title: Factors influencing the usage of different types of malaria prevention methods during pregnancy in Kenya.
abstract: BACKGROUND
  In sub-Saharan Africa, malaria is a leading cause of morbidity and mortality, which, during pregnancy, is associated with adverse health outcomes for both mother and foetus. Utilization of Insecticide Treated Nets (ITNs) and Intermittent Preventive Therapy (IPTp) is advocated to prevent malaria during pregnancy.
  
  
  OBJECTIVE
  To examine factors which influence the use of different types of malaria prevention methods among pregnant women in Kenya.
  
  
  METHODS
  This study used 2008-09 Kenya Demographic and Health survey. Pregnant women aged 15-49 years were included (622 women). Distribution of the study population was assessed in frequency tables. Bivariate and multivariate logistic regression analysis was employed.
  
  
  RESULTS
  Fifty-two percent of women used ITNs and 38.5% reported uptake of IPTp. In multivariate analysis age, malaria risk areas, religion, education and income influenced ITN usage, whereas only age, malaria risk areas and marital status were found to influence IPTP uptake.
  
  
  CONCLUSIONS
  ITN use and IPTp uptake were well below the 80% Kenya Malaria Strategy 2006 target. In an effort to increase uptake it is vital for future research to understand reasons for low usage and uptake of malaria prevention programmes so as to enable policy-makers to make informed decisions.
authors.affiliation: Centre for Health Policy/MRC Health Policy Research Group; School of Public Health; Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa ; Demography and Population Studies Programme, Schools of Public Health and Social Sciences, University of the Witwatersrand, Johannesburg, South Africa.
authors.forename: Shakira
authors.initials: S
authors.lastname: Choonara
authors.affiliation: Demography and Population Studies Programme, Schools of Public Health and Social Sciences, University of the Witwatersrand, Johannesburg, South Africa.
authors.forename: Clifford Obby
authors.initials: CO
authors.lastname: Odimegwu
authors.affiliation: Demography and Population Studies Programme, Schools of Public Health and Social Sciences, University of the Witwatersrand, Johannesburg, South Africa ; Department of Sociology and Social Administration, Kyambogo University, Uganda.
authors.forename: Bob Charlestine
authors.initials: BC
authors.lastname: Elwange
mesh_terms: D000328:Adult; D000962:Antimalarials / Q000008:administration & dosage*; D004338:Drug Combinations; D005260:Female; D006801:Humans; D057148:Insecticide-Treated Bednets / Q000706:statistics & numerical data*; D007306:Insecticides; D007630:Kenya; D008288:Malaria / Q000517:prevention & control*; D008875:Middle Aged; D009032:Mosquito Control / Q000379:methods* / Q000706:statistics & numerical data; D015999:Multivariate Analysis; D011247:Pregnancy; D015597:Pregnancy Complications, Parasitic / Q000517:prevention & control*; D055815:Young Adult
chemical_list: D000962:Antimalarials; D004338:Drug Combinations; D007306:Insecticides
keywords: Kenya; Malaria prevention methods; Pregnancy