Table 4.
Socio-demographic, obstetric and knowledge predictors of uptake of SP during pregnancy
| Predictors | Uptake of IPTp-SP | cOR, 95% CI | aOR, 95% CI | P-value | |
|---|---|---|---|---|---|
| Optimal N = 296 | Sub-optimal N = 76 | ||||
| n (%) | n (%) | ||||
| Age category | |||||
| 15–24 years | 121 (40.9) | 39 (51.3) | Reference | ||
| 25–34 years | 142 (48.0) | 31 (40.8) | 1.4, 0.8–2.4 | ||
| ≥ 35 years | 33 (11.1) | 6 (7.9) | 1.8, 0.7–4.6 | ||
| Marital status | |||||
| Unmarried | 62 (20.9) | 25 (32.9) | Reference | ||
| Married | 234 (79.1) | 51 (67.1) | 1.8, 1.0–3.1 | 1.7, 0.9–3.1 | 0.09 |
| Woman's Education level | |||||
| Primary | 108 (36.5) | 34 (44.8) | Reference | ||
| Secondary | 145 (49.0) | 33 (43.4) | 1.4, 0.8–2.4 | ||
| Tertiary | 43 (14.5) | 9 (11.8) | 1.3, 0.6–2.9 | ||
| Woman's Employment status | |||||
| Not employed | 193 (65.2) | 59 (77.6) | Reference | ||
| Informal employment | 82 (27.7) | 13 (17.1) | 1.8, 0.9–3.4 | 1.7, 0.9–3.3 | 0.85 |
| Formal employment | 21 (7.1) | 4 (5.3) | 1.6, 0.5–4.9 | 1.4, 0.5–4.6 | 0.45 |
| Religion | |||||
| Catholic | 13 (4.4) | 7 (9.2) | Reference | ||
| Protestant | 282 (95.3) | 68 (89.5) | 2.2, 0.8–5.7 | 2.5, 0.9–7.0 | 0.08 |
| Muslim | 1 (0.3) | 1 (1.3) | 0.5, 0.1–10.0 | 1.3, 0.1–25.3 | 0.87 |
| Ward of Residence | |||||
| Busali | 68 (23.0) | 17 (22.4) | Reference | ||
| Wodanga | 37 (12.5) | 12 (15.8) | 0.8, 0.3–1.8 | ||
| North Maragoli | 24 (8.1) | 7 (9.2) | 0.9, 0.3–2.3 | ||
| Chavakali | 52 (17.6) | 12 (15.8) | 1.1, 0.5–2.5 | ||
| Sabatia West | 46 (15.5) | 14 (18.4) | 0.8, 0.3–1.7 | ||
| Lyaduywa Izava | 69 (23.3) | 14 (18.4) | 1.2, 0.6–2.7 | ||
| Residence | |||||
| Rural | 224 (75.7) | 63 (82.9) | Reference | ||
| Urban | 72 (24.3) | 13 (17.1) | 1.6, 0.8–3.1 | 1.60, 8–3.1 | 0.62 |
| Gestation age at 1st ANC visit | |||||
| ≤ 16 weeks | 179 (60.5) | 18 (23.7) | Reference | ||
| > 16 weeks | 117 (39.5) | 58 (76.3) | 0.2, 0.1–0.4 | 0.4, 0.2–0.9 | 0.04a |
| Frequency of ANC visits | |||||
| < 4 visits | 33 (11.2) | 51 (67.1) | Reference | ||
| ≥ 4 visits | 263 (88.8) | 25 (32.9) | 17.1, 9.4–31.2 | 16.7, 7.9–35.3 | < 0.001a |
| Parity | |||||
| 1 child | 108 (36.5) | 34 (44.7) | Reference | ||
| 2 children | 66 (22.3) | 16 (21.1) | 1.2, 0.6–2.3 | ||
| 3+ children | 122 (41.2) | 26 (34.2) | 1.5, 0.8–2.6 | ||
| Experience of SP side effects | |||||
| No | 154 (52.0) | 43 (56.6) | Reference | ||
| Yes | 142 (48.0) | 31 (40.8) | 1.3, 0.8–2.2 | ||
| Not applicable | 0 | 2 (2.6) | N/A | ||
| Knowledge of MiP dangers | |||||
| Unknowledgeable | 89 (30.1) | 23 (30.3) | Reference | ||
| Low knowledge | 110 (37.2) | 26 (34.2) | 1.0, 0.6–1.9 | 0.7, 0.4–1.5 | 0.38 |
| Moderate knowledge | 73 (24.6) | 21 (27.6) | 0.9, 0.5–1.8 | 0.6, 0.3–1.2 | 0.13 |
| Adequate knowledge | 24 (8.1) | 6 (7.9) | 1.0, 0.4–2.8 | 0.5, 0.2–1.6 | 0.28 |
| Knowledge of MiP prevention | |||||
| Unknowledgeable | 4 (1.4) | 1 (1.3) | Reference | ||
| Low knowledge | 168 (56.7) | 48 (63.2) | 0.9, 0.1–8.0 | ||
| Moderate knowledge | 104 (35.1) | 24 (31.6) | 1.1, 0.1–10.1 | ||
| Adequate knowledge | 20 (6.8) | 3 (3.9) | 1.2, 0.1–13.7 | ||
| Knowledge of IPTp-SP benefits | |||||
| Poor | 50 (16.9) | 27 (35.5) | Reference | ||
| Good | 246 (83.1) | 49 (64.5) | 2.7, 1.5–4.6 | 2.4, 1.3–4.5 | < 0.001a |
| Knowledge of IPTp-SP start | |||||
| Poor | 252 (85.1) | 66 (86.8) | Reference | ||
| Good | 44 (14.9) | 10 (13.2) | 1.2, 0.6–2.5 | ||
| Knowledge of optimal SP | |||||
| Poor | 135 (45.6) | 48 (63.2) | Reference | ||
| Good | 161 (53.4) | 28 (36.8) | 2.0, 1.2–3.3 | 1.9, 1.1–3.4 | 0.03a |
aStatistically significant result at 5% significance level. ANC: Antenatal care; CI: Confidence interval; cOR: Crude odds ratio; IPTp-SP: Intermittent preventive treatment of malaria in pregnancy with sulphadoxine pyrimethamine; MiP: Malaria in pregnancy; SP: Sulphadoxine pyrimethamine