This briefing describes a project to examine demand and supply side barriers to uptake of intermittent preventive treatment in pregnancy (IPTp), sampling two differnt regions of Uganda. The aim is to develop policy recommendations including the development and scale-up of a pilot project whereby pregnant women would receive at least two doses of IPTp as part of the focused antenatal care package (ultimate aim is for 80% coverage in Uganda).
The samples are facilities and communities in the Eastern Nile and the West Nile; these represent a wide range of Ugandan geographical and ethnic diversity. Household surveys of IPTp uptake in these regions vary from low (20.5 percent in West Nile) to high (32.5 percent in Eastern) compared with the national average. The sample regions chosen also allow for a comparison between a region where Stop Malaria Project operates (Eastern) and might have impacted on provision of malaria in pregnancy interventions, and a region where it does not operate (West Nile) and could not have impacted on IPTp uptake.
The study will conduct 40 in-depth interviews with key informants (pregnant women and mothers, health workers, district-level officials), and a document and record review comparing antenatal care registers at four facilities with monthly antenatal care reports filed by those facilities.
Malaria Consortium. Assessing and addressing barriers to IPTp uptake in Uganda.