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

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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.

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Reproducció del document publicat a:
                http://dx.doi.org/10.1371/journal.pone.0119077

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Articles publicats en revistes (ISGlobal)

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