Governance of malaria prevention: How decision-makers' and pregnant women's sensemaking contribute to unintended consequences.
Although malaria in pregnancy predisposes women to increased perinatal mortality and morbidity, complex issues underlie its persistence. To develop a better understanding of the factors affecting women's access to Intermittent Preventive Treatment in Benin, we used the theoretical lens of "sensemaking" to clarify policymakers', health professionals', and women's perspectives concerning preventive policies and barriers to access. Several assumptions were found to underlie Benin's malaria preventive policy that contribute to the unintended effect of deterring pregnant women in poverty from accessing preventive treatment. Health system dysfunctions including drug shortages and deficiencies in health care professionalism exacerbate the unintended effect.
a Faculty of Health , York University , Toronto , Ontario , Canada.
Georges
G
Danhoundo
a Faculty of Health , York University , Toronto , Ontario , Canada.
Mary E
ME
Wiktorowicz
b Faculty of Social Sciences, School of International Development and Global Studies , University of Ottawa , Ottawa , Ontario , Canada.
Sanni
S
Yaya
D001541:Benin; D003657:Decision Making; D005260:Female; D018166:Health Care Reform; D006297:Health Services Accessibility; D006801:Humans; D008288:Malaria / Q000517:prevention & control*; D008427:Maternal Health Services / Q000191:economics; D011203:Poverty; D011247:Pregnancy; D037841:Pregnant People; D055815:Young Adult