Extra-Medical Knowledge-Related Factors Impacting Malaria Prevention among Pregnant Women in the Kirotshe Health Zone in North Kivu, Eastern DRC

Abstract

Malaria remains a global problem that has significant and unacceptable consequences on the health and economic potential of the world's poorest communities. In North Kivu province in the Democratic Republic of Congo (DRC) and more particularly in the Kirotshe health zone, there is a problem with pregnant women adhering to malaria prevention services. However, previous studies have not linked this to extra-medical factors related to knowledge among pregnant women. Objective: The aim of the study, therefore, is to analyze the extra-medical factors related to knowledge and malaria prevention among pregnant women. Method: The study was carried out in the Kirotshe health zone. A sample size of 318 pregnant women was selected for the study. The healthcare professionals working in public health facilities in the region were also included in the study. It targeted pregnant women in the area who contracted malaria (cases) during pregnancy and those who did not contract malaria (controls) during pregnancy across the areas. We used mixed methods including both a retrospective matched case-control study design and qualitative design. Data was collected using a survey questionnaire and an interview guide and were analyzed using qualitative and quantitative methods with the aid of SPSS 25.0. Results: The study revealed that extra-medical factors related to knowledge of risks of malaria during pregnancy (β = 0.9; p≤ 0.05), knowledge of ITNs (β = -0.228; p≤ 0.05), and uptake of antimalarial drugs (β = -0.271; p≤ 0.05) were significantly related to the risk of contracting malaria among pregnant women in the area. The study, therefore, recommends that there is a need for health system managers in Kirotshe health zone to focus their campaigns against malaria on health literacy and knowledge among pregnant women in the area.

Description

journal article

Keywords

Extra-medical, prevention, malaria, expectant

Citation

Bandima, A.,Lwanga, C., Otoi, S. S. & Otieno, C. (2024). Extra-medical knowledge-related factors impacting malaria prevention among pregnant women in the Kirotshe health zone in North Kivu, Eastern DRC. International Journal of Advanced Community Medicine. 7. 186-193. 10.33545/comed.2024.v7.i3c.339.

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