TABLE OF CONTENTS
ABSTRACT.................................................................................................................................... 1
DECLARATION ............................................................................................................................ ii
APPROVAL ..................................................................................................................................iii
DEDICATION............................................................................................................................... iv
ACKNOWLEDGENT.................................................................................................................... v
LIST OF TABLES.......................................................................................................................... x
LIST OF FIGURES ........................................................................................................................ x
LIST OF ABBREVIATIONS:....................................................................................................... xi
OPERATIONAL DEFINITONS.................................................................................................xiii
CHAPTER ONE............................................................................................................................. 1
1.2 Problem Statement.................................................................................................................... 3
1.3 Study Objectives....................................................................................................................... 4
1.3.1 Main objective ....................................................................................................................... 4
1.3.2 Specific objectives................................................................................................................. 4
1.4 Research questions.................................................................................................................... 5
1.5 Significance of the study........................................................................................................... 5
1. 6 Scope of Study ......................................................................................................................... 6
1.7 Conceptual framework.............................................................................................................. 6
CHAPTER TWO ............................................................................................................................ 7
LITERATURE REVIEW ............................................................................................................... 7
2.1Introduction................................................................................................................................ 7
2.2 Knowledge on IPTp among pregnant women .......................................................................... 7
2.3. Practice on IPTp among pregnant women............................................................................... 9
CHAPTER THREE ...................................................................................................................... 13
vii
RESEARCH METHODOLOGY.................................................................................................. 13
3.1 Introduction............................................................................................................................. 13
3.2 Study area and rationale.......................................................................................................... 13
3.3 Study design and rationale ...................................................................................................... 14
3.4 Study population and rationale ............................................................................................... 14
3.4.1Sample size estimation.......................................................................................................... 14
3.5 Sample Size Determination..................................................................................................... 14
3.4.2 Sampling procedure and rationale.................................................................................. 15
3.5 Selection criteria ..................................................................................................................... 15
3.5.1 Inclusion criteria .................................................................................................................. 15
3.5.2 Exclusion criteria ................................................................................................................. 15
3.6 Definition of variables ............................................................................................................ 16
3.6.1 Dependent variable .............................................................................................................. 16
3.6.2 Independent variable............................................................................................................ 16
3.7 Data collection Instruments .................................................................................................... 16
3.8 Data collection procedure ....................................................................................................... 16
3.9 Data management and quality control .................................................................................... 17
3.10 Data analysis and presentation.............................................................................................. 17
3.11 Ethical Consideration............................................................................................................ 17
3.12 Limitations of the study ........................................................................................................ 18
3.13 Dissemination of the results.................................................................................................. 18
CHAPTER FOUR......................................................................................................................... 19
DATA ANALYSIS, PRESENTATION AND INTERPRETATION .......................................... 19
4.0 Introduction............................................................................................................................. 19
4.1 Socio demographic data.......................................................................................................... 19
viii
4.2 Knowledge of pregnant women on Intermittent Preventive Treatment of malaria in
pregnancy...................................................................................................................................... 20
4.3 Practices of pregnant women on Intermittent Preventive Treatment of malaria in pregnancy.
....................................................................................................................................................... 23
CHAPTER FIVE .......................................................................................................................... 25
DISCUSSION OF STUDY FINDINGS, CONCLUSION AND RECOMMENDATIONS........ 25
5.0 Introduction............................................................................................................................. 25
5.1 Discussion of study findings................................................................................................... 25
5.1.1 Socio demographic data....................................................................................................... 25
5.1.2 Knowledge on intermittent preventive treatment of malaria among pregnant women.. 26
5.1.3 Practice on Intermittent Preventive Treatment of malaria among pregnant women...... 28
5.2 Conclusion. ............................................................................................................................. 30
5.3 Recommendations................................................................................................................... 30
5.4 Implications to the nursing practice........................................................................................ 30
REFERENCES ............................................................................................................................. 31
APPENDIX I: CONSENT FORM................................................................................................ 35
APPENDIX II............................................................................................................................... 36
QUESTIONAIRE ......................................................................................................................... 36
APPENDIX III.............................................................................................................................. 41
RESEARCH BUDGET ................................................................................................................ 41
APPENDIX IV.............................................................................................................................. 42
RESEARCH WORKPLAN.......................................................................................................... 42
APPENDIX V............................................................................................................................... 43
ABSTRACT Introduction and objectives Intermittent preventive treatment of malaria during pregnancy with sulfadoxine-pyrimethamine is widely recommended worldwide and in sub-Saharan Africa to reduce the risk of malaria and improve birth outcomes, despite its effectiveness, and the nearly universal adoption of a national IPTp policy among malaria endemic countries, its use remains relatively uncommon in subSaharan Africa. The purpose of the study was to assess the knowledge and practices on IPTp among pregnant women attending antenatal clinic at St Joseph’s Hospital Maracha. Methodology The study was done at St. Joseph’s Hospital Maracha and it employed a descriptive crosssectional study design, a systematic random sampling technique was used to get a total of 60 pregnant women for the study. A structured self-administered questionnaire was utilized. Data were entered manually into statistical analysis software, analyzed, descriptive statistics (frequencies and percentages) using SPSS version 25 and presented in frequency tables, pie and column graphs. Findings/results The results from this study show that majority (80%) of the pregnant women had heard about IPTp but only 43.8% of those who had heard about IPTp were able to give a good definition. 60% of the respondents said IPTp was supposed to be commenced in first trimester. 48.3% stated that fansidar is the recommended drug for IPTp and 55% stated that a single dose of Fansidar is enough for prevention of malaria during pregnancy. The respondents had inadequate knowledge about IPTp. Majority (58.3%) of the respondents took a single dose of Fansidar and 81.7% of them took the drugs given to them in the clinic as DOT. Conclusions/recommendations In conclusion, most of the pregnant women had ever heard about IPTp but their knowledge on commencement, drug and the number of doses of IPT in pregnancy was poor. A good number of pregnant women took the drug given in the clinic under DOT which was good for drug compliance.