into Malawi’s routine care. Conclusions: Despite the perceived concerns and challenges experienced in participating in the first IV iron infusion trial in Malawi, participants’ reflections suggest that IV iron infusion is acceptable for treating iron-deficiency anaemia in pregnancy. Participant advocate groups can offer a peer-to-peer education approach to sensitize and engage community members on the benefits of treatment and dispel concerns when the country contemplates integrating IV iron infusion for treating anaemia in pregnancy in Malawi.https://gatesopenresearch.org/articles/6-66/v3Anaemia in pregnancy intravenous iron infusion maternal and child health Malawieng |
| spellingShingle | Ricardo Ataíde Lucinda Manda-Taylor Gertrude Chatha Macdonald Kufankomwe Elisabeth Mamani-Mategula Effie Chipeta Magaret Kelaher Martin N. Mwangi Kamija Samuel Phiri Khic-Houy Prang Sant-Rayn Pasricha Perceptions and experiences of intravenous iron treatment for anaemia in pregnancy in Malawi: a formative qualitative study [version 3; peer review: 2 approved, 1 approved with reservations] Gates Open Research Anaemia in pregnancy intravenous iron infusion maternal and child health Malawi eng |
| title | Perceptions and experiences of intravenous iron treatment for anaemia in pregnancy in Malawi: a formative qualitative study [version 3; peer review: 2 approved, 1 approved with reservations] |
| title_full | Perceptions and experiences of intravenous iron treatment for anaemia in pregnancy in Malawi: a formative qualitative study [version 3; peer review: 2 approved, 1 approved with reservations] |
| title_fullStr | Perceptions and experiences of intravenous iron treatment for anaemia in pregnancy in Malawi: a formative qualitative study [version 3; peer review: 2 approved, 1 approved with reservations] |
| title_full_unstemmed | Perceptions and experiences of intravenous iron treatment for anaemia in pregnancy in Malawi: a formative qualitative study [version 3; peer review: 2 approved, 1 approved with reservations] |
| title_short | Perceptions and experiences of intravenous iron treatment for anaemia in pregnancy in Malawi: a formative qualitative study [version 3; peer review: 2 approved, 1 approved with reservations] |
| title_sort | perceptions and experiences of intravenous iron treatment for anaemia in pregnancy in malawi a formative qualitative study version 3 peer review 2 approved 1 approved with reservations |
| topic | Anaemia in pregnancy intravenous iron infusion maternal and child health Malawi eng |
| url | https://gatesopenresearch.org/articles/6-66/v3 |
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