This 5 page paper is a research proposal to assess what barrier exist and the degree to which they impact on deterring or preventing pregnant women in Northern Uganda gaining intermittent treatment to prevent malaria. The paper presents an introduction and justification for the study, literature review and methodology for primary research. The bibliography cites 12 sources.
Name of Research Paper File: TS14_TEmalariapreg.doc
Unformatted Sample Text from the Research Paper:
References 6 1. Introduction Uganda has one of the highest incidence rates for malaria, with a recorded rate of 478 cases per 1,000 population per annum (WHO, 2006). It is
leading cause of both morbidity and mortality in the country with this level of incidence it is unsurprising that one of the most vulnerable population; pregnant women would be disproportionately
effected. Both primigravid and multigravid women face severe risks as a result of contracting malaria, with primigravid facing the greatest risks, including maternal anaemia which is magnified by the presence
of malaria (Duffy and Fried, 2005; Steketee et al. 2001). Malaria is estimated to directly and indirectly responsible for be 65% of maternal mortality cases in Uganda (Mbonye et al,
2007). With a maternal mortality rate of 67.1 per 10,000 live births this indicates that malaria is response for a high number of deaths in the country, and the social
consequences that follow the death of a parent in the family. Furthermore, malaria also has a potentially significantly negative impact on the foetus, associated with low birth weights of less
than 2500 g (Steketee et al, 2001; Brabin, 1991) and up to 60% of spontaneous abortions (Ndyomugyenyi et al, 2001; 1999). With this incidence it is important that programs to
reduce malaria are well implemented, but research indicates that in Uganda there is a poor take up rate and poor compliance where they are taken up (Bygbjerg et al, 2008).
In order to reduce the rates it is apparent that there needs to be an understanding of the barriers that prevent full take up and compliance with the programs.
2. Literature Review Malaria is a significant factor in maternal mortality and low birth rates. The high prevalence of Plasmodium falciparum in Uganda; which is responsible for the most serious malaria