Date of Conferral
2022
Degree
Ph.D.
School
Public Health
Advisor
Hadi Danawi
Abstract
In Togo, prophylactic antimalarial intermittent preventive therapy in pregnancy (IPTp) is provided to disrupt suboptimal pathways leading to the issue of low birth weight. However, there is a lack of nationally representative data on the determinants of this adverse birth outcome. The purpose of this quantitative cross-sectional study was to determine pregnancy-related determinants of low birth weight through a nationally representative dataset. Bronfenbrenner’s ecological systems model guided this study to explore potential associations between the covariates IPTp, utilization of long-lasting insecticidal bed nets, age of pregnant women, socioeconomic status of pregnant women, and gravidity type of pregnant women and the outcome variable birth weight in infants (each covariate vs. the outcome variable at a time). Secondary data from the third Togo Demographic and Health Survey were used (N = 4,009). Statistical analyses included descriptive statistics and simple and multiple logistic regression. The results from multiple logistic regression showed that pregnant women of ageD1(15–19 years) were more likely to give birth to LBW infants as compared to older pregnant women (OR = 2.546, CI = 1.569 – 4.133, p = .000). Multigravida pregnant women (gravidityD3) were more likely to give birth to LBW infants as compared to primigravida and secundigravida pregnant women (OR = .720, CI = .605–.857, p = .000). Increasing coverage of IPTp chemoprevention among teenage pregnant women and multigravida pregnant women may alleviate the burden of low birth weight in Togo and create positive social change.
Recommended Citation
Awokou, Epiphane, "Prophylactic Antimalarial Intermittent Preventive Therapy in Pregnancy and Birth Weight in Togo" (2022). Walden Dissertations and Doctoral Studies. 13178.
https://scholarworks.waldenu.edu/dissertations/13178
