Utilization of Deworming Drugs and Its Individual and Community Level Predictors among Pregnant Married Women in Cameroon: A Multilevel Modeling.
Adult
Animals
Anthelmintics
/ pharmacology
Cameroon
/ epidemiology
Delivery, Obstetric
/ statistics & numerical data
Family Characteristics
Female
Health Facilities
Helminthiasis
/ drug therapy
Helminths
/ parasitology
Humans
Marriage
Maternal Health Services
/ statistics & numerical data
Patient Acceptance of Health Care
/ psychology
Personal Autonomy
Pregnancy
Pregnant Women
Prenatal Care
/ statistics & numerical data
Socioeconomic Factors
Young Adult
Journal
BioMed research international
ISSN: 2314-6141
Titre abrégé: Biomed Res Int
Pays: United States
ID NLM: 101600173
Informations de publication
Date de publication:
2021
2021
Historique:
received:
30
12
2020
accepted:
05
05
2021
entrez:
7
6
2021
pubmed:
8
6
2021
medline:
30
9
2021
Statut:
epublish
Résumé
Although deworming pregnant women is one of the strategies to reduce parasites (roundworms and hookworms) causing anemia and related perinatal and maternal complications, utilization of deworming medication among pregnant women in Cameroon is suboptimal. Comprehensive assessment of individual, household (including women's autonomy), and community-level factors associated with utilization of deworming medication has not been done so far. Therefore, we investigated the individual/household and community-level factors associated with deworming among pregnant married women in Cameroon. Our study was limited to pregnant women because they have a greater risk due to increased chances of anemia. We used data from the 2018/19 Cameroon Demographic and Health Survey. Analysis on 5,013 pregnant married women was carried out using multilevel logistic regression. Odds ratios with a 95% confidence interval (CI) were reported. Our findings showed that about 29.8% of pregnant married women received deworming medications. The individual/household level predictors of deworming medications utilization identified in this study were women's educational level, wealth quintile, and skilled antenatal care. Distance to health facility and region were identified as community-level predictors of deworming medications utilization. Higher odds of receiving deworming medication occurred among educated and wealthier pregnant married women as well as among pregnant married women who had skilled antenatal care or lived in the south region, whereas lower odds were observed among pregnant married women living in the north region. Access to education and economic empowerment of pregnant married women in remote areas and the north region should be the primary focus of the Cameroon government to enhance deworming coverage in the country.
Sections du résumé
BACKGROUND
BACKGROUND
Although deworming pregnant women is one of the strategies to reduce parasites (roundworms and hookworms) causing anemia and related perinatal and maternal complications, utilization of deworming medication among pregnant women in Cameroon is suboptimal. Comprehensive assessment of individual, household (including women's autonomy), and community-level factors associated with utilization of deworming medication has not been done so far. Therefore, we investigated the individual/household and community-level factors associated with deworming among pregnant married women in Cameroon.
METHODS
METHODS
Our study was limited to pregnant women because they have a greater risk due to increased chances of anemia. We used data from the 2018/19 Cameroon Demographic and Health Survey. Analysis on 5,013 pregnant married women was carried out using multilevel logistic regression. Odds ratios with a 95% confidence interval (CI) were reported.
RESULTS
RESULTS
Our findings showed that about 29.8% of pregnant married women received deworming medications. The individual/household level predictors of deworming medications utilization identified in this study were women's educational level, wealth quintile, and skilled antenatal care. Distance to health facility and region were identified as community-level predictors of deworming medications utilization. Higher odds of receiving deworming medication occurred among educated and wealthier pregnant married women as well as among pregnant married women who had skilled antenatal care or lived in the south region, whereas lower odds were observed among pregnant married women living in the north region.
CONCLUSION
CONCLUSIONS
Access to education and economic empowerment of pregnant married women in remote areas and the north region should be the primary focus of the Cameroon government to enhance deworming coverage in the country.
Identifiants
pubmed: 34095307
doi: 10.1155/2021/6645336
pmc: PMC8137305
doi:
Substances chimiques
Anthelmintics
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
6645336Informations de copyright
Copyright © 2021 Betregiorgis Zegeye et al.
Déclaration de conflit d'intérêts
The authors declare that they have no competing interests.
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