IMPACT OF HEALTH PROMOTION ON MALARIA PREVENTION DURING EARLY PREGNANCY

ABSTRACT

The study was carried out to examine the Impact of Health Promotion on Malaria Prevention During Early Pregnancy. In achieving this aim, the following specific objectives were laid out to identify the measures utilized by women of reproductive age in preventing malaria during pregnancy and assess the level of health promotion on malaria preventive measures among pregnant women attending antenatal clinic. The research design used in this report is descriptive design, utilizing questionnaire method to obtain information from the respondents for this project. A total of 100 (one hundred) respondents were selected for this study to represent the entire population of the study. For null hypotheses were formulated and tested using the one-way ANOVA and the t-test statistical tools at zero point zero five (0.05) level of significance. Primary data were collected from the primary source which questionnaire was used as an instrument of data collection while secondary data were sources from textbooks, journals, newspapers and the internet were employed. The data were presented on a frequency distribution table and analyzed using simple percentage, while hypothesis was tested using chi-square test. This study will be of immense benefit to midwives and other researchers who intend to know more on this study and can also be used by non-researchers to build more on their research work. Based on the findings, it is recommended that the levels of knowledge about malaria prevention and treatment among surveyed mothers, particular attention should be placed on health education strategies involving the use behaviour change communication. This should arouse sufficient conscious awareness appropriate for action required to prevent malaria transmission among Women of Child Bearing Age.

CHAPTER ONE

1.1 Introduction

Malaria symptoms usually occur between seven and fifteen days after a mosquito inoculation. Signs and symptoms related to malaria infection are varied, but the majority of patients have fever. It is generally characterized by recurrent attacks with moderate to severe shaking chills, high-fever, profuse sweating during the fall of body temperature, general feeling of unease and discomfort (malaise). Other signs and symptoms are headache, nausea, vomiting and diarrhea. Malaria should be suspected in every febrile patient who lives or has traveled to an endemic area and in the differential diagnosis of patients who have fever of unknown origin, malaria should also be considered. Any patient with an untreated P. falciparum infection can rapidly progress to coma, renal failure, pulmonary edema, and death (MMWR, 2004).

As a prelude to other parts of this study, this chapter will discuss the background upon which this study was initiated, the statement of problems that led to this study, the Aim and Objectives of the study. Others are Significance of the study, Scope of work, Research hypothesis and questions, Limitation of the study and Definition of technical terms.

1.2 Background of Study

Malaria is a tropical disease transmitted by an infected plasmodium species of mosquito and constitutes an important cause for global burden of morbidity and mortality among Women of Child Bearing Age and under five year old children. The 2013 World Malaria Report has it that in 2012, an estimated 627,000 deaths occurred as a result of malaria and of this, 90% occurred in Sub-Saharan Africa with 77% recorded among under-Five years. The report also revealed that about half the world population of 3.4 billion people remains at risk of malaria exposure living in endemic regions. In Africa, malaria constitute the primary cause of infectious disease burden and bears considerable proportion of the global burden of about 2.7 million deaths attributable to the disease with an estimated 300 million people who live with it yearly (WHO, 2010).

The populations at highest risk of morbidity are young children and pregnant women, because of their low immunity against the disease (Roca-Feltrer, Carneiro, Armstrong-Schellenberg, 2008; Rogerson, 2010). Malaria accounts for serious pregnancy-related complications during childbirth and a major cause of anemia in both children and pregnant women (Ekejindu, Udigwe & Chijioke, 2006; Matangila, Lufuluabu, Ibalanky, da Luz, Lutumba, & Van Geertruyden, 2014). As a result of the deteriorating health conditions of populations in the developing world, and the impact of malaria to the health of pregnant women and under five year old, the Millennium Development Goals (MDG) initiative was launched in 1990 with the aim of encouraging governments of nation states to initiate policies and mobilize resources that would significantly impact on factors responsible for health disparities, poverty in diverse communities, environmental degradation and social inequality. The Millennium Development Goal particularly for maternal health, and reversal of the incidence of malaria calls for a reduction in maternal mortality by two-thirds by the year 2015(Sachs, 2005; Orton & Omari, 2008).

Malaria continues to constitute a cause for morbidity and mortality among populations of pregnant women and children in regions of the world with high transmission. The persistent poor pregnancy outcomes and unacceptably high mortality despite efforts to facilitate reduction are reasons to continue malaria research in order to fully understand the behavioral factors associated with current trends. During pregnancy, malaria is more likely to result in severe disease among non-immune women (Nosten et al., 2004). The risk of pregnancy malaria is highest in a first pregnancy and among HIV infected pregnant women.

Therefore, in Ilorin Metropolis of Kwara State where the research was carried out, the activities that was conducted is to know the Impact of Health Promotion on Malaria Prevention during Early Pregnancy.

1.3 Statement of Problems

Investigation revealed that the treatment of clinical disease in non-immune pregnant women Non-immune pregnant women is at great risk of developing severe disease. Quinine is generally recommended for treatment of P. falciparum in pregnant women who are not immune. In high quinine resistance areas, the treatment of choice when available should be artemisinins. Nevertheless, problems such as safety and lack of registration in most endemic areas have to be taken into consideration.

1.4 Aim and Objectives of Study

The aim of the study is to examine the Impact of Health Promotion on Malaria Prevention during Early Pregnancy. In achieving this aim, the following specific objectives were laid out as follows:

To investigate the factors militating pregnant women attending antenatal clinic against the utilization of malaria preventive measures;
To assess the level of health promotion on malaria preventive measures among pregnant women attending antenatal clinic;
To identify the measures utilized by women of reproductive age in preventing malaria during pregnancy; and
To ascertain whether there exist any relationship between knowledge and practice of malaria prevention among Pregnant Women Attending Antenatal Clinic in the area under review.

1.5 Research Questions

The study came up with research questions so as to be able to ascertain the above stated objectives. The specific research questions for the study are stated below as follows:

Are there measures utilized by women of reproductive age in preventing malaria during pregnancy?
Is there any relationship between knowledge and practice of malaria prevention among Pregnant Women Attending Antenatal Clinic in the area under review?
What is the level of health promotion on malaria preventive measures among pregnant women attending antenatal clinic?
What are the factors militating pregnant women attending antenatal clinic against the utilization of malaria preventive measures?

1.6 Research Hypothesis

In order to pursue the objective of this study, the following generalized statements have been designed to guide and aids in obtaining the result for the experiment to be conducted. For this work, the null hypothesis will be represented with H0 while the alternative hypothesis will be represented with hypothesis H1.

Hypothesis One

H0: There are no significant health promotion measures utilized by women of reproductive age in preventing malaria during pregnancy
H1: There are significant health promotion measures utilized by women of reproductive age in preventing malaria during pregnancy

Hypothesis Two

H0: There are no significant factors militating pregnant women attending antenatal clinic against the utilization of malaria preventive measures
H1: There are significant factors militating pregnant women attending antenatal clinic against the utilization of malaria preventive measures

1.7 Significance of Study

The findings of this study would give an insight into areas where health education campaigns are required to influence and promote the adoption of malaria prevention during early pregnancy. It will be beneficial to health workers to develop special intervention measures on specific age ranges of mothers who are not aware about the damages caused by malaria exposure.

This study will also be of immense benefit to midwives and other researchers who intend to know more on this study and can also be used by non-researchers to build more on their research work. This study contributes to knowledge and could serve as a guide for other study.

1.8 Scope of Study

The scope of the research is focused on the Impact of Health Promotion on Malaria Prevention during Early Pregnancy Attending Antenatal Clinic using Warri Central Hospital as a case study.

…

CHAPTER TWO

2.0 Literature Review

2.1 Introduction

The review of relevant literature is the main topic of this chapter. A literature review covers theoretical and methodological contributions to a certain issue in addition to the state of knowledge at the time of writing. It provides information about the state of the art in relation to the subject you are writing about. It examines the body of work on the chosen subject. The literature evaluation in this study comprises the …

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TABLE OF CONTENTS
PRELIMINARY PAGES

Title page
Approval page
Dedication
Acknowledgement
Table of Contents
Abstract
CHAPTER ONE
INTRODUCTION
1.1 Introduction
1.2 Background …
⋮
CHAPTER TWO
LITERATURE REVIEW
2.1 Introduction
2.2 Conceptual Review
2.3 Theoretical Framework
⋮
2.4 Empirical Studies
CHAPTER THREE

RESEARCH METHODOLOGY

3.1 Introduction

3.2 Research Design

3.3 Population of Study

3.4 Sampling and Sampling Technique

3.5 Validation of Research Instrument

3.6 Method of Data Collection

3.7 Method of Data Analysis

3.8 Questionnaire Administration

3.9 Ethical Consideration

3.10 Statistical Analysis

CHAPTER FOUR

DATA ANALYSIS, RESULT AND DISCUSSION

4.1 Introduction

4.2 Presentation and Analysis of Data

4.3 Re-statement of Research Questions

4.4 Test of Hypotheses

4.5 Discussion of Findings

CHAPTER FIVE

SUMMARY, CONCLUSION AND RECOMMENDATION

5.1 Introduction

5.2 Summary of Findings

5.3 Conclusion

5.4 Recommendation

5.5 Suggestion for Further Study

REFERENCES

APPENDIX A - “QUESTIONNAIRE”

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