Knowledge, attitudes, and practices concerning malaria in pregnancy: results from a qualitative study in madang, papua new Guinea

BACKGROUND: Malaria is the leading cause of illness and death in Papua New Guinea (PNG). Infection during pregnancy with falciparum or vivax malaria, as occurs in PNG, has health implications for mother and child, causing complications such as maternal anemia, low birth weight and miscarriage. This...

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Autores: Andrew, Erin V. W., Pell, Christopher, Angwin, Angeline, Auwun, Alma, Daniels, Job, Mueller, Ivo, Phuanukoonnon, Suparat, Pool, Robert
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2015
País:España
Institución:Universidad de Barcelona
Repositorio:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/69262
Acceso en línea:https://hdl.handle.net/2445/69262
Access Level:acceso abierto
Palabra clave:Malària
Plasmodium falciparum
Plasmodium vivax
Complicacions en l'embaràs
Malaria
Complications of pregnancy
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spelling Knowledge, attitudes, and practices concerning malaria in pregnancy: results from a qualitative study in madang, papua new GuineaAndrew, Erin V. W.Pell, ChristopherAngwin, AngelineAuwun, AlmaDaniels, JobMueller, IvoPhuanukoonnon, SuparatPool, RobertMalàriaPlasmodium falciparumPlasmodium vivaxComplicacions en l'embaràsMalariaPlasmodium falciparumPlasmodium vivaxComplications of pregnancyBACKGROUND: Malaria is the leading cause of illness and death in Papua New Guinea (PNG). Infection during pregnancy with falciparum or vivax malaria, as occurs in PNG, has health implications for mother and child, causing complications such as maternal anemia, low birth weight and miscarriage. This article explores knowledge, attitudes and practices concerning malaria during pregnancy and it's prevention in Madang, PNG, a high prevalence area. METHODS: As part of a qualitative study in Madang, exploring MiP, participatory techniques (free-listing and sorting) were conducted along with focus group discussions, in-depth interviews (with pregnant women, health staff and other community members) and observations in the local community and health facilities. RESULTS: The main themes explored were attitudes towards and knowledge of MiP, its risks, and prevention. Although there was a general awareness of the term "malaria", it was often conflated with general sickness or with pregnancy-related symptoms. Moreover, many preventive methods for MiP were related to practices of general healthy living. Indeed, varied messages from health staff about the risks of MiP were observed. In addition to ideas about the seriousness and risk of MiP, other factors influenced the uptake of interventions: availability and perceived comfort of sleeping under insecticide-treated mosquito nets were important determinants of usage, and women's heavy workload influenced Chloroquine adherence. CONCLUSION: The non-specific symptoms of MiP and its resultant conflation with symptoms of pregnancy that are perceived as normal have implications for MiP prevention and control. However, in Madang, PNG, this was compounded by the inadequacy of health staff's message about MiP.Public Library of Science (PLoS)2015info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/2445/69262Articles publicats en revistes (ISGlobal)reponame:Dipòsit Digital de la UBinstname:Universidad de BarcelonaInglésReproducció del document publicat a: http://dx.doi.org/10.1371/journal.pone.0119077PLoS One, 2015, vol. 10, num. 4, p. e0119077http://dx.doi.org/10.1371/journal.pone.0119077cc by (c) Andrew et al., 2015http://creativecommons.org/licenses/by/3.0/es/info:eu-repo/semantics/openAccessoai:diposit.ub.edu:2445/692622026-05-27T06:46:51Z
dc.title.none.fl_str_mv Knowledge, attitudes, and practices concerning malaria in pregnancy: results from a qualitative study in madang, papua new Guinea
title Knowledge, attitudes, and practices concerning malaria in pregnancy: results from a qualitative study in madang, papua new Guinea
spellingShingle Knowledge, attitudes, and practices concerning malaria in pregnancy: results from a qualitative study in madang, papua new Guinea
Andrew, Erin V. W.
Malària
Plasmodium falciparum
Plasmodium vivax
Complicacions en l'embaràs
Malaria
Plasmodium falciparum
Plasmodium vivax
Complications of pregnancy
title_short Knowledge, attitudes, and practices concerning malaria in pregnancy: results from a qualitative study in madang, papua new Guinea
title_full Knowledge, attitudes, and practices concerning malaria in pregnancy: results from a qualitative study in madang, papua new Guinea
title_fullStr Knowledge, attitudes, and practices concerning malaria in pregnancy: results from a qualitative study in madang, papua new Guinea
title_full_unstemmed Knowledge, attitudes, and practices concerning malaria in pregnancy: results from a qualitative study in madang, papua new Guinea
title_sort Knowledge, attitudes, and practices concerning malaria in pregnancy: results from a qualitative study in madang, papua new Guinea
dc.creator.none.fl_str_mv Andrew, Erin V. W.
Pell, Christopher
Angwin, Angeline
Auwun, Alma
Daniels, Job
Mueller, Ivo
Phuanukoonnon, Suparat
Pool, Robert
author Andrew, Erin V. W.
author_facet Andrew, Erin V. W.
Pell, Christopher
Angwin, Angeline
Auwun, Alma
Daniels, Job
Mueller, Ivo
Phuanukoonnon, Suparat
Pool, Robert
author_role author
author2 Pell, Christopher
Angwin, Angeline
Auwun, Alma
Daniels, Job
Mueller, Ivo
Phuanukoonnon, Suparat
Pool, Robert
author2_role author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Malària
Plasmodium falciparum
Plasmodium vivax
Complicacions en l'embaràs
Malaria
Plasmodium falciparum
Plasmodium vivax
Complications of pregnancy
topic Malària
Plasmodium falciparum
Plasmodium vivax
Complicacions en l'embaràs
Malaria
Plasmodium falciparum
Plasmodium vivax
Complications of pregnancy
description BACKGROUND: Malaria is the leading cause of illness and death in Papua New Guinea (PNG). Infection during pregnancy with falciparum or vivax malaria, as occurs in PNG, has health implications for mother and child, causing complications such as maternal anemia, low birth weight and miscarriage. This article explores knowledge, attitudes and practices concerning malaria during pregnancy and it's prevention in Madang, PNG, a high prevalence area. METHODS: As part of a qualitative study in Madang, exploring MiP, participatory techniques (free-listing and sorting) were conducted along with focus group discussions, in-depth interviews (with pregnant women, health staff and other community members) and observations in the local community and health facilities. RESULTS: The main themes explored were attitudes towards and knowledge of MiP, its risks, and prevention. Although there was a general awareness of the term "malaria", it was often conflated with general sickness or with pregnancy-related symptoms. Moreover, many preventive methods for MiP were related to practices of general healthy living. Indeed, varied messages from health staff about the risks of MiP were observed. In addition to ideas about the seriousness and risk of MiP, other factors influenced the uptake of interventions: availability and perceived comfort of sleeping under insecticide-treated mosquito nets were important determinants of usage, and women's heavy workload influenced Chloroquine adherence. CONCLUSION: The non-specific symptoms of MiP and its resultant conflation with symptoms of pregnancy that are perceived as normal have implications for MiP prevention and control. However, in Madang, PNG, this was compounded by the inadequacy of health staff's message about MiP.
publishDate 2015
dc.date.none.fl_str_mv 2015
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/69262
url https://hdl.handle.net/2445/69262
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: http://dx.doi.org/10.1371/journal.pone.0119077
PLoS One, 2015, vol. 10, num. 4, p. e0119077
http://dx.doi.org/10.1371/journal.pone.0119077
dc.rights.none.fl_str_mv cc by (c) Andrew et al., 2015
http://creativecommons.org/licenses/by/3.0/es/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc by (c) Andrew et al., 2015
http://creativecommons.org/licenses/by/3.0/es/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Public Library of Science (PLoS)
publisher.none.fl_str_mv Public Library of Science (PLoS)
dc.source.none.fl_str_mv Articles publicats en revistes (ISGlobal)
reponame:Dipòsit Digital de la UB
instname:Universidad de Barcelona
instname_str Universidad de Barcelona
reponame_str Dipòsit Digital de la UB
collection Dipòsit Digital de la UB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15.301603

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