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Global Health Econ Sustain








                                        ORIGINAL RESEARCH ARTICLE
                                        Antenatal care attendance, intermittent
                                        preventive treatment in pregnancy, and

                                        malaria knowledge: A cross-sectional study in
                                        government and private district hospitals




                                        Charity Ahiabor 1,2,3 * , David Courtin 4  , William Anyan 2  , Atikatou Mama 2,4  ,
                                        Naa Adjeley Frempong 2,3  , Kwadwo A. Kusi 2  , Michael F. Ofori 2  ,
                                                                                                        3
                                                                                      6
                                        Bright Adu 2  , Bernard H. Atuguba 5  , Kofi S. Ayensu , Bernard W. Lawson ,
                                        Abraham K. Anang 2  , and Nicaise T. Ndam 4
                                        1 Department of Science Laboratory  Technology, Faculty of  Applied Sciences,  Accra  Technical
                                        University, Accra, Greater Accra, Ghana
                                        2 Noguchi Memorial Institute for Medical Research, University of Ghana, Accra, Greater Accra, Ghana
                                        3 Department of Theoretical and Applied Biology, Faculty of Science, Kwame Nkrumah University of
                                        Science and Technology, Kumasi, Ashanti, Ghana
                                        4 UMR MERIT (The MERIT Research Unit “Mother and Child in a Tropical Environment: Pathogens, Health
                                        System and Epidemiological Transition”), University of Paris, Research Institute for Development, France
                                        5 Battor Catholic Hospital, North Tongu District, Battor, Volta Region, Ghana
                                        6 Asafoatse Yartey Avenue Hno. 30 Sakaman Accra, Greater Accra, Ghana



                                        Abstract
            Academic editor:
            Mihajlo Jakovljevic M.D. Ph.D. MAE  Ghana has made significant strides in maternal health care under the National Health
                                        Insurance Scheme, but more effort is required to achieve the Sustainable Development
            *Corresponding author:      Goal (SDG) 3.1 target of fewer than 70 maternal deaths/100,000 live births, down
            Charity Ahiabor
            (cahiabor@atu.edu.gh)       from the current rate of 308 maternal deaths/100,000 live births. This study aimed to
                                        explore knowledge about antenatal care (ANC), antenatal attendance, malaria, and
            Citation: Ahiabor, C., Courtin, D.,
            Anyan, W., et al. (2024). Antenatal   intermittent preventive treatment in pregnancy (IPTp) among pregnant women from
            care attendance, intermittent   two high malaria endemic areas: Mafi-Adidome (a rural community) visiting Adidome
            preventive treatment in pregnancy,   Government Hospital and Battor Dugame (a rural-urban community) visiting Battor
            and malaria knowledge: A cross-
            sectional study in government and   Catholic Hospital. A total of 1295 consenting pregnant women participated in the
            private district hospitals. Global   study. Information on sociodemographic characteristics, as well as knowledge about
            Health Econ Sustain, 2(2): 2336.   ANC, IPTp, and malaria, were collected via questionnaires. Chi-square tests were used
            https://doi.org/10.36922/ghes.2336
                                        to compare the proportions of variables across the two study sites. A higher proportion
            Received: November 29, 2023  of participants at Battor Catholic Hospital (70.8%) showed adequate knowledge
                                                                                                         2
            Accepted: March 25, 2024    about ANC compared to those at Adidome Government Hospital (38.1%) (χ [7] =
                                        105.11; p < 0.001). In addition, more participants at Battor Catholic Hospital (46.6%)
            Published Online: March 29, 2024
                                        showed adequate knowledge about the timing for IPTp administration compared to
            Copyright: © 2024 Author(s).   those at Adidome Government Hospital (21.1%) (χ [2] = 83.37; p < 0.001). Although
                                                                                  2
            This is an open-access article
            distributed under the terms of the   knowledge about malaria was generally low (0–33.3%) at both health centers, a high
            Creative Commons Attribution   proportion of participants (>80%) possessed and used mosquito bed nets for malaria
            License, permitting distribution, and   prevention. A lower proportion (46.6%) of participants at Battor Catholic Hospital
            reproduction in any medium, which
            provided that the original work is   made the WHO-recommended four to seven visits compared to 50.2% of participants
            properly cited.             at Adidome Government Hospital. Age, marital status, employment, and education
                                        influenced the utilization of antenatal and delivery services. Increased sensitization
            Publisher’s Note: AccScience
            Publishing remains neutral with   on the importance of ANC and hospital delivery is needed in these study areas.
            regard to jurisdictional claims in
            published maps and institutional   Keywords: Antenatal care; Knowledge; Malaria; Preventive treatment
            affiliations.

            Volume 2 Issue 2 (2024)                         1                        https://doi.org/10.36922/ghes.2336
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