Intermittent Preventive Treatment of Malaria in Pregnancy

Behavior Profile Sample: Intermittent Preventive Treatment of Malaria in Pregnancy

A Behavior Profile is a summary analysis of each behavior. This sample draws from global evidence and illustrates the result of using the Create Behavior Profiles Tool to analyze factors, supporting actors and strategies and to ensure logical pathways exist between strategies proposed and factors related to the practice of the behavior. This sample may be used as a starting point or reference for creating country-specific Behavior Profiles.

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Health Goal	Improve maternal and child survival
Accelerator Behavior	Pregnant women take intermittent preventive treatment of malaria (IPTp) during antenatal care (ANC) visits Percentage of women age 15-49 with a live birth in the two years preceding the survey who during the pregnancy took 3 or more doses of SP/Fansidar, with at least one dose during an antenatal care visit Percentage of women age 15-49 with a live birth in the two years preceding the survey who during the pregnancy took 2 or more doses of SP/Fansidar, with at least one dose during an antenatal care visit

Health Goal

Improve maternal and child survival

Accelerator Behavior

Pregnant women take intermittent preventive treatment of malaria (IPTp) during antenatal care (ANC) visits

Percentage of women age 15-49 with a live birth in the two years preceding the survey who during the pregnancy took 3 or more doses of SP/Fansidar, with at least one dose during an antenatal care visit
Percentage of women age 15-49 with a live birth in the two years preceding the survey who during the pregnancy took 2 or more doses of SP/Fansidar, with at least one dose during an antenatal care visit

Behavior Analysis	Strategy
STEPS What steps are needed to practice this behavior? Decide to seek ANC care early before the end of the first trimester Obtain IPTp at each ANC visit, beginning in second trimester Adhere to provider instructions on when to return for the next visit Click on any box to see the pathwaysA pathway illustrates how elements in the Behavior Profile are linked. When read from right to left, a pathway highlights how strategies are expected to address the factors to enable adoption of the Accelerator Behavior. of the behavior.	FACTORS What factors may prevent or support practice of this behavior? These should be analyzed for each country context. Structural Accessibility: Fansidar/SP is often out of stock or rationed Provider Competencies: Lack of provider knowledge including when to begin IPTp further confuses women and their family Social Family and Community Support: Often family members or partners do not consent to multiple ANC visits Family and Community Support: IPTp is seldom endorsed or promoted by community-based service providers Internal Attitudes and Beliefs : Many women fear side effects Attitudes and Beliefs : Women and families often motivated by idea of treatment more than prevention Attitudes and Beliefs : Many women are unaware of the protective benefits of IPTp to themselves and their unborn child	SUPPORTING ACTORS AND ACTIONS Who must support the practice of this behavior? Institutional Policymakers: Ensure integration of IPTp with broader reproductive health programs Logistics Personnel: Ensure SP or other IPTp commodity supply Providers: Provide clear counseling about protective benefits, timing and dosing of IPTp to pregnant women and their partners	POSSIBLE PROGRAM STRATEGIES How might we focus our efforts based on this analysis? Enabling Environment Partnerships and Networks: Explore delivery of ANC and IPTp in non-formal settings, such as through NGOs and by community health workers, directly in the community where ANC is inaccessible Policies and Governance: Integrate IPTp into reproductive health programs Systems, Products and Services Supply Chain: Strengthen commodities and supply chain for Fansidar/SP or IPTp protocol at all levels to plan for at least 4 doses per expected pregnant woman Quality Improvement: Disseminate to providers clear IPTp guidelines and information to use in counseling women on benefits Quality Improvement: Expand and promote services offered during ANC to increase perceived value, including treatment for RTIs Demand and Use Communication: Use appropriate communications approaches to reposition value of preventive services to mother and unborn child

Behavior Analysis

Strategy

STEPS

What steps are needed to practice this behavior?

Decide to seek ANC care early before the end of the first trimester
Obtain IPTp at each ANC visit, beginning in second trimester
Adhere to provider instructions on when to return for the next visit

Click on any box
to see the pathwaysA pathway illustrates how elements in the Behavior Profile are linked. When read from right to left, a pathway highlights how strategies are expected to address the factors to enable adoption of the Accelerator Behavior.
of the behavior.

FACTORS

What factors may prevent or support practice of this behavior? These should be analyzed for each country context.

Structural

Accessibility: Fansidar/SP is often out of stock or rationed

Provider Competencies: Lack of provider knowledge including when to begin IPTp further confuses women and their family

Social

Family and Community Support: Often family members or partners do not consent to multiple ANC visits

Family and Community Support: IPTp is seldom endorsed or promoted by community-based service providers

Internal

Attitudes and Beliefs : Many women fear side effects

Attitudes and Beliefs : Women and families often motivated by idea of treatment more than prevention

Attitudes and Beliefs : Many women are unaware of the protective benefits of IPTp to themselves and their unborn child

SUPPORTING ACTORS AND ACTIONS

Who must support the practice of this behavior?

Institutional

Policymakers: Ensure integration of IPTp with broader reproductive health programs

Logistics Personnel: Ensure SP or other IPTp commodity supply

Providers: Provide clear counseling about protective benefits, timing and dosing of IPTp to pregnant women and their partners

POSSIBLE PROGRAM STRATEGIES

How might we focus our efforts based on this analysis?

Enabling Environment

Partnerships and Networks: Explore delivery of ANC and IPTp in non-formal settings, such as through NGOs and by community health workers, directly in the community where ANC is inaccessible

Policies and Governance: Integrate IPTp into reproductive health programs

Systems, Products and Services

Supply Chain: Strengthen commodities and supply chain for Fansidar/SP or IPTp protocol at all levels to plan for at least 4 doses per expected pregnant woman

Quality Improvement: Disseminate to providers clear IPTp guidelines and information to use in counseling women on benefits

Quality Improvement: Expand and promote services offered during ANC to increase perceived value, including treatment for RTIs

Demand and Use

Communication: Use appropriate communications approaches to reposition value of preventive services to mother and unborn child

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