Factors influencing the uptake and adherence of malaria preventive strategies among pregnant women aged 15-49 years attending ANC in HRRH. A cross-sectional study.
DOI:
https://doi.org/10.51168/e7wpyc35Keywords:
Malaria preventive strategies, Healthcare accessibility, Patient satisfaction, Antenatal care, Health educationAbstract
Background:
The study aimed to identify the factors influencing the uptake and adherence of malaria preventive strategies among pregnant women aged 15-49 years attending ANC in HRRH.
Methodology:
A cross-sectional descriptive study was conducted at Hoima Regional Referral Hospital ANC among pregnant women aged 15–49 years. A sample of 77 was determined using the Kish-Leslie formula and selected through systematic random sampling. Data were collected using semi-structured questionnaires and analyzed using Microsoft Excel. Quality was ensured through piloting and SOP adherence. Ethical approval and informed consent were obtained, ensuring confidentiality, voluntary participation, and the right to withdraw.
Results:
A total of 77 pregnant women participated. Regarding ANC attendance, 32(42%) had 3-4 visits, 25(32%) more than four, and 20(26%) had 1-2 visits. IPTp uptake varied: 21(27%) received two doses, 20(26%) one dose, 17(22%) three doses, 12(16%) four or more, while 7(9%) received none. Most, 66(86%), received IPTp during ANC, and 69(90%) had ever received IPTp-SP. ITN ownership was 60(78%), but consistent use was low: 28(36%) used nightly, 20(26%) most nights, 12(16%) occasionally, and 17(22%) not at all. Knowledge levels were moderate: 27(35%) good, 25(33%) average, 11(14%) excellent and 14(18%) poor. About 44(57%) correctly identified monthly IPTp use. Health facilities were the main information source for 35(45.5%), and the most trusted providers for 38(49%). Accessibility was high 55(71%), though only 47(61%) were satisfied with care.
Conclusion:
Adherence influenced by knowledge, information sources, and service accessibility among pregnant women.
Recommendation:
Enhance ANC counselling, address IPTp misconceptions, reduce waiting time, and improve patient-health provider communication.
References
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Copyright (c) 2026 Patience Nakawala, Ms. Hasifa Nansereko, Francisco Ssemuwemba, Immaculate Prosperia Naggulu, Jane Frank Nalubega (Author)
This work is licensed under a Creative Commons Attribution 4.0 International License.
