OJOG  Vol.8 No.13 , November 2018
Management of Malaria in Pregnant Women at the Maternity Unit of the University Teaching Hospital Yalgado Ouedraogo (UTH-YO) in Ouagadougou: About Report on the Quality of Care
ABSTRACT
Objective: To do a report on the quality of the treatment of malaria in pregnant women at University Teaching Hospital Yalgado Ouedraogo (UTH-YO) in Ouagadougou. Materials and Methods: This was a descriptive cross-sectional study conducted from 29 July to 02 October 2016. The targets were pregnant women and gynecology and obstetrics service care providers. The study used an individual questionnaire administered and clinical parasitological research by the Rapid Diagnostic Test (RDT). Some information was verified in the patient’s prenatal consultation logbook. A total of 351 women and 44 providers participated in the study. The data was captured on a microcomputer and analyzed using Epi info version 7 software. Results: Regarding preventive measures, patients responses were correct for long-lasting impregnated mosquito net (LLIN) in 98.8% of cases and for intermittent preventive treatment (IPT) in 96.5% of cases. About providers, they had given a good answer in all cases for using LLIN and taking IPT. Regarding care providers knowledge of the clinical signs of malaria, fever was cited in 95.5% of cases for simple malaria and Frankish jaundice in 97.7% of cases for severe malaria. With regard to curative treatment, 77.3% of the care providers surveyed stated that quinine was the reference molecule for the treatment of simple malaria in pregnant women. In terms of the availability of inputs used for malaria management, our survey found no RDTs. Also, the only molecule available was quinine in its compressed and injectable forms. Conclusion: Care Providers’ and patients’ knowledge of malaria in the obstetrics and genecology department is quite satisfactory. However, some shortcomings were noted in the provision of screening and curative and preventive treatment. The elimination of malaria in our country will require joint efforts at all levels.
Cite this paper
Adama, O. , Smaila, O. , Natacha, L. , Charlemagne, O. , Ali, O. and Blandine, T. (2018) Management of Malaria in Pregnant Women at the Maternity Unit of the University Teaching Hospital Yalgado Ouedraogo (UTH-YO) in Ouagadougou: About Report on the Quality of Care. Open Journal of Obstetrics and Gynecology, 8, 1337-1344. doi: 10.4236/ojog.2018.813135.
References
[1]   Sirima, S.B., Cotte, A.H., Konaté, A., Moran, A.C., Asamoa, K., Bougouma, E.C., Diarra, A., Ouédraogo, A., Parise, M.E. and Newman, R.D. (2006) Malaria Prevention during Pregnancy: Assessing the Disease Burden One Year after Implementation a Program of Intermittent Preventive Treatment in Koupéla District, Burkina Faso. American Journal of Tropical Medicine and Hygiene, 75, 205-211.
https://doi.org/10.4269/ajtmh.2006.75.205

[2]   WHO (2010) World Malaria Report. World Health Organization, Geneva.

[3]   Danis, M. (1991) Symptomatologie du paludisme: In paludisme. Ellipses/AUPELF éd., Paris, 87-89.

[4]   WHO (2004) A Strategic Framework for Malaria Prevention and Control during Pregnancy in the African Region. World Health Organization Regional Office for Africa, Brazzaville.

[5]   National Malaria Control Programme (NMCP) (2009) Direction de lutte contre la maladie. Ministry of Health. Report of the Household Survey on Malaria in Burkina Faso, 75 p.

[6]   Yakpa, J. (2014) Malaria and Pregnancy Seasonality and Relationship with Anaemia and Low Birth Weight in Togo. Master Thesis, University of Lomé, Lomé, 72 p.

[7]   Feller-Dansokho, E., Ki-Zerbo, G. and Badiane, S. (1994) Diagnostic and Therapeutic Management of Simple Malaria in the Dakar Region, Senegal. Annales de la Societe belge de medecine tropicale, 74, 291-300.

[8]   National Malaria Control Programme (PNLP) (2014) Guidelines nationales pour la prise en charge du paludisme dans les formations sanitaires du Burkina Faso. Ministry of Health. Burkina Faso, 17 p.

[9]   Ndiaye, J.L. and Gaye, A. (2001) Infection of the placenta by Plasmodium falciparum in urban areas in Senegal. 6th International Francophone Congress of Tropical Medicine “Health and Urbanization in Africa”, Dakar, October 2001, Manuscript No DK/12.2003.

[10]   Blanket, T. (2008) Survey on Malaria Knowledge, Attitudes and Practices in Nineteen Health Districts in Cote d’Ivoire Centre de Recherche pour le Développement. Abidjan, 71 p.

[11]   Ehijie. F.O.E., Augustine, O. and Okpere, E.E. (2007) A Survey of Knowledge, Attitude and Practice of Malaria Management among Pregnant Women from Two Health Cara Facilities in Nigeria. Acta Obstetricia et Gynecologica Scandinavica, 86, 33-36.
https://doi.org/10.1080/00016340600984670

[12]   Monbrison, F. and Oiege ville, M. (2008) Enseignement de parasitologie.—Association francaise des enseignants de parasitologie et de mycologie, 3rd Edition.
http://anofel.net/

[13]   Mohamed, M.O.M. (2008) Etude de la situation de prévention du paludisme chez la femme enceinte: enquête dans les formations sanitaires publiques de la commune de Ouagadougou. Burkina Faso. Master Thesis, Université de Ouagadougou, Ouagadougou, 92 p.

 
 
Top