[Quality of malaria prevention during prenatal consultations in Niakhar (Senegal)]. 2007

P Ndiaye, and A Faye, and Dia A Tal
Service de Médecine Préventive et Santé Publique (MP/SP), Université Cheikh Anta DIOP (UCAD), de Dakar. pndiayempsp@yahoo.fr

BACKGROUND To evaluate the quality of malaria prevention during prenatal consultations, this study was carried out in Niakhar, one sub-prefecture of the Fatick region. METHODS It was a matter of a descriptive transverse study, based on the listens and the observation of 60 prenatal consultations carried out within three health posts. The studied variables were related to the criteria of a good quality of prophylaxis at three levels: questioning, examination, and attitude after consultation. RESULTS Questioning was centred by frequency order on: the pregnancy antecedents (65%), the chloroquine direction for use (34.3%), the fever notion (6%), and the chloroquine secondary effects (3%). During the physical examination, all the providers looked for clinical signs of weakens, blood pressure, and presence of oedemas of the legs; but the temperature was taken only in 8.6% of the cases. At the end of the consultation, the chemoprophylaxis prescription and the next consultation appointment were systematic; the duration of the treatment recalled in 57% and malaria seriousness during the pregnancy in 3% of the cases; no one of the providers didn't evoked neither the methods of the treatment nor the attitude to hold in case of fever. CONCLUSIONS The prevention of the malaria in pregnancy through the CPN necessitates a fitting formation supported by regular supervision of the health posts.

UI MeSH Term Description Entries
D008288 Malaria A protozoan disease caused in humans by four species of the PLASMODIUM genus: PLASMODIUM FALCIPARUM; PLASMODIUM VIVAX; PLASMODIUM OVALE; and PLASMODIUM MALARIAE; and transmitted by the bite of an infected female mosquito of the genus ANOPHELES. Malaria is endemic in parts of Asia, Africa, Central and South America, Oceania, and certain Caribbean islands. It is characterized by extreme exhaustion associated with paroxysms of high FEVER; SWEATING; shaking CHILLS; and ANEMIA. Malaria in ANIMALS is caused by other species of plasmodia. Marsh Fever,Plasmodium Infections,Remittent Fever,Infections, Plasmodium,Paludism,Fever, Marsh,Fever, Remittent,Infection, Plasmodium,Plasmodium Infection
D011247 Pregnancy The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH. Gestation,Pregnancies
D011295 Prenatal Care Care provided the pregnant woman in order to prevent complications, and decrease the incidence of maternal and prenatal mortality. Antenatal Care,Care, Antenatal,Care, Prenatal
D011787 Quality of Health Care The levels of excellence which characterize the health service or health care provided based on accepted standards of quality. Pharmacy Audit,Quality of Care,Quality of Healthcare,Audit, Pharmacy,Care Quality,Health Care Quality,Healthcare Quality,Pharmacy Audits
D002738 Chloroquine The prototypical antimalarial agent with a mechanism that is not well understood. It has also been used to treat rheumatoid arthritis, systemic lupus erythematosus, and in the systemic therapy of amebic liver abscesses. Aralen,Arechine,Arequin,Chingamin,Chlorochin,Chloroquine Sulfate,Chloroquine Sulphate,Khingamin,Nivaquine,Sulfate, Chloroquine,Sulphate, Chloroquine
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000962 Antimalarials Agents used in the treatment of malaria. They are usually classified on the basis of their action against plasmodia at different stages in their life cycle in the human. (From AMA, Drug Evaluations Annual, 1992, p1585) Anti-Malarial,Antimalarial,Antimalarial Agent,Antimalarial Drug,Anti-Malarials,Antimalarial Agents,Antimalarial Drugs,Agent, Antimalarial,Agents, Antimalarial,Anti Malarial,Anti Malarials,Drug, Antimalarial,Drugs, Antimalarial
D012675 Senegal A republic in western Africa, southwest of MAURITANIA and east of MALI. Its capital is Dakar. Republic of Senegal
D015597 Pregnancy Complications, Parasitic The co-occurrence of pregnancy and parasitic diseases. The parasitic infection may precede or follow FERTILIZATION. Parasitic Pregnancy Complications,Complications, Parasitic Pregnancy,Pregnancy, Parasitic Complications,Complication, Parasitic Pregnancy,Complications Pregnancies, Parasitic,Complications Pregnancy, Parasitic,Parasitic Complications Pregnancies,Parasitic Complications Pregnancy,Parasitic Pregnancy Complication,Pregnancies, Parasitic Complications,Pregnancy Complication, Parasitic

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