Evaluation of the adhesion of pregnant women to intermittent presumptive treatment with Sulfadoxine-Pyrimethamine in a rural area of Gabon.

Background: Gestational malaria remains one of the most complex forms of malaria. To fight it, several African countries adopted intermittent presumptive treatment with Sulfadoxine-Pyrimethamine (IPT-SP) and the use of preventive measures such as insecticide-treated bed nets (ITNs), indoor residual sprays (IRS) and popular education on good practices to fight against malaria. In Gabon a country of central Africa, no study has investigated the use of IPT-SP in rural areas since its implementation. The aim of this study was to investigate the adhesion level of pregnant women to IPT-SP, coverage of ITNs and IRS, and knowledge on the good practices about malaria in a rural area of Gabon. Using a questionnaire, we led a retrospective study including pregnant women from January 5 th 2016 to January 31 st 2018 and a cross-sectional survey including women seen for antenatal care and all febrile patients in consultation from February 2 nd to May 31 st 2018. Malaria was diagnosed using rapid diagnostic tests. Statistical analyses were done. Results: We included 607 pregnant women before their delivery. Women between 20 and 25 years old were the most prevalent (37.26%, n=229). Among them, 74.53% were unemployed and 47.21% living in the villages surrounding the rural town of Fougamou. The rate of adhesion to IPT-SP was 94.37% (n=573). Among them, 47.8% (n=274) had received 3 doses of IPT. Among the pregnant women included during the cross-sectional survey, only 8.7% (n=14) were infected with Plasmodium . Bed nets were used by 80.12% (n=129) of women. Conclusion: Data showed a near complete adhesion of IPT-SP in the rural area of Fougamou. Clinical trials are needed to investigate the efficacy of IPT-SP and antimalarial drug markers.