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Perceptions and practices for preventing malaria in pregnancy in a peri-urban setting in south-western Uganda

Overview of attention for article published in Malaria Journal, April 2016
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Title
Perceptions and practices for preventing malaria in pregnancy in a peri-urban setting in south-western Uganda
Published in
Malaria Journal, April 2016
DOI 10.1186/s12936-016-1246-1
Pubmed ID
Authors

Anthony K. Mbonye, Said M. Mohamud, James Bagonza

Abstract

Malaria in pregnancy contributes greatly to maternal morbidity and mortality in Uganda. Thus it is urgent to identify possible barriers that limit access to existing interventions. The aim of this study was to assess perceptions and practices regarding malaria prevention during pregnancy in a peri-urban area and explore ways to scale-up malaria prevention interventions, since little is known about malaria in peri-urban settings. A survey was conducted in Kabale municipality south-western Uganda from April-June, 2015. Data was collected using a structured questionnaire targeting pregnant women, who delivered in the study area 1 year prior to the survey. Univariate analyses were performed at assess the level of knowledge and practices on malaria prevention during pregnancy. A total of 800 women was interviewed. The majority of women, 96.1 % knew that malaria was a dangerous disease in pregnancy; 60.3 % knew that it caused anaemia, and 71.3 % associated malaria with general weakness. However, fewer women (44.9 %) knew that malaria in pregnancy caused abortions, while 14.9 % thought it caused stillbirths. Similarly, few women (19 %) attended the recommend four antenatal care visits; less than a half (48.8 %) accessed two doses of sulfadoxine-pyrimethamine (SP) for malaria prevention in pregnancy while 16.3 % received at least three doses of SP, as recommended by the current policy. The main reasons for poor antenatal care attendance were: women felt healthy and did not see a need to go for antenatal care, long distances and long waiting hours at clinics. The reasons given for not taking SP for malaria prevention were: women were not feeling sick; they were not aware of the benefits of SP in pregnancy, they were sleeping under insecticide-treated nets; fear of side effects of SP; and the antenatal care clinics were far. Despite a good knowledge that malaria is a dangerous disease in pregnancy, there was poor access to antenatal care and use of SP for malaria prevention in pregnancy. There is urgent to address existing health system constraints in order to increases access to malaria prevention in pregnancy in this setting.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 141 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Madagascar 1 <1%
Unknown 140 99%

Demographic breakdown

Readers by professional status Count As %
Student > Master 35 25%
Student > Bachelor 25 18%
Researcher 17 12%
Student > Ph. D. Student 6 4%
Student > Postgraduate 4 3%
Other 14 10%
Unknown 40 28%
Readers by discipline Count As %
Medicine and Dentistry 35 25%
Nursing and Health Professions 22 16%
Social Sciences 14 10%
Agricultural and Biological Sciences 9 6%
Biochemistry, Genetics and Molecular Biology 4 3%
Other 17 12%
Unknown 40 28%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 3. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 20 April 2016.
All research outputs
#14,294,371
of 24,400,706 outputs
Outputs from Malaria Journal
#3,527
of 5,827 outputs
Outputs of similar age
#148,054
of 305,395 outputs
Outputs of similar age from Malaria Journal
#94
of 174 outputs
Altmetric has tracked 24,400,706 research outputs across all sources so far. This one is in the 40th percentile – i.e., 40% of other outputs scored the same or lower than it.
So far Altmetric has tracked 5,827 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 7.0. This one is in the 37th percentile – i.e., 37% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 305,395 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 50% of its contemporaries.
We're also able to compare this research output to 174 others from the same source and published within six weeks on either side of this one. This one is in the 45th percentile – i.e., 45% of its contemporaries scored the same or lower than it.